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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.
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My mom was given a catheter during a weeklong hospital stay (uti, shingles, falls), and it was not removed on discharge bc of urine retention. During home rehab, it was removed and then she practiced emptying her bladder by leaning forward (expelling more urine) after she thought she was done urinating. She passed a subsequent void test and has had no problem now for 6 months! Wishing you a similar good result.
Nothing will work short of restraints, which are really not used anymore.Is this in because she is RETAINING urine, or because she is incontinent? I don't see how, if this continues, she can continue to have the bladder. Her pulling pulls the balloon, which is inflated within the bladder against her urethra with each tug. One along is enough to set up a urethritis, and the feeling she need to go constantly, which will cause more pulling. This may need to be removed. Speak with whomever ordered the catheter for solid advice where to go now with this. Hoping she doesn't need this because of retention of urine, as is the case so often with males, as then you are between a true rock and hard place.
Thank you. She had retention of urine in the hospital after a minor stroke 2 weeks ago. I will ask the hospice nurse tomorrow for suggestions or if the cath can be removed.
If mom is living in your home (or her home) NOT a facility you can use restraints. Mittens to cover her hands so that she can not grasp the catheter will prevent her from pulling it out. This often happens with dementia patients and ANY "attached" item. IV's, Catheters, Feeding Tubes, Oxygen, Medication Patches...... Ask Hospice if this is something that could be ordered.
Give her something to fidget with. A fidget quilt or FidgetFiddle placed on her lap will hide the catheter and distract her from it by giving her hands something else to do!
My mother asked for, and received, first, a supra pubic catheter which she didn't like (gosh, if you can LIKE some thing like that) and that failed so many times, b/c she could still leak-she requested a permanent catheter. She loves it. (Again, she must have nearly no feeling down there, a permanent cath would make me insane!)
It did take some getting used to--and it did require a learning curve that perhaps your mom no longer has. Just emptying and cleaning this is a chore. Mother can handle it, but does not ever get the cath bag completely clean and has had multiple UTI's as a result.
She does have to strap the cath bag to her leg, and she does still have 'overflows' b/c she doesn't want to have to fuss at this thing more than twice a day.
The fidget spinner or something for her hands to keep her busy is a good idea. If she continues to fuss with the cath, I'd ask to have it removed and move to re-training her toileting or use Depends. You actually CAN pull one of those out, if you're determined enough and that would set up a lot of other issues.
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.
Wishing you a similar good result.
Mittens to cover her hands so that she can not grasp the catheter will prevent her from pulling it out.
This often happens with dementia patients and ANY "attached" item. IV's, Catheters, Feeding Tubes, Oxygen, Medication Patches......
Ask Hospice if this is something that could be ordered.
It did take some getting used to--and it did require a learning curve that perhaps your mom no longer has. Just emptying and cleaning this is a chore. Mother can handle it, but does not ever get the cath bag completely clean and has had multiple UTI's as a result.
She does have to strap the cath bag to her leg, and she does still have 'overflows' b/c she doesn't want to have to fuss at this thing more than twice a day.
The fidget spinner or something for her hands to keep her busy is a good idea. If she continues to fuss with the cath, I'd ask to have it removed and move to re-training her toileting or use Depends. You actually CAN pull one of those out, if you're determined enough and that would set up a lot of other issues.