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Acknowledgment of Disclosures and Authorization
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.
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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.
Remember, this assessment is not a substitute for professional advice.
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My mom has advanced dementia and was having 5-6 diarrhea/BMs per day. Sometimes she knew she needed to go and sometimes she went in her pants. Because it was so frequent, there wasn't always a lot, but it was a lot of laundry and mentally and emotionally exhausting and depressing for me.
She is in renal failure and we have a hospice nurse coming in twice a week. The nurse was able to prescribe Diphenoxylate which has remedied the diarrhea and reduced the BMs to once or twice a day. It has also eliminated the leakage between BMs.
The initial dosage was 2 pills 4 time per day. My mom is extremely tiny and that dosage seemed excessive to me. So I started with 2 pills at night. That wasn't quite enough, so I tried 2 in the morning and 2 at night. That was a little too much. Tried 1 in the morning and 1 at night. That wasn't enough. So now we're at 2 in the morning and 1 at night. That seems to be the correct combination, but it took 2 weeks of trial and error. And you have to try the dosage for a few days to see how it's working. Initial side effects were drowsiness and extremely dry mouth, but after 2 weeks the side effects have subsided.
Although the nurse warned that as the dementia progresses even further the medication might not work at all. That she might become more like an infant where she just releases any time. I hope this was helpful. Also, I found Huggies Natural Care wipes are much better than toilet paper. Larger, stronger, more gentle.
Luz was taking iron tablets and that, with her at least, turned a very loose mess into a substance more akin to dark clay. Much easier to clean. Check with your primary on this.
Lots of toilet paper and Huggies baby wipes. They are big and thick. I didn't know it at the time, but pull ups rip down the sides. Making easier to get off. Willie's idea is a good one.
One thing you can try is to get your mom on a toileting schedule - most people tend to go at more or less the same times every day, usually after meals, so having her spend 15 minutes on the toilet or commode at those times can help cut down on accidents. As for cleaning up - I was fortunate in that our hand held shower can easily reach the toilet, so I could giver her a good wash and rinse there. There are simple bidet sprayer attachments that will hook up to your toilet water supply, unfortunately that would be cold water only.
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.
She is in renal failure and we have a hospice nurse coming in twice a week. The nurse was able to prescribe Diphenoxylate which has remedied the diarrhea and reduced the BMs to once or twice a day. It has also eliminated the leakage between BMs.
The initial dosage was 2 pills 4 time per day. My mom is extremely tiny and that dosage seemed excessive to me. So I started with 2 pills at night. That wasn't quite enough, so I tried 2 in the morning and 2 at night. That was a little too much. Tried 1 in the morning and 1 at night. That wasn't enough. So now we're at 2 in the morning and 1 at night. That seems to be the correct combination, but it took 2 weeks of trial and error. And you have to try the dosage for a few days to see how it's working. Initial side effects were drowsiness and extremely dry mouth, but after 2 weeks the side effects have subsided.
Although the nurse warned that as the dementia progresses even further the medication might not work at all. That she might become more like an infant where she just releases any time. I hope this was helpful. Also, I found Huggies Natural Care wipes are much better than toilet paper. Larger, stronger, more gentle.
I didn't know it at the time, but pull ups rip down the sides. Making easier to get off. Willie's idea is a good one.
As for cleaning up - I was fortunate in that our hand held shower can easily reach the toilet, so I could giver her a good wash and rinse there. There are simple bidet sprayer attachments that will hook up to your toilet water supply, unfortunately that would be cold water only.