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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:
Possibly a drug interaction. What other meds is she taking? Ask the pharmacist to check for drug interactions, with any Rx or supplements that she takes. Too many anti-cholinergics would produce the symptoms you see.
Who prescribed that as a sleeping aide? It's irresponsible and wouldn't be advised by any good doctor.All drugs even those that are considered safe for children can cause countless problems for the elderly.That's why most doctors will not prescribe sleep aides for "at home" clients. Do the research.
Yikes! I'd get that checked out by her doctor. My mom was given Benedryl for a heart catheterization and it caused her legs to jerk uncontrollably - so we had to cancel the procedure (and never had it done - she's 95 and doing fine).
In looking online, here's something from Mass General Hospital. Here's the link, which they may strip out. http://www2.massgeneral.org/pharmacy/Newsletters/2002/August%202002/benadryl.htm
So here's the general crux of what they're saying: "A prospective study of the clinical use of diphenhydramine, conducted by Agostini et al at Yale University and New Haven Hospital, suggested the use of diphenhydramine might not only be problematic for the elderly, but for others as well. There was a 70% increased risk of decline in cognitive function in the group that received diphenhydramine. The risks of cognitive dysfunction appeared to be dose-related, using the Confusion Assessment Method (CAM) and the Folstein Mini-Mental State Exam (MMSE). Other observations included increase in urinary catheterization (RR 2.5) and an increase in length of hospital stay (median of 7 vs. 6 days).
Contrary to popular belief, there are no data to suggest that diphenhydramine is an effective sedative-hypnotic in the elderly. However, older patients are sensitive to the negative cognitive effects of the drug and to its anticholinergic effects, such as decreased alertness, dry mouth, blurred vision, increased anxiety, urinary retention and arrhythmias.2,3
The Drug Therapy Committee suggests the following:
Diphenhydramine should not be used as a sedative-hypnotic, especially in elderly patients. "
With that info, if it was my mom, I'd get her off the Benedryl with the help of her doctor.
Two Benadryl at once? That would zone out a healthy person.
A person could get by with just 1/2 of a Benadryl for sleeping. Have Mom go off of Benadryl for a week to get it out of her system [if her doctor is ok with doing that, and if Mom doesn't raise a fuss]... then start back up taking one pill cut in half.
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.
Too many anti-cholinergics would produce the symptoms you see.
Do the research.
In looking online, here's something from Mass General Hospital. Here's the link, which they may strip out. http://www2.massgeneral.org/pharmacy/Newsletters/2002/August%202002/benadryl.htm
So here's the general crux of what they're saying: "A prospective study of the clinical use of diphenhydramine, conducted by Agostini et al at Yale University and New Haven Hospital, suggested the use of diphenhydramine might not only be problematic for the elderly, but for others as well. There was a 70% increased risk of decline in cognitive function in the group that received diphenhydramine. The risks of cognitive dysfunction appeared to be dose-related, using the Confusion Assessment Method (CAM) and the Folstein Mini-Mental State Exam (MMSE). Other observations included increase in urinary catheterization (RR 2.5) and an increase in length of hospital stay (median of 7 vs. 6 days).
Contrary to popular belief, there are no data to suggest that diphenhydramine is an effective sedative-hypnotic in the elderly. However, older patients are sensitive to the negative cognitive effects of the drug and to its anticholinergic effects, such as decreased alertness, dry mouth, blurred vision, increased anxiety, urinary retention and arrhythmias.2,3
The Drug Therapy Committee suggests the following:
Diphenhydramine should not be used as a sedative-hypnotic, especially in elderly patients. "
With that info, if it was my mom, I'd get her off the Benedryl with the help of her doctor.
A person could get by with just 1/2 of a Benadryl for sleeping. Have Mom go off of Benadryl for a week to get it out of her system [if her doctor is ok with doing that, and if Mom doesn't raise a fuss]... then start back up taking one pill cut in half.