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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.
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If the swollen legs are new since last seeing doctor, I would call now. If diagnosis could be CHF, legs swelling could mean other problems. She needs a water pill if not on it and definitely keep her feet up. Also, compression hose but I wouldn't use them without the doctor's OK.
Dad's doctor has him put Vaseline on his legs due to all the dry skin which has helped eliminate new open wounds. When the swelling starts to flare up and/or weeping, we get wound care in right away to wrap his legs several times a week. At times, they have put him on antibiotics at the same time. Then when under control, we go back to compression socks. We have found that the sooner you get on this stuff, the better it heals so his legs are checked by caregivers several times a week.
I agree with Barb. Also, I wouldn’t put anything on weeping legs until after a provider, preferably a wound care doctor who can order something more appropriate after evaluation. I am not sure how you could even apply moisturizer over the weeping to have the skin absorb it. Between the oozing fluid adding moisturizer may not be good. Hand washing is so important as someone said. For lower extremity swelling the treatment is elevation, compression hose, low salt diet & diuretics. We don’t know if the swelling is from CHF, poor venous or arterial flow, a blocked blood vessel or lymphedema. Lymphedema is so hard to treat. Please have mom re-evaluated by her PCP -she/he can refer her to a woundcare doctor or vascular surgeon. Has she had s Doppler study on her legs? That test would give an assessment of her blood vessels. Good luck!
Thank you Shane. It's early days and we are awaiting full diagnosis after having a really bad chest infection. We understand the tests are looking at the heart as the cause to her breathless condition. Meanwhile her ankles have become swollen but not weeping. As the skin looked tight i just thought I would give her a pamper session. I am grateful for your advise and will continue to encourage elevation etc.
Barb raised a critical issue: weeping. And TNtechie raised a good point on ensuring that your hands are clean when applying lotion.
Weeping could be a sign of lymphedema, a potentially life threatening condition.
Although my cousin wasn't provided specific details by the medical people, we think that something might have been introduced into my aunt's system through the leg pads she had to wear for her diagnosed lymphedema. She was d'x'ed as having sepsis, and was gone by the end of the day. (But the hospital she was at is one of the worst in the area.)
Are your mother's legs being elevated to the extent possible?
Your profile indicates heart disease and mobility problems. One thing she might be able to do to increase lower leg circulation is use a pedal bike.
You might be able to get one at a DME store if one of her physicians scripts for it, or you can order them through the catalogues which offer a variety of things, catalogues like Walter Drake, Miles Kimball. I'd try the DME store first though, especially if you can get a script.
She can exercise her legs while sitting, increasing circulation but w/o the pressure of standing.
I've also used St. Ives lotions; they're creamy, and I've never found them to be greasy. I also use a lotion made by my herbal supplier, consisting of rosemary, mint and other ingredients. The scent is divine!
It's good for dry skin, but I also use it for soreness.
Although I agree the cause of the swelling needs to be addressed too, I like St Ives timeless skin creme or lotion. Particularly if your LO has CHF or some other condition compromising blood flow, I recommend you also practice a little extra cleanliness when applying the lotion. Apply after bathing and make sure your own hands are clean, use a small spatula to remove creme from the container or let lotion fall into your hand so the remaining creme/lotion isn't contaminated.
Thank you for the good advise regarding hygiene. Yes we are awaiting full diagnosis. I just wanted to pamper her giving me the chance to examine more closely.
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.
I am not sure how you could even apply moisturizer over the weeping to have the skin absorb it. Between the oozing fluid adding moisturizer may not be good.
Hand washing is so important as someone said.
For lower extremity swelling the treatment is elevation, compression hose, low salt diet & diuretics.
We don’t know if the swelling is from CHF, poor venous or arterial flow, a blocked blood vessel or lymphedema. Lymphedema is so hard to treat.
Please have mom re-evaluated by her PCP -she/he can refer her to a woundcare doctor or vascular surgeon. Has she had s Doppler study on her legs? That test would give an assessment of her blood vessels.
Good luck!
Weeping could be a sign of lymphedema, a potentially life threatening condition.
Although my cousin wasn't provided specific details by the medical people, we think that something might have been introduced into my aunt's system through the leg pads she had to wear for her diagnosed lymphedema. She was d'x'ed as having sepsis, and was gone by the end of the day. (But the hospital she was at is one of the worst in the area.)
Are your mother's legs being elevated to the extent possible?
Your profile indicates heart disease and mobility problems. One thing she might be able to do to increase lower leg circulation is use a pedal bike.
They look like this:
https://www.tigermedical.com/Products/Pedal-Exerciser__FEI10-0710.aspx?utm_source=bing&utm_medium=cpc&utm_campaign=shopping_ads&adlclid=ADL-e0384e27-e280-4b1c-9514-9a9d67a14fa7
You might be able to get one at a DME store if one of her physicians scripts for it, or you can order them through the catalogues which offer a variety of things, catalogues like Walter Drake, Miles Kimball. I'd try the DME store first though, especially if you can get a script.
She can exercise her legs while sitting, increasing circulation but w/o the pressure of standing.
I've also used St. Ives lotions; they're creamy, and I've never found them to be greasy. I also use a lotion made by my herbal supplier, consisting of rosemary, mint and other ingredients. The scent is divine!
It's good for dry skin, but I also use it for soreness.
I would consult with patient's doctor or NP before applying anything, especially if there is weeping.