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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
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IMO ensure and supplements like it should only be used if there is no other way to get enough calories in a day, real food is always best. I gave them to my mom because she would still drink those even though she said she didn't want any dinner, it was also easier to rely on them on busy/stressful days because preparing a modified dysphagia diet takes a lot of time and planning.
Make sure that whoever is going to take Ensure isn't lactose intolerant. I did not know that my dad was lactose intolerant. I gave it to him once in a while to help him have bowel movements. Plus the protein it provides. I guess he really was intolerant with it because he ended up having a bleeding stomach... The ER doctor asked me what his diet was. She narrowed it down to the Ensure as a possible culprit for the bleeding.
Bookluvr, can you elaborate on how the Ensure contributed to bleeding? I'm shocked to learn this. It didn't happen to my father, to my knowledge, but I'm curious b/c it was recommended as the supplement of choice by so many doctors.
GardenArtist, I don't know, either. The surgeon asked me a lot of questions about my dad's diet. The ER and the surgeon concluded that he's bleeding in the stomach. When my niece, a nurse, visited my dad in the ER, she said something about the way the blood is coming out of his mouth points to stomach bleeding. Whenever I gave dad Ensure, he would have watery BM. I admitted to the surgeon that giving him Ensure was my 'get to' solution whenever he became constipated. And he would complain that he needed to poop but it won't come out. I would give him Ensure. And then he's pooping again... I don't know. The surgeon looked at me and said that my dad was lactose intolerant and 'You do know that Ensure has milk.' .. Needless to say, I felt so bad that I contributed to his stomach bleeding - by using Ensure milk to make him have BM.
It makes me sooooo sad that your conclusion, at the end of this complicated and unusual situation with your father, is that you contributed to his stomach bleeding and were to blame.
I can think of lots of reasons to prefer all kinds of approaches to nutrition before Ensure, which I personally consider the sputum of Satan on taste grounds alone; but gastric bleeding? I'm sure the ER doc followed a sound process of deduction but I have to say it's a new one to me.
Bookluvr, I'm sure that many of us at some time have felt badly that our care resulted in less than desirable results. There are SO many variables when caring for older people (including myself!) that I don't think we can possibly be aware of all of them. Your choice was sincere; that's what's important.
CM, you raise good points. I still wonder what ingredient in Ensure contributes to bleeding. I'm wondering if it's not the lactose intolerance issue but rather some specific chemical additive in the Ensure.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Do you think they are not giving drinks?
Do you think they are NOT drinking , or are unable?
Is this in hospice care?
It makes me sooooo sad that your conclusion, at the end of this complicated and unusual situation with your father, is that you contributed to his stomach bleeding and were to blame.
I can think of lots of reasons to prefer all kinds of approaches to nutrition before Ensure, which I personally consider the sputum of Satan on taste grounds alone; but gastric bleeding? I'm sure the ER doc followed a sound process of deduction but I have to say it's a new one to me.
CM, you raise good points. I still wonder what ingredient in Ensure contributes to bleeding. I'm wondering if it's not the lactose intolerance issue but rather some specific chemical additive in the Ensure.