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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.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Untreated UTIs eventually lead to kidney failure through sepsis. My mother's doctor said dying from kidney failure is the least painful way to go because you just fall asleep. I'm not saying you should allow this to happen, but if her overall medical condition(s), her overall quality of life isn't good, then maybe letting the next UTI take it's course is good for her - in the long run because her decline will continue. Some doctors, no, frankly, many doctors have no tact when it comes dealing with end-of-life care because medical schools don't train them to be compassionate about this type of care; they learn it on their own from patient experience. Maybe these doctors feels not treating the UTI is best for her based on her current quality of life. Instead of just treating the chronic UTIs, you need to find a doctor who will actually take the time to investigate why she's having them because it's not normal to have chronic UTIs at any age - especially 8 in 4 months. You didn't state what type of UTI? Fungal or bacterial? Both cause UTIs. Until you find this doctor, you need to put her on the highest dose possible of a probiotic to fight the bad bacteria that's taken over the good bacteria. If she has a Candida/fungal infection, then you should get something called D-Mannose. Look on Amazon. D-Mannose is the active ingredient in cranberry to fight UTIs. When people or doctors say to drink straight cranberry juice - they're flat-out wrong because juice has too much natural sugar and will worsen an existing Candida infection. You want only the D-Mannose. The body interprets all forms of sugar (fruit, table/white, honey, agave, dates, dried fruit, maltodextrin, high fructose corn syrup...the list of "sugar" in ingredients is very long, actually) - as sugar. Typically UTIs are caused by low stomach acid, thyroid imbalance/poorly managed thyroid medication, too much sugar (both table sugar and products with yeast, like bread, wine/beer) in the diet, holding the urine/refusing to pee, not changing diapers often, cather intolerance, feces in diaper that isn't changed often...and the such. Hopefully you can find a doctor who can actually tell you why she's having chronic UTIs.
Has she been seen by a urologist to determine why she keeps getting utis?
Once we got my mom on a regimen of a probiotic called re-Phresh (keeping the ph of her uro-genital are in balance) and on a vaginal estrogen suppository, the problem abated.
Thank you for your response rainmom, she has been in hospital 8 times in the last 4 months for delirium from uti's, we know the dementia will sadly end her life we just want to respect her wishes and give her at least more time at home so thought maybe prophylactic antibiotics might help? Clutching at straws really as the docs have suggested not treating and letting the infection kill her.
Long term use of antibiotics can kill all the bacteria in the body - good as well as bad bacteria. The body needs good bacteria to remain healthy. With out good bacteria the body can develop rampant yeast over growth resulting in infection. The body can also develop "C-diff" which is basically chronic diarrhea and it can eventually kill - it can be very difficult to cure. The body also can develop a resistance to antibiotics when on them continually- so that when you really need one to fight an infection it won't work. It's like building up a tolerance.
In some situations - like chronic UTIs a low dose antibiotic can be given on a daily basis.
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.
Once we got my mom on a regimen of a probiotic called re-Phresh (keeping the ph of her uro-genital are in balance) and on a vaginal estrogen suppository, the problem abated.
In some situations - like chronic UTIs a low dose antibiotic can be given on a daily basis.