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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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Jessica, we need a little more information. Is he completely incontinent? Does he wear adult diapers? Is he bedridden? In a wheelchair? We found that it was easier to lay my father in bed (we had to use a hoyer lift), turn him on his side, and clean him from behind. This position afforded him some dignity and privacy as we were not face to face as he was being cleaned. Hang a plastic grocery bag off the bed to hold the dirty diaper. Use toilet paper to clean off most of the stool, and large wet wipes to clean the rest. This may take several. 2We bought them from Sam’s. I would always give my father a wet wipe for him to clean his front as he was able to do this. Tie up the grocery bag. Mission accomplished! My dad never needed any kind of ointment applied because the wipes we used had aloe in it. I know there are people on this forum with a lot more experience and tips than I know. I hope they respond. I kept up a conversation with my dad during this procedure as I think it helped to distract both of us from this unpleasant but necessary part of life.
You mentioned that you tried putting him in the shower. So that must mean you can at least get him into the bathroom. If so, get a Japanese style bidet for your toilet. While some are really fancy and really expensive. The cheap ones are only about $20 and very easy to install. Instead of using the shower to wash him off, use the bidet. Get one with an adjustable nozzle so you can swing it around to wash various areas. Otherwise you'll have to get him to move himself over the seat which is much harder. A dual nozzle one will also have a nozzle to wash the front.
Here's what I do with grandma.
1) Maneuver her so that she's standing right in front of the toilet. 2) Pull her pants and diaper down. Not all the way, but enough that she can sit on the toilet without the garments being caught. 3) Pull off the pants which go into the hamper for washing. Pull off the diaper which goes into the trash. Done carefully, there is no smearing. Takes experience. I kind of wrap the diaper upon itself on the way down. 4) Use the bidet to wash everything off. 5) Put a diaper and pants back on pulled up as far as I can with her sitting down. 6) Stand her back up and pull everything back up all the way.
About $200 bidets can also have a drying function so you don't even have to worry about drying. The bidet will take care of that. Otherwise use TP, paper towels or even a regular towel to dry off at some point.
Every one that needs caring for should have a bidet. It's a lifesaver. Even for someone that can be bathed/showered, a bidet prewash makes things more pleasant for everyone involved.
Jessica: does your father still have his sense of smell? Perhaps he can't smell it because he can't smell. Is he able to go to another nursing facility? This sounds like an impossible task for one person to care for a large person. Thank you for trying so hard to care for your dad!
Jessica, you haven’t told us why you removed him from the nursing home. There should be a local Council on Aging that you could call for help and advice on taking care of your father. It sounds as if he is ambulatory as you say you have tried to get him to use the potty. That is a big plus, but your father may not be able to tell when he needs to use it. My father seems to have lost the ability to tell when he needs to go. He uses a urinal sporadically, and while he was still home we just accepted that he was going to poop in his diaper and took it from there as he was too heavy to place on the toilet. He is by no means overweight; he is just a big man. It was easier to just hoist him in bed to clean him up using the hoyer lift. As to bathing him.... is your bathroom set up for a handicapped person? Trying to bathe him by yourself without training or grab bars or a bathing bench could be dangerous for the both of you. Does your father have the funds to pay for a professional to come in several hours a day to help? You could watch how she does things. For several years prior to my father going into a nursing home, we had a former female Marine caregiver who was able to bathe him as we could not do it. There is a lot of learning and on-the-job training involved with taking care of someone needing the care that your father needs. We had 15 years of learning as both my parents became more and more debilitated. It sounds as if you are experiencing a crash course. Don’t use baby wipes. They make adult wipes which are twice the size. Please call some agencies (Adult Protective Services or the Council on Aging that I mentioned earlier). You need a lot of help and guidance as your father’s needs are many, and it sounds as if you were not prepared for the reality of it all. Maybe some more people on this forum can point you in the right direction. You sound like a person with a big heart, who really wants to help her father, but as I read on this forum “It takes a village to care for an elderly person”.
UPDATE.... I have contacted home health care and hospice. They came out for the past few days and it's getting easier. I took as much advice from y'all as I could, and THANK YOU ALL so much. I think with some time and patience I will get the hang of this.
Sorry Treeartist I am new at this asking for help thing to. My dad is in adult diapers, and he has to have help doing everything but feeding himself. It is allot to handle and I am doing the best I can. The nursing home that I removed him from didn't help us at all. So it's been a learning process. I tried putting him in the shower but he's a big guy and so ended up on my walls and everywhere else. I have tried baby wipes, but it's too much. So now I'm using warm wet towels and sliding him from side to side and that seems to be doing better. I can't get him to use the potty That is beside his bed, or the one in the bathroom, or even the pee jug for that matter. So it's ending up in my floor because he's soaking to the diapers at least twice a day. I can't get into shower or take a bath. Since he's not using the toilet at all he smells really bad. I understand being incontinent and not knowing when you pee or poop, but I don't understand not being able to smell it. I'm starting to get resentful and then I get mad at myself. I just don't know what to do. Thank you guys for trying to help.
My husband can not tell me when he has to go so I started taking him and sitting him on the toilet on a schedule, and he stopped going in his pants and goes when he is in the bathroom. There is an occasional accident but not many. He is getting less mobile so when I can't get him to the bathroom I have a commode already so I can bring it to him and hopefully he'll continue to go on schedule. I can't imagine how uncomfortable it is to have to do this with your father, and same for him. You can get home care that will come in to shower/bath him a couple times a week, but if they consider there to be a risk of hurting anyone they will only do sponge baths...that's what happened with me. Good luck to you, this is a horrible thing we have to do but it's even worse for the LO.
Local Area on Aging can help. They can help determine if you/he needs more help. Is your Dad a Veteran? If so he may qualify for a bit of help or a LOT of help if he has ANY condition that may be classified as "service connected" . Contact your local Veterans Commission Office they will help you and their service is FREE. There are others that will help but you pay for the service. Also (and here I go again) Is he or might he be Hospice eligible? It was AMAZING what I was able to accomplish with the help of "my" Hospice and the VA. We had a CNA that came in several times a week and she taught me how to do a lot of things and easier way to do things. The Nurse was an angel as was the Social Worker. I/we got Hospital bed, wheel chair then a Broda Chair, that is a more adjustable/adaptable wheelchair. I got supplies and medications delivered to my door. Granted not everyone qualifies for Hospice but it is worth a call and have an evaluation done. Do not be afraid of Hospice" my Husband was on Hospice for almost 4 years. The qualifications are "life limiting disease", no cure and no longer seeking treatment. And there must be a continued, documented decline. The person on Hospice will be reevaluated at various times to determine they still qualify.
Now... To clean your Dad. If he is using the toilet you clean the best you can once he stands up. If he is in bed pull off the tabs on the briefs, this way the sticky tape does not get stuck to the skin where it may cause a skin tear. Roll or bring the front of the brief down to the bed. Then the easiest way is to roll him to one side, place the leg that is on top over and in front of the leg with contact with the bed. This will enable you to clean easier. Using wipes clean as best you can. Placing the soiled wipes on the absorbent pad. Once he is clean roll up the pad with the brief and soiled wipes. Toss that away. Roll up a clean absorbent pad about half way and place the rolled portion near the center of his back. The flat, unrolled part lays flat on the bed. Roll your Dad to his other side then unroll the clean pad. Place a clean brief under him as far as you can again with the center of the brief lined up with the center of his back. Roll him onto his back and you should be able to pull the clean brief up and attach the sticky tabs to the front of the brief. I guarantee that this will not look pretty the first dozen times you do it but you will get better at it. And I also guarantee that at least once you will have to do it all over again because he will pee again or the BM you thought was done wasn't! Not to mention the times you will have to do it again because the tab broke, or you tore the brief, or you got it backwards! I could go on but you get the idea. Not looking for perfection here just a way to keep someone dry and clean as best as you can. Changing the sheets on the bed is pretty much done the same way, roll up half the sheet place it by the center of the back, roll the person over the clean sheet then unroll the sheet. Try to get out as many wrinkles as you can as wrinkles in any material will cause red marks due to uneven pressure. While not a big deal normally when a person is bed bound and the circulation is not good there can be skin breakdown. (another good reason for Hospice they also keep a close eye on things like this) Good luck.
2 things: 1 - a person can't smell themselves that is why people with bad breathe don't know it or when someone uses too much perfume [explains much doesn't it!] 2 - I used to double & triple make my kids cribs - when they are out make it with pad then sheet then pad then sheet then pad then sheet - just make sure the pads are large - bed change is only taking off the top layers [so much easier at 3:00 a.m.]
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.
I know there are people on this forum with a lot more experience and tips than I know. I hope they respond. I kept up a conversation with my dad during this procedure as I think it helped to distract both of us from this unpleasant but necessary part of life.
Here's what I do with grandma.
1) Maneuver her so that she's standing right in front of the toilet.
2) Pull her pants and diaper down. Not all the way, but enough that she can sit on the toilet without the garments being caught.
3) Pull off the pants which go into the hamper for washing. Pull off the diaper which goes into the trash. Done carefully, there is no smearing. Takes experience. I kind of wrap the diaper upon itself on the way down.
4) Use the bidet to wash everything off.
5) Put a diaper and pants back on pulled up as far as I can with her sitting down.
6) Stand her back up and pull everything back up all the way.
About $200 bidets can also have a drying function so you don't even have to worry about drying. The bidet will take care of that. Otherwise use TP, paper towels or even a regular towel to dry off at some point.
Every one that needs caring for should have a bidet. It's a lifesaver. Even for someone that can be bathed/showered, a bidet prewash makes things more pleasant for everyone involved.
As to bathing him.... is your bathroom set up for a handicapped person? Trying to bathe him by yourself without training or grab bars or a bathing bench could be dangerous for the both of you. Does your father have the funds to pay for a professional to come in several hours a day to help? You could watch how she does things. For several years prior to my father going into a nursing home, we had a former female Marine caregiver who was able to bathe him as we could not do it.
There is a lot of learning and on-the-job training involved with taking care of someone needing the care that your father needs. We had 15 years of learning as both my parents became more and more debilitated. It sounds as if you are experiencing a crash course.
Don’t use baby wipes. They make adult wipes which are twice the size. Please call some agencies (Adult Protective Services or the Council on Aging that I mentioned earlier). You need a lot of help and guidance as your father’s needs are many, and it sounds as if you were not prepared for the reality of it all. Maybe some more people on this forum can point you in the right direction. You sound like a person with a big heart, who really wants to help her father, but as I read on this forum “It takes a village to care for an elderly person”.
Good luck!
I can't imagine how uncomfortable it is to have to do this with your father, and same for him. You can get home care that will come in to shower/bath him a couple times a week, but if they consider there to be a risk of hurting anyone they will only do sponge baths...that's what happened with me.
Good luck to you, this is a horrible thing we have to do but it's even worse for the LO.
Is your Dad a Veteran? If so he may qualify for a bit of help or a LOT of help if he has ANY condition that may be classified as "service connected" . Contact your local Veterans Commission Office they will help you and their service is FREE. There are others that will help but you pay for the service.
Also (and here I go again) Is he or might he be Hospice eligible? It was AMAZING what I was able to accomplish with the help of "my" Hospice and the VA. We had a CNA that came in several times a week and she taught me how to do a lot of things and easier way to do things. The Nurse was an angel as was the Social Worker. I/we got Hospital bed, wheel chair then a Broda Chair, that is a more adjustable/adaptable wheelchair. I got supplies and medications delivered to my door. Granted not everyone qualifies for Hospice but it is worth a call and have an evaluation done. Do not be afraid of Hospice" my Husband was on Hospice for almost 4 years. The qualifications are "life limiting disease", no cure and no longer seeking treatment. And there must be a continued, documented decline. The person on Hospice will be reevaluated at various times to determine they still qualify.
Now...
To clean your Dad.
If he is using the toilet you clean the best you can once he stands up.
If he is in bed pull off the tabs on the briefs, this way the sticky tape does not get stuck to the skin where it may cause a skin tear. Roll or bring the front of the brief down to the bed.
Then the easiest way is to roll him to one side, place the leg that is on top over and in front of the leg with contact with the bed. This will enable you to clean easier.
Using wipes clean as best you can. Placing the soiled wipes on the absorbent pad.
Once he is clean roll up the pad with the brief and soiled wipes. Toss that away.
Roll up a clean absorbent pad about half way and place the rolled portion near the center of his back. The flat, unrolled part lays flat on the bed.
Roll your Dad to his other side then unroll the clean pad.
Place a clean brief under him as far as you can again with the center of the brief lined up with the center of his back.
Roll him onto his back and you should be able to pull the clean brief up and attach the sticky tabs to the front of the brief.
I guarantee that this will not look pretty the first dozen times you do it but you will get better at it.
And I also guarantee that at least once you will have to do it all over again because he will pee again or the BM you thought was done wasn't! Not to mention the times you will have to do it again because the tab broke, or you tore the brief, or you got it backwards! I could go on but you get the idea.
Not looking for perfection here just a way to keep someone dry and clean as best as you can.
Changing the sheets on the bed is pretty much done the same way, roll up half the sheet place it by the center of the back, roll the person over the clean sheet then unroll the sheet. Try to get out as many wrinkles as you can as wrinkles in any material will cause red marks due to uneven pressure. While not a big deal normally when a person is bed bound and the circulation is not good there can be skin breakdown. (another good reason for Hospice they also keep a close eye on things like this)
Good luck.
1 - a person can't smell themselves that is why people with bad breathe don't know it or when someone uses too much perfume [explains much doesn't it!]
2 - I used to double & triple make my kids cribs - when they are out make it with pad then sheet then pad then sheet then pad then sheet - just make sure the pads are large - bed change is only taking off the top layers [so much easier at 3:00 a.m.]
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