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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?
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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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Expecting an elder with Alz/dementia to bathe 3x a week is too much; once a week is plenty, really. Watch Teepa Snow videos on how to best help soothe an elder's fears with regard to bathing. Below is a link to a couple of her videos on the subject:
See if you can determine why your father is refusing to bathe; is he afraid of falling, of the water itself, the strength of the spray, of the water coming at his face? Water shoes help a lot with fear of falling; you can buy a pair on Amazon. A hand held spray nozzle helps a lot of elders control the water flow and direct it where THEY want it to go.
Read up on dementia at Alzheimers.org to learn all you can on the subject and pick up a copy of The 36 Hour Day which is especially helpful and a great reference guide to have handy. You may also look into hiring an aide to shower dad at some point; the elders normally act MUCH better with an outsider who's hired to help them than they do with family members, and that's the truth!
Tracie, Used to give my mother a shower every day and now with her decline and almost falling off her shower chair with one caregiver present I stopped doing it. Now we give her a shower once week or every two weeks with two of us with her. I sponge bath her every day, I use a high quality soap, one basin for washing the other for rinsing. She is as clean as if she took a shower. Be safe and do a sponge bath in bed.
What happened to make him "afraid?" Did he almost slip or did he slip. Do not have to have a fall just a slip on the floor will make someone more cautious to the point of being afraid. You can start by getting a shower chair or bench. That might make him feel more secure. Also good secure grab bars are important and do not use the towel bars or the bars on the shower doors neither are strong enough to be used as grab bars. With dementia there is the possibility that he may have forgotten how to shower. Or the steps that need to be done to shower. If you think about it there is a lot that we do automatically and with dementia those steps can get confusing. You can either physically help him in the shower or you can get a Shower Aide that will come in a few days a week to help him. As to the 3 showers a week that might be more than he actually needs. If he is not working up a sweat and is cleaned properly and well after toileting a shower 2 times a week should be sufficient. (I checked my State's regulations when my Husband was in Rehab and I was surprised to find out that the state only requires 2 times a week) And if showering is going to be a battle best to fight the battle 2 times a week rather than 3. I was also told by the PT that came that showering is frightening for some. The water hitting on the head and upper torso if scary and they feel vulnerable. I used a shower wheel chair for my Husband and gave him control of the hand help shower head. I would wet him down starting at his feet then would work around to his back and let the water gently flow over his shoulders. I would also often turn the water off so it was not quite as loud in the bathroom. And I would talk in a very quiet voice so it would not seem as loud or echo as much. Bathrooms are noisy places.
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.
https://www.google.com/search?q=teepa+snow+hand+over+hand+bathing&rlz=1C1CHBD_enUS896US896&oq=&sourceid=chrome&ie=UTF-8
See if you can determine why your father is refusing to bathe; is he afraid of falling, of the water itself, the strength of the spray, of the water coming at his face? Water shoes help a lot with fear of falling; you can buy a pair on Amazon. A hand held spray nozzle helps a lot of elders control the water flow and direct it where THEY want it to go.
Read up on dementia at Alzheimers.org to learn all you can on the subject and pick up a copy of The 36 Hour Day which is especially helpful and a great reference guide to have handy. You may also look into hiring an aide to shower dad at some point; the elders normally act MUCH better with an outsider who's hired to help them than they do with family members, and that's the truth!
Good luck!
Used to give my mother a shower every day and now with her decline and almost falling off her shower chair with one caregiver present I stopped doing it. Now we give her a shower once week or every two weeks with two of us with her. I sponge bath her every day, I use a high quality soap, one basin for washing the other for rinsing. She is as clean as if she took a shower. Be safe and do a sponge bath in bed.
Did he almost slip or did he slip. Do not have to have a fall just a slip on the floor will make someone more cautious to the point of being afraid.
You can start by getting a shower chair or bench. That might make him feel more secure. Also good secure grab bars are important and do not use the towel bars or the bars on the shower doors neither are strong enough to be used as grab bars.
With dementia there is the possibility that he may have forgotten how to shower. Or the steps that need to be done to shower. If you think about it there is a lot that we do automatically and with dementia those steps can get confusing.
You can either physically help him in the shower or you can get a Shower Aide that will come in a few days a week to help him.
As to the 3 showers a week that might be more than he actually needs.
If he is not working up a sweat and is cleaned properly and well after toileting a shower 2 times a week should be sufficient. (I checked my State's regulations when my Husband was in Rehab and I was surprised to find out that the state only requires 2 times a week)
And if showering is going to be a battle best to fight the battle 2 times a week rather than 3.
I was also told by the PT that came that showering is frightening for some. The water hitting on the head and upper torso if scary and they feel vulnerable. I used a shower wheel chair for my Husband and gave him control of the hand help shower head. I would wet him down starting at his feet then would work around to his back and let the water gently flow over his shoulders.
I would also often turn the water off so it was not quite as loud in the bathroom. And I would talk in a very quiet voice so it would not seem as loud or echo as much. Bathrooms are noisy places.