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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.
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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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My husband is in in-home hospice and I am his primary caretaker. Should I wake him up to give him pain meds or bipolar meds or let him sleep? He still takes meds orally. Thank you.
This is something to discuss with the Hospice nurses. They know the patient. They know the level you are at currently and whether especially the meds for bipolar would have a bad result. While they can certainly be delayed by hours, they cannot be abruptly withdrawn unless there are other medications being given, at the end of life, to sedate a person very well.
We are only strangers to your hubby and your dilemma here. We aren't at the bedside. That and the advice and attendance by MD is needed now. Pain meds, when someone is asleep and sedated, aren't required. But you an only put off the bipolar medications for so long without some expectation of repercussions.
Good luck. I am sorry you are at this point. I hope this will all bring peace and comfort. Do speak about ALL OF THIS with hospice.
While it's always best to ask the hospice nurse this question, I would personally say....let him sleep. My late husband was under hospice care in our home for the last 22 months of his life and I don't recall ever waking him up to take his medications, as his hospice nurse told me that if his medications were 2 hours early or 2 hours late from their designated time, they still were considered "on time." If your husband is sleeping that means that he is more than likely pain free otherwise he's be awake and making his discomfort known, so you just enjoy these quiet times and take care of yourself.
I do know of someone that said, there biggest regret was not keeping the pain meds on schedule, because they didn't and the pain for the person got out of control and was hard to get back under control. So do talk to hospice about this
So sorry, this is a horrible hard time for you and your family. My deepest sympathy 😔
Please let Hospice know that they are sleeping more. Sleeping more can be an indication of decline. Medications can be administered in other ways than oral. Patches are common as are liquids so if dosing is important the method of administering them can be changed. Some medications can be eliminated as a person declines.
Very wisely put by an obviously sharp insightful contributor. Sleep means the pain has receded enough to catch some 💤 and also brilliant remark by a qualified nurse indicating the process of taking one’s meds is not an unbending rule in most circumstances. Having been a witness to the pain that kept a lovely Lady unable to rest, and the rare times when finally she would be able to made a world of difference on that day. Lucky patient to have a true caring and dedicated caregiver.
I agree with all the answers given that the best advice is to check with the hospice nurse or MD. My husband had advanced Parkinson Disease and during his hospice stay, his hospice provider gave the additional option to give his pill medications like a suppository - if we could reach his backside without causing him distress. Just ask his hospice provider. May God bless you during this difficult time.
Yes - he could sleep for hours. Tablets need to be regular normally - to regulate in the body. The odd day allowing for some rest but i wouldnt make a habit of it.
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.
They know the patient.
They know the level you are at currently and whether especially the meds for bipolar would have a bad result. While they can certainly be delayed by hours, they cannot be abruptly withdrawn unless there are other medications being given, at the end of life, to sedate a person very well.
We are only strangers to your hubby and your dilemma here. We aren't at the bedside. That and the advice and attendance by MD is needed now. Pain meds, when someone is asleep and sedated, aren't required. But you an only put off the bipolar medications for so long without some expectation of repercussions.
Good luck. I am sorry you are at this point. I hope this will all bring peace and comfort. Do speak about ALL OF THIS with hospice.
My late husband was under hospice care in our home for the last 22 months of his life and I don't recall ever waking him up to take his medications, as his hospice nurse told me that if his medications were 2 hours early or 2 hours late from their designated time, they still were considered "on time."
If your husband is sleeping that means that he is more than likely pain free otherwise he's be awake and making his discomfort known, so you just enjoy these quiet times and take care of yourself.
So sorry, this is a horrible hard time for you and your family. My deepest sympathy 😔
Medications can be administered in other ways than oral. Patches are common as are liquids so if dosing is important the method of administering them can be changed. Some medications can be eliminated as a person declines.
means the pain has receded enough to catch some 💤 and also brilliant remark by a qualified nurse indicating the process of taking one’s meds is not an unbending rule in most circumstances. Having been a witness to the pain that kept a lovely Lady unable to rest, and the rare times when finally she would be able to made a world of difference on that day. Lucky patient to have a true caring and dedicated caregiver.
Toward the end, they sleep more.