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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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From A Place for Mom website; Signs of dehydration in seniors may include: Confusion, Difficulty walking, Dizziness or headaches, Dry mouth, Sunken eyes, Inability to sweat or produce tears, Rapid heart rate, Low blood pressure, (my observations- also, decreased urine output, foul smelling, concentrated dark urine). Cont. from website; Monitor body weight to keep track of hydration levels. To monitor body weight, one should be weighed every morning. If they've lost two pounds or more from the day before, and especially if they feel thirsty or have a headache, they're probably dehydrated.
Mild dehydration is defined as losing 2 percent of your body weight. Severe dehydration occurs with 4 percent or greater body weight loss. Even mild dehydration can affect a person's health, especially if he already has cardiac or renal problems. "We have measured in the lab cognitive impairment," he says. "With severe dehydration, it puts a greater strain on the heart. Think of a pump trying to pump with less fluid. That would be one of the primary problems." (End of info. from site.)
What "stage" is your dad in, 5,6 or 7? Can he swallow? Does he vomit it back up? (sorry for being graphic-I'm a nurse, so it doesn't bother me.)
If you can't get him up to a scale, try this; To check for skin "turgor", lightly pinch the skin on the top of the forearm between two fingers so that it is tented up. Hold the skin up for a couple of seconds, then let it fall. Skin with normal turgor falls rapidly back immediately o its normal position. If his takes a few seconds to recoil, he's dehydrated. Encourage whatever fluids he will drink. Don't forget jello counts as a liquid, also shakes, smoothies, aguas, soups (preferably low sodium), etc. Doesn't have to just be water. Don't bring an 8 oz. glass, use smaller cups or glasses so he doesn't feel overwhelmed. (Those of you who have had colonoscopies after drinking "gallons" of GoLightly can remember the feeling!) Find out what his favorite flavors are. If meat, use low sodium chicken and beef broths and bouillons.
Maybe there's a problem swallowing "thin" liquids. (Very common after stroke.) Does he cough or choke after drinking? If this is the case, there is an over the counter product called Thickit. It will thicken any thin liquid to a milkshake consistency. You just add the powder to the liquid.
Watery foods or foods with lots of (low sodium) gravy would also be a liquid addition. Offer fluids every two hours for as long as he's awake, even if he only takes sips. Yes, this will create more pee-pee problems during the night but it's better than going into kidney failure. Keep a urinal at the bedside.
As we age we loose the "thirst" sensation. That means we have to be conscientious about remembering to drink. Increase consumption by 1/3 in hot weather (without air conditioning). Try a straw in his glass (some like the control a straw offers over sipping from the side of the glass. Offer the correct temperature liquids he likes best. (I "can't" drink anything that doesn't have ice in it (if it's supposed to be cold).-Just my preference.
A little more detail would help. Can he not drink because of dysphagia or does he not drink because he doesn't want to? And I've found that the term late stage dementia means different things to different people, is your dad bed bound, frail and close to the end of life or do you just mean his dementia is severe?
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.
Signs of dehydration in seniors may include:
Confusion, Difficulty walking, Dizziness or headaches, Dry mouth, Sunken eyes, Inability to sweat or produce tears, Rapid heart rate, Low blood pressure, (my observations- also, decreased urine output, foul smelling, concentrated dark urine).
Cont. from website;
Monitor body weight to keep track of hydration levels. To monitor body weight, one should be weighed every morning. If they've lost two pounds or more from the day before, and especially if they feel thirsty or have a headache, they're probably dehydrated.
Mild dehydration is defined as losing 2 percent of your body weight. Severe dehydration occurs with 4 percent or greater body weight loss. Even mild dehydration can affect a person's health, especially if he already has cardiac or renal problems. "We have measured in the lab cognitive impairment," he says. "With severe dehydration, it puts a greater strain on the heart. Think of a pump trying to pump with less fluid. That would be one of the primary problems." (End of info. from site.)
What "stage" is your dad in, 5,6 or 7? Can he swallow? Does he vomit it back up? (sorry for being graphic-I'm a nurse, so it doesn't bother me.)
If you can't get him up to a scale, try this;
To check for skin "turgor", lightly pinch the skin on the top of the forearm between two fingers so that it is tented up. Hold the skin up for a couple of seconds, then let it fall. Skin with normal turgor falls rapidly back immediately o its normal position.
If his takes a few seconds to recoil, he's dehydrated. Encourage whatever fluids he will drink. Don't forget jello counts as a liquid, also shakes, smoothies, aguas, soups (preferably low sodium), etc. Doesn't have to just be water.
Don't bring an 8 oz. glass, use smaller cups or glasses so he doesn't feel overwhelmed. (Those of you who have had colonoscopies after drinking "gallons" of GoLightly can remember the feeling!)
Find out what his favorite flavors are. If meat, use low sodium chicken and beef broths and bouillons.
Maybe there's a problem swallowing "thin" liquids. (Very common after stroke.) Does he cough or choke after drinking? If this is the case, there is an over the counter product called Thickit. It will thicken any thin liquid to a milkshake consistency. You just add the powder to the liquid.
Watery foods or foods with lots of (low sodium) gravy would also be a liquid addition. Offer fluids every two hours for as long as he's awake, even if he only takes sips. Yes, this will create more pee-pee problems during the night but it's better than going into kidney failure. Keep a urinal at the bedside.
As we age we loose the "thirst" sensation. That means we have to be conscientious about remembering to drink. Increase consumption by 1/3 in hot weather (without air conditioning). Try a straw in his glass (some like the control a straw offers over sipping from the side of the glass. Offer the correct temperature liquids he likes best. (I "can't" drink anything that doesn't have ice in it (if it's supposed to be cold).-Just my preference.
Hope these suggestions help. Cheers!
And I've found that the term late stage dementia means different things to different people, is your dad bed bound, frail and close to the end of life or do you just mean his dementia is severe?