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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.
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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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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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GA, Good Idea. I do know of several patients who have had to wear helmets because they have had surgery on their brain and their skull bone is open. Problem is that it is rather uncomfortable (depending on the type and size of helmet) to lie on your side or back while wearing a helmet. You almost need a pillow with a hole or indentation in the center so that the helmet can lay in it and the cheek of a person's face can lie on the pillow.
My Mom is a fall risk too. No retrains or rails allowed. Good luck with the rail issue, and they might be concerned about getting his head stuck between the rails. Is he in a condition that he understands any “rules” about protecting his head, or is he incapacitated and you depend on the staff to protect him? Either way, make sure he has fall mats on both sides of the bed, the bed is lowered as close to the floor as possible, and that no furniture or wheelchair is left near the bed. Also have them pad all sharp corners like air conditioner unit. The foot of Moms bed is raised slightly and pillows are placed around her to make it harder for her to get out of bed, and her round call bell disk is placed so she would roll onto it and activate it of she swung her legs out. She still manages to be found on the floor mat. The other day they found her when she was calling out for someone to bring her a pillow. On the floor mat. In many cases the best we can do is try to mitigate any injury when they fall.
I just had my mom’s Care Planning meeting and the bed rail issue came up. The nurse coordinator said my mom uses the bed rail (it’s a small one) to help pull herself up when being assisted out of bed. I had to sign off for her to keep the bed rail.
If bed rails are considered restraints then it usually they have to be worked up to or a direct order. In the nursing homes i worked at we could use a seat belt in wheel chairs . They technically could remove them themselves. ( ie not restraint ) maybe something like that could be made for the bed ..least til you get an order
The "Resident has a right to fall" rule from Medicare and Medicaid. Stupid rule---they did this because dementia/elderly residents were slipping out of bed and getting their heads caught between the bed mattress and the side rail and accidently hanging themselves.
Ask for a "LOW BED" and place the bed against the wall (pad the wall with a mat or a body pillow) on one side with a pad/mattress on the floor next to the bed on the other side. A low bed is only 3-4 inches from the floor and the pad or mattress will help cushion your son if he falls out of bed.
Also, talk to the doctor who did the surgery and tell him of your concern about NO side rails. If the doctor orders that side rails are REQUIRED to keep your son SAFE because he has a tendency to lie close to that side of the bed and because he has NO bone flip on his skull, then the nursing home just might be willing to use side rails. I have worked in nursing homes and when we could show "JUST CAUSE" for side rails, then we were able to use them.
{We had a resident who would lay on his right side and then hang over the side of the bed. When we put side rails up, he leaned into the side rails. We put a body pillow between him and the side rail. So in this case, the side rail was approved because the resident used the side rail for positioning himself on his side.}
I would think that a open skull would be a good enough reason for side rails (but you never know.) Talk to the neurologist ASAP.
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.
Ask for a "LOW BED" and place the bed against the wall (pad the wall with a mat or a body pillow) on one side with a pad/mattress on the floor next to the bed on the other side. A low bed is only 3-4 inches from the floor and the pad or mattress will help cushion your son if he falls out of bed.
Also, talk to the doctor who did the surgery and tell him of your concern about NO side rails. If the doctor orders that side rails are REQUIRED to keep your son SAFE because he has a tendency to lie close to that side of the bed and because he has NO bone flip on his skull, then the nursing home just might be willing to use side rails. I have worked in nursing homes and when we could show "JUST CAUSE" for side rails, then we were able to use them.
{We had a resident who would lay on his right side and then hang over the side of the bed. When we put side rails up, he leaned into the side rails. We put a body pillow between him and the side rail. So in this case, the side rail was approved because the resident used the side rail for positioning himself on his side.}
I would think that a open skull would be a good enough reason for side rails (but you never know.) Talk to the neurologist ASAP.
Have you asked his doctor to write an order for bedrails to be used?