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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?
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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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Hi, How long can a patient be in a U-Sling in their manual Hoyer lift? We've been shooting for 10 minutes but get closer to 15 depending on each time's needs. I read on the fda or another type of website folks should only be suspended in their sling 'for a few minutes', so I think we're pushing it with even 10 minutes. We dont do well with changing briefs by rolling and our loved one cant help in terms of lifting their bottom up at all to help change briefs when on their back. We tried a Sara stedy but they sit against the butt seats and i cant properly clean their behind. Ive looked into electric sit to stand lifts where but even if a hybrid ones is available ($$) with both a seat & chest sling, i dont think its safe to remove to seat back to have access to their bottom to clean, as they currently arent able to fully stand up off their sara stedy after time goes by as they get tired and put their full weight on the back of the seats (no sling in the sara stedy/transport stand assist manual tool). Perhaps id be able to quickly remove the seats on a hybrid sit to stand with them still in the sling, but this seems like their legs could give out and/or i'd still need 10-15 minutes to do the brief change, removing desitin & a and d, putting new desitin & a and d on, cleaning any BMs, removing bandaids, cleaning wounds, applying new bandaids with creams etc.) We got a tilt in space shower chair commode, but same issue, I still need full access to their bottom to clean (I tried a hand held bidet which works okay, but im on the bathroom floor trying to use it & water gets everywhere-we dont have a roll in shower, so ive been putting a large bucket on the ground with the disposable pee pads underneath it. (Side note-id really like if there was a large bucket that fits under shower commode chairs so we could properly give our LO a shower with water not just wipes or washclothes). The shower chair isnt great though because it's not padded and cuts into their skin (i did tape a cotton pee pad to the the back rest to pad it-but the seat itself leaves red marks because it's not padded-but i cant just put a towel over it because we use the commode cut out). I need to raise them up in the air with the hoyer to: take off their tabbed Abena brief, use wipes to clean them, including time to take off all the Desitin on their front/scrotum we were told by an OT to use, to clean any bowel movements, to put on A&D on their bottom, and to clean & bandage any bandaids that have come loose (they have very vulnerable skin and are at risk for pressure wounds). I know the sling cant be good as it can irritate their skin under their arms, so Im trying to come up with other solutions. It's just me as the caregiver and we did try the changing in bed (had an OT come show us, watched from videos, tried on my own), but it just is more work for us-impossible to get new tabbed briefs on correctly, messy to clean, at risk for them peeing/having bm during changing process which is harder to clean in bed i find, its hard for me to roll them and our LO doesnt like it either-and even with two people (the OT) showing me, our LO was near the edge of their fully electric hospital bed with bed rails (legs off the bed edge) & it felt like they could fall-one of us had to hold their body and that doesnt work if there is only one of me. Ive seen the Sure Hands Lift (newer/more modern hoyer with no sling) (video here: https://www.instagram.com/p/C90SYCYhYHo/) wonder if anyone has tried those-i dont know that it would help with the skin issues if they were up in that sling for 10-15 minutes a few times a day but the current u-sling doesnt seem great-it also seems to slip over time like it gets bunched up by the shoulder and knees and seems like our LO could slip out of it-and we cant cross the leg straps as we need access to change briefs and put on their velcro shorts (hard to do as is in the sling).-thanks for any advice/equipment/videos etc
Unfortunately, this seems to be one of those situations where professionals are needed for the job. It's beyond your skill level. Yes, you could learn, and yes, you perform the task with love in your heart, but sometimes that isn't enough, which is what you're finding out.
This level of care needs to be handled in a facility where fully trained people are available 24/7. I'm so sorry.
thanks for replying-we did already try a facility (and in home help) and in both situations the quality of care was not acceptable-so family doing home care is our reality-ive seen other sole caregivers who do this at home with hoyer lift etc like us but i think they have more luck with the rolling in bed-their loved one is quite frail so rolling weight wise may be easier-theres actually more than one of us here at home but im the designated caregiver.
Two people may be needed while changing and doing pericare in bed , if the patient is not cooperative with turning side to side . Hanging in the sling is not safe .
Also there is a way to do all of this in bed without the patient having to lift his bottom . The OT showed you how to change the sheets while the patient was in bed . You can also do all care this way , while minimizing the chance of soiling the sheets . Ask OT to show you how to change an adult diaper with tabs by rolling side to side . You can place a towel on his front and a bed pad in the back until getting the diaper totally back on , (similar to when changing a newborn baby boy to avoid “ the fountain”) .
Perhaps it may be time to consider facility care for LO .
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.
This level of care needs to be handled in a facility where fully trained people are available 24/7. I'm so sorry.
Also there is a way to do all of this in bed without the patient having to lift his bottom . The OT showed you how to change the sheets while the patient was in bed . You can also do all care this way , while minimizing the chance of soiling the sheets . Ask OT to show you how to change an adult diaper with tabs by rolling side to side . You can place a towel on his front and a bed pad in the back until getting the diaper totally back on , (similar to when changing a newborn baby boy to avoid “ the fountain”) .
Perhaps it may be time to consider facility care for LO .