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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
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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so my aunt's joints and ligaments are deteriorating...they naturally coil up to fetal position. If she isn't moving so much on her own,, then these sinouse strands of tissue coil up... To help control the pain, a nurse told me, her country just gives them a daily does of Tylenol, to help the pain. The palliative nurse, says to massage, put lotion on legs, and gently massage them outward, but if they have been contracted or constricted however you say it, a long time, this will only help to reduce the contraction going forward... You will not be able to straighten them out how they should stretch out. Keep them comfortable, put pillows between legs, or joints so they will not get pressure sores. Rotate.. sounds like my aunt, she may not be able to move naturally, or at all, and then pressure sores can pop up.. bedsores, or however you want to say it. These can be very destructive on the delicate tissue called the skin.. So do be aware of bone touching bone, or couch or cushion touching only one spot on the body, ie, tail bone, ankle bone, heel bone, elbow... etc... Rotate her body every 2 or 3 hours to relieve pressure... Ask her doctor for hospice or palliative care evaluation..... It is just a referral.. They will evaluate the situation... and consider this.... Please. They will probably prescribe on their bill, an inflatable mattress that will inflate and deflate for pressure sores.
Good advice from MAYDAY. Also try to google or other search engine "Passive Range of Motion Exercises" They mean passive in that you do it and they cannot participate. Truth is that this does little overall, but it may help a bit.
Nurse Alvadeer, thank you for your reply. I have noticed that she does not move her joints very well. Sometimes she will not straighten her legs in the morning after waking up or bend her elbows without a lot of trying on my part. It makes it even more difficult. Then I try to change her diaper, she will not open her legs, her knees are so locked together that I have to practically pry them open just to get her cleaned up and the diaper off and on. Plus she is keeping her hands in a fist all the time, so I put wash clothes in her hands to absorb the sweat.
This is not unusual. As a nurse I saw it 100s and 100s of times. Nurses used to say if people live long enough they go from fetal position all the way back to fetal position. There are perhaps more reasons than we can know. If you have ever been just "at the end of it" either with grief, depression or exhaustion, you may recall just wanting to go to bed, curl on your side and draw your body up into a defensive position. It is a normal human response that is almost from our animal times, protecting the core of us that, if attacked, will result in our demise. So it is a natural position for us. There also the fact that muscles atrophy, and that ligaments lose their ability to adapt, to stretch. Our body draws in upon itself as these muscles flatten. There are so many things that are normal, and natural, that we with our magical thinking like to assign to some profound spiritual reason that doesn't exist. For instance, those who have seen a loved one through they dying process will see that the face takes on a very BEAUTIFUL countenance. Wrinkles and lines often seem to disappear and the body takes on a gorgeous almost sculptural beauty. We think it is peace, but really it is the body doing what it does after death, the beginning of a body going into rigor. There is no need to feel uncomfortable about this, and I still love our old nurse's magical thinking that the journey has been completed. As the book of common prayer says "As it was in the beginning, is now and ever shall be, world without end." I as an atheist take great comfort in the poetic beauty and comfort of many religious texts.
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.
My mom near the end of her life also slept in the fetal position.
They may supply necessities for pressure sores, etc.
To help control the pain, a nurse told me, her country just gives them a daily does of Tylenol, to help the pain.
The palliative nurse, says to massage, put lotion on legs, and gently massage them outward, but if they have been contracted or constricted however you say it, a long time, this will only help to reduce the contraction going forward... You will not be able to straighten them out how they should stretch out. Keep them comfortable, put pillows between legs, or joints so they will not get pressure sores. Rotate.. sounds like my aunt, she may not be able to move naturally, or at all, and then pressure sores can pop up.. bedsores, or however you want to say it. These can be very destructive on the delicate tissue called the skin.. So do be aware of bone touching bone, or couch or cushion touching only one spot on the body, ie, tail bone, ankle bone, heel bone, elbow... etc...
Rotate her body every 2 or 3 hours to relieve pressure... Ask her doctor for hospice or palliative care evaluation..... It is just a referral.. They will evaluate the situation... and consider this.... Please. They will probably prescribe on their bill, an inflatable mattress that will inflate and deflate for pressure sores.
There are perhaps more reasons than we can know. If you have ever been just "at the end of it" either with grief, depression or exhaustion, you may recall just wanting to go to bed, curl on your side and draw your body up into a defensive position. It is a normal human response that is almost from our animal times, protecting the core of us that, if attacked, will result in our demise. So it is a natural position for us.
There also the fact that muscles atrophy, and that ligaments lose their ability to adapt, to stretch. Our body draws in upon itself as these muscles flatten.
There are so many things that are normal, and natural, that we with our magical thinking like to assign to some profound spiritual reason that doesn't exist. For instance, those who have seen a loved one through they dying process will see that the face takes on a very BEAUTIFUL countenance. Wrinkles and lines often seem to disappear and the body takes on a gorgeous almost sculptural beauty. We think it is peace, but really it is the body doing what it does after death, the beginning of a body going into rigor.
There is no need to feel uncomfortable about this, and I still love our old nurse's magical thinking that the journey has been completed. As the book of common prayer says "As it was in the beginning, is now and ever shall be, world without end." I as an atheist take great comfort in the poetic beauty and comfort of many religious texts.