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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.
Share a few details and we will match you to trusted home care in your area:
I saw that she feels more comfortable in bed than on the toilet seat, as she is a person immobilized in bed. How useful is it for her to put her on the toilet seat? She sits only supported.
Healthy is not the way I would phrase it. SAFETY is how I would determine what to do. If she is not safe getting transferred to the toilet or commode then it is safer for her to be changed in bed. Are you going to get her up into a wheelchair or just back into bed? If back into bed then leaving her in bed is safer.
Can you safely and easily change the bed when she is in bed? If so then no reason to get her up.
You can safely and easily get a person out of bed and onto a commode using a Hoyer Lift and there are commodes with backs that would offer support. the sling from the Hoyer Lift also offers some support. (the sling still attached to the Hoyer would be comfortable as well as provide support.)
As long as a proper change can be done, she is cleaned properly and well there is not a problem doing a change in bed.
Keeping someone in bed does bring about possible problems with pressure sores. No matter how or where you change her do a good skin check each time looking for the beginnings of a pressure sore. Any change in skin color or texture Swelling Tender areas Any areas that feel warmer or cooler than other parts of her body. Any of these should be checked ASAP.
If she's bedridden, needs help to sit up in a chair, seating her on a toilet seat seems like an unnecessary risk. Perhaps the doctor can refer you an occupational therapist who can assess your LO and determine if anything could be done to strengthen her enough to be moved out of bed occasionally.
My husband was completely bedridden for the last 22 months of his life, and I had an aide come every morning to put him on the bedside commode so he could poop. He hated sitting on a bedpan in bed, and preferred to sit on the bedside commode. It's also much easier, and more natural to poop when sitting upright, then while in bed, even if you raise the head up. Now my husband had a supra pubic catheter, so the only time he was put on the commode was to poop. But now, if the person you're caring for prefers to go in a bedpan while in the bed, and is regular in their pooping then I guess you can leave well enough alone, as you should be doing what they prefer anyway.
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.
SAFETY is how I would determine what to do.
If she is not safe getting transferred to the toilet or commode then it is safer for her to be changed in bed.
Are you going to get her up into a wheelchair or just back into bed?
If back into bed then leaving her in bed is safer.
Can you safely and easily change the bed when she is in bed? If so then no reason to get her up.
You can safely and easily get a person out of bed and onto a commode using a Hoyer Lift and there are commodes with backs that would offer support. the sling from the Hoyer Lift also offers some support. (the sling still attached to the Hoyer would be comfortable as well as provide support.)
As long as a proper change can be done, she is cleaned properly and well there is not a problem doing a change in bed.
Keeping someone in bed does bring about possible problems with pressure sores. No matter how or where you change her do a good skin check each time looking for the beginnings of a pressure sore.
Any change in skin color or texture
Swelling
Tender areas
Any areas that feel warmer or cooler than other parts of her body.
Any of these should be checked ASAP.
Perhaps the doctor can refer you an occupational therapist who can assess your LO and determine if anything could be done to strengthen her enough to be moved out of bed occasionally.
But now, if the person you're caring for prefers to go in a bedpan while in the bed, and is regular in their pooping then I guess you can leave well enough alone, as you should be doing what they prefer anyway.