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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.
Share a few details and we will match you to trusted home care in your area:
Alzheimer's patient is bed ridden and can't open her legs for us any more to clean her personally area when changing her adult diaper. Any suggestions on how to keep there legs open and get some air while you clean that area good?
If the patient is bedridden, chances are he/she has some contractures (arms and legs tightened up). Often the legs seem like they are "welded" together. If the patient is a woman, we are taught, from an early age, to keep our legs closed. No woman ever sits with her legs wide open. It's an unnatural position for a lady.
Try to remember to explain what you are doing before you start cleaning her, even if you don't think she'll understand. It's just common courtesy. Try rolling the person on their side and cleaning them from the back. Sometimes it's the only way to get to the area.
P.S. Remember, if it's a female, to wipe from the front to the back to avoid a urinary tract infection.
This is a tough one... We call it the vice grip at my house ;-)... My mom's grandfather was a minister so we always say he would be proud of her for keeping her knees together. It does make changing tough. As others have said, roll her on her side clean from behind. It helps if she can bend her legs...on her side with legs bent like being curled up... Then you have better access. If you have a helper, she may allow her knee to be gently lifted giving better access.
Be sure to tell her each step as you do it. This is such intrusive care. Think about it, if you can't make sense of many things going on around you and now someone is poking and prodding an area you have always guarded...I think it must seem like being molested, repeatedly. My heart broke when I first noticed that my mom no longer understood I was helping with this intimate care. She was quite upset and would say, "my mommy said no." Bless her heart. I am very careful to talk to her a bit first, and tell her each step and that I am just helping freshen her up. Like I said, a tough one.
The aides in the nursing home clean my mother with her lying on her sides, rolling her over to do the other side and stopping to wash the front as she is turned. During the manoeuvring they also remove the soiled diaper and insert a clean one. You can keep her propped up with a pillow behind her back. You can watch some good videos of technique by search YouTube for CNA training - diaper changes.
One of the best aides at mom's facility is very chatty and keeps telling mom to help her while she rolls her side to side - fortunately she's very fast too
Sometimes mom will try and say 'take care of the baby,' but sometimes she screams as if in pain - I suspect from her compressed vertebrae
I've discovered it's best for me to step out as when she sees me it is harder on her and then she tells me ' do you know where she's putting her hand?' Yes, she's cleaning you - tell her thank you
Oh Grammy, your mom's "my mommy said no" is just heartbreaking. As my 97-year old mom would tell me over and over, "We're all living too long." So sad for all of us to be put in these situations.
Yes, the aides always tell mom exactly what they are doing, and I guess I'm fortunate in a way that my mom spent enough times in the hospital through her life that she gave up those feelings of modesty long ago. If you get to be an old person who has never exposed themselves to anyone except a spouse or the doctor it has to be very traumatic.
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.
If the patient is a woman, we are taught, from an early age, to keep our legs closed. No woman ever sits with her legs wide open. It's an unnatural position for a lady.
Try to remember to explain what you are doing before you start cleaning her, even if you don't think she'll understand. It's just common courtesy. Try rolling the person on their side and cleaning them from the back. Sometimes it's the only way to get to the area.
P.S. Remember, if it's a female, to wipe from the front to the back to avoid a urinary tract infection.
Be sure to tell her each step as you do it. This is such intrusive care. Think about it, if you can't make sense of many things going on around you and now someone is poking and prodding an area you have always guarded...I think it must seem like being molested, repeatedly. My heart broke when I first noticed that my mom no longer understood I was helping with this intimate care. She was quite upset and would say, "my mommy said no." Bless her heart. I am very careful to talk to her a bit first, and tell her each step and that I am just helping freshen her up. Like I said, a tough one.
You can watch some good videos of technique by search YouTube for CNA training - diaper changes.
Sometimes mom will try and say 'take care of the baby,' but sometimes she screams as if in pain - I suspect from her compressed vertebrae
I've discovered it's best for me to step out as when she sees me it is harder on her and then she tells me ' do you know where she's putting her hand?' Yes, she's cleaning you - tell her thank you