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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.
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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Yes, stroke and heart attacks can cause falls if standing when it happens or the person gets up. Are you upgrading to the necklace that detects motion, like falling, so that an operator calls and if gets no response calls for help? I did this with Mom. If they become unconcious they can't push the button. The one problem I found was if the button hits something an operator will respond. Because of this my Mom would put the button down her top. The button has to hit the floor to send a signal to the operator. This means the necklace can't be too short and has to be outside clothing. Hope I helped.
Ear infections, sudden changes in blood pressure, changing directions suddenly, standing up too quickly, vision problems, the list is long and falling is dangerous.
My Moms falls were caused by neuropathy in her ankles. Pivoting on one foot was a no no. Even with a walker she would fall. First, I want to say they r great. Second, be careful where the phone lines are. I had a friend whose vwalker got tangled in the phone line next to her bed. She fell and was on the floor for 14 hrs because she pulled the phone cord out of the wall. They don't work in phone outages. You need them hooked up to a landline so during electrical outages, they work.
zalmanitzka, my Dad was still active in his 90's but a fall risk. Just sitting in his recliner bending down to tie his shoe sometimes would cause him to tumble over. Same when he was out gardening, squatting down to pull a weed, the weed would pull back and over he would roll.
Some times my Dad's knee would give out causing him to lose his balance. For my Mom, doctors believed it was a blood clot in her leg that instantly became quite painful and she lost her balance.
Physical Risk Factors As we age, many of us develop long-term physical conditions or illnesses that have an impact on gait and balance. Also, a great number of older people suffer from more than one of these conditions at the same time, making the risk of a fall even greater. The following are some examples of illnesses or conditions that increase the risk of falling:
Older age Arthritis Chronic pain Diabetes Parkinson’s disease Anemia or other blood disorders Thyroid problems Foot disorders Muscle weakness in the legs Vertigo (dizziness) or balance difficulties Sensory disorders, such as vision or hearing problems, or neuropathy (numbness) in the legs and feet Brain or mood disorders, including dementia, Alzheimer’s disease, delirium, depression, or psychotic behavior Urinary incontinence or having to urinate so frequently frequency that it requires numerous urgent trips to the bathroom (sometimes too late) Dehydration (lack of fluids in your body). We tend to lose water as we get older. Dehydration produces hypotension (low blood pressure) which can bring on a fall. Dehydration can also cause confusion, loss of balance, constipation, and many other unwelcome symptoms. You can become dehydrated without realizing it if the weather is warm, if you take diuretics (“water pills”) and certain other medications, or if you have specific conditions like diabetes. Fear that you will fall again Frailty Low vitamin D Lifestyle or Behavioral Risk Factors Even healthy people experience new challenges with aging that can increase the risk of falling.
Medications The older you get, the more likely it is that you take many different prescription and over-the-counter medicines. When you are older, medications take longer to break down and leave your body. They may also interact with each other in ways that are unexpected and harmful. Certain medications strongly increase your chances of falling. These include medicines such as tranquilizers, sedatives, sleeping pills, antidepressants, or antipsychotics. Additionally, diuretics and blood pressure medications can lower your blood pressure, which increases your chances of falling. Some medications have side effects such as dizziness or confusion that can also increase your fall risk. Additionally, drinking alcohol while taking medications increases the risk of a fall.
Lack of Exercise Common problems like arthritis, dizziness, and chronic pain may make it more difficult to exercise, even if you were active before. Muscles get weaker, joints ache more, and exercise is more and more challenging. Also, staying indoors reduces your exposure to sunshine. This means that your body produces less vitamin D, which you need to keep bones strong.
Environmental Factors There may be factors in your environment that can make it more likely that you will fall. These include:
Improper footwear. Wearing shoes with heels or shoes that your feet slide around in is particularly dangerous. Risks in the home. These can include loose carpets, wires, dark stairways or corridors, or water on the floor. Risks in the environment outside your home. These can include uneven ground, clutter in the yard, or ice and snow. Incorrect use of walking aids such as canes or walkers.
My mother fell sadly 2 days ago while my daughter and her great grandson were visiting her. Alot of stitches in her main hand but that seems to be it. She had her walker with her and didnt roll it over a section of pavement correctly. I feel bad although I had nothing to do with it. It curtailed her visits with family here from out of state. I feel as though bad luck is trailing me as there have been a number of difficult issues lately and am not the best at staying mentally strong but am trying hard.
Zalma, if you're concerned about falls, reconsider going with a lifeline service that charges more, apparently to detect falls.
Find a company that has a monitor that can detect falling or change in position; those monitors activate automatically and spur a call from the company to the individual, or any of the 3 named first responders (caregiver, EMS or other) if the person wearing the monitor doesn't respond.
And if you're considering any kind of first alert system (which is an excellent idea), also consider instilling a lockbox that's code operated so EMS can open it to get into the house. Locks that slip over the door handle aren't as sturdy and can be sawed off by someone who knows how and has the patience.
BTW, some hospitals or senior centers have trip prevention classes, addressing not only the potential physical or mental factors contributing to falls, but also how to fall proof a house as much as possible.
It’s worth adding the service. My mom who had never fallen has slowly gotten less steady on her feet and one evening when I had just returned from a trip she took an awful fall on her back. She was turning to come out of the bathroom and just fell. It sounded like a cabinet had fallen over. The alert went off and we were able to tell them all was ok but imagine if I had not been home and she didn’t have it? The peace of mine it gives me is invaluable.
Funny story, she once set it off in the middle of the night and didn’t hear them call, and none of the call chain folks heard their phones either, she woke up to 4 police officers standing in her bedroom shining flashlights on her! LOL! It was scary but again, at least we know the service works:)
I wear the LifeLine. I do not have dementia, I am 84, at risk for falling because of neuropathy, arthritis, and simple old age. Mine was suggested and arranged for by the local Council on Aging. It is a permanent loan and will be returned to them when I 'no longer need it.' They are responsive, quick, courteous and I recommend them strongly. I also recommend talking with your local Council on Aging. They can help in many ways and have made my life safer and far more pleasant. My husband has Alzheimer's and dementia. I know what I am talking about!
GranJan, the same thing happened to my mother. Her hip broke, causing her to fall. I don't know what percentage of broken hips cause a fall rather than the other way around, but it is not rare.
Even though it is a tv show, Lifeline brings to mind an episode of Criminal Minds where the operator had access to the addresses of callers and used that to commit crimes against them. He even knew details of their personal lives. You cant trust everyone, even first responders.
I changed to the fall alert pendant for my Mom about 3 years ago. It works when the fall is sudden and a certain distance from the ground. She wears it inside her shirt and falls have been detected both inside and out of her home (about 1000' from the phone box). The most important call I received was when she fell outside in February going to the mailbox. She was OK but she couldn't get up on her own so, without the fall alert, she would've been laying there in 20 degree weather for who knows how long before somebody saw her (she forgets she can push the button for help). I recently changed the service to a GPS based one instead of through her landline so it works regardless of where she is. I also like it because it connects through the button and not the phone line. This means she will hear the person who checks on her anywhere she is and it doesn't tie up her phone line in case of an emergency. This also works as she fell at my brother's and it set off the alert. The downside is that the GPS pendant needs to be charged every few days while the one that works through the phone line will go a very long time (months) before it needs recharging or replacing. The line also has to be tested every month (which I didn't realize until I got a call telling me that). It's definitely worth the peace of mind for me, though, and has helped keep Mom in her own home a while longer.
We had the life alert necklace on our Mom until she started always taking it off and hiding it or puting it in her purse. She falls because of B.P. dropping when she stands up and takes off walking. They told us the fall alert pendant would not work well for her anyway because she is a"sinker". Meaning she slides down to the floor. The fall detector necklace cannot detect those kinds of falls. If you trip or fall hard a little sideways, it will detect that. They said it would do her no good really. Sad face....
Betsysue, I'm surprised you want a fall alert when you go to a care facility, but not before. You are much more apt to be alone for relatively long periods while in your own home. The benefit of the alert systems is not to prevent falls but to be sure someone knows about the fall immediately. If you are a fall risk, wouldn't the alert be even a bigger benefit in your home?
Inner ear trouble - some medications - vision problems - many things can cause a fall.
Sometimes the legs just give out. My DH would always fall backwards and one day I noticed he kept his toes in the air - it seems many seniors do this in the mistaken belief that it will prevent a fall; what it does is leans them backwards and they fall. Also, when turning, if the feet cross - they are more apt to fall.
Turning too quickly can also bring on a fall. That happened to my dad when he would come out of the shower - he would turn to grab the towel. I put down locking blocks that cushion (like children's' floor blocks) and told him to steady himself before he turned and it helped a lot.
This may seem awful to say, but as I read many of these comments I feel a certain gratitude that my mother has been bedridden for 5 years, as it minimizes the risk of falling.
Bob, we do learn to change the things for which we feel gratitude as we travel on our caregiving journeys, don't we? Sometimes I used to think, "I'm glad that there weren't any falls today", or "I'm glad that we didn't have to go to the ER again in another blizzard."
Caregiving changes us and helps us appreciate basics more than we could realize; at least that's been my situation.
Good question, Jules. We had a lockbox on our door, and the alert system had the combination to the box and would give it to any emergency service they called. After my husband died we couldn't remember the combination ourselves, and my son cut the box off the door (months and months later! It was never a high priority, I guess.) A crook who would go to that much trouble to get at the house key would more than likely just break a back window to get in, so I was never worried about that aspect of having the lock box.
My mother lived in an apartment. I got a call that she had fallen, that she said she was not injured, but that she could not get up. (She only remembered to press the alert button after lying on the floor several hours. I can see where a fall detection feature would be good.)
I used the supervisor code to get into her building, and he accompanied me to her door. He was able to use a pass key to open the door, but mother had the chain on, so he had to go back and get a chain cutter. After that incident we did not have the chain fixed.
I've just arranged for all of my family to know how to get into my house. If I were sick in bed, or had fallen, and I phoned one of them, I'd want to be sure they could get in (but I didn't want 17 copies of my house key floating around!)
The best wisdom on falling I ever heard was from a Gerontologist who said, "Old people fall. It's what they do." Sounds simple, but think about it. By the time you reach your 80s, there are many failing systems and conditions going on in your body, especially if a person is inactive, eats poorly, and/or is on a lot of meds. Literally, all of those conditions can cause a fall. There are many ways to try to reduce the likelihood of falls, but no way to entirely prevent them. Normal everyday activity is risky for the old and frail, but the alternative, lying or sitting around watching TV, isn't much of a life. So, daredevils they must be.
I would like to reiterate what previous person said about phone lines. My mom fell and dislocated shoulder. We never found out why for sure, but I believe it was my fault. I had answered her land line and perhaps not replaced it same as she always had. Perhaps she tripped on cord. Also, if your parent has dementia, my mom in AL daily forgot to put on the fall button necklace or bracelet. She worried over it every time she noticed it. I finally signed paperwork to where she didn’t have to wear it.
Our dog learned to get out of her way when she raced around with her new walker, and it stayed a habit as she slowed down. But he's also too big to not see.
zalmanitzka: Elders are oftentimes unstable on their feet, e.g. my late mother "slipped out of a char" (she did not tell me until 10 months later), she fell when she simply turned around from her kitchen counter to her wall calendar to jot something down, my mother's gait was off and she listed to one side when we finally remedied that with a shoe lift, they will ditch their walkers when no one is looking, they need to be slow to rise from a seated position to standing because of blood pressure changes. Plus even when they arise out of bed for the day, many a physician will tell them to sit on the side of their bed for a few minutes, else they get up too rapidly and fall.
Definitely get the medical alert 9-1-1 necklace. Be aware that some elders err when they mistakenly take it off when bathing.
My husband's falls were from "narcoleptic-like episodes." Since he did not have a diagnosis of narcolepsy, his doctor had to convince the insurance company to pay for the medication, but it was awesome. I think this was part of his overall condition of dementia.
For several weeks this year I had falls myself, every day. The cause? A UTI! I had not heard of that as a possible UTI symptom, and I haven't seen it on this thread. But the falls (and several other weird symptoms) went away when the UTI was cleared up. Who knew?
I am a moderate fall risk (according to the PT who treated by sciatica) and I have purchased a cute and functional across-the-chest bag to keep my cell phone with me at all times.
The highest risk factor, I think, is simply being old. Old people fall. It is what we do. We can minimize the risk, and try to make it easy to get help after-the-fact, but we can't change our age!
JulesNeedsHelp. I have a KnoxBox on the front door. Only the fire department has entrance. There is a plastic envelope on the refrigerator with all contact and pertinent medical information. It makes me comfortable to know these things are in place.
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.
Are you upgrading to the necklace that detects motion, like falling, so that an operator calls and if gets no response calls for help? I did this with Mom. If they become unconcious they can't push the button. The one problem I found was if the button hits something an operator will respond. Because of this my Mom would put the button down her top. The button has to hit the floor to send a signal to the operator. This means the necklace can't be too short and has to be outside clothing. Hope I helped.
My MIL started falling frequently. It turned out to be liver and kidney failure making her weak.
Some times my Dad's knee would give out causing him to lose his balance. For my Mom, doctors believed it was a blood clot in her leg that instantly became quite painful and she lost her balance.
Physical Risk Factors
As we age, many of us develop long-term physical conditions or illnesses that have an impact on gait and balance. Also, a great number of older people suffer from more than one of these conditions at the same time, making the risk of a fall even greater. The following are some examples of illnesses or conditions that increase the risk of falling:
Older age
Arthritis
Chronic pain
Diabetes
Parkinson’s disease
Anemia or other blood disorders
Thyroid problems
Foot disorders
Muscle weakness in the legs
Vertigo (dizziness) or balance difficulties
Sensory disorders, such as vision or hearing problems, or neuropathy (numbness) in the legs and feet
Brain or mood disorders, including dementia, Alzheimer’s disease, delirium, depression, or psychotic behavior
Urinary incontinence or having to urinate so frequently frequency that it requires numerous urgent trips to the bathroom (sometimes too late)
Dehydration (lack of fluids in your body). We tend to lose water as we get older. Dehydration produces hypotension (low blood pressure) which can bring on a fall. Dehydration can also cause confusion, loss of balance, constipation, and many other unwelcome symptoms. You can become dehydrated without realizing it if the weather is warm, if you take diuretics (“water pills”) and certain other medications, or if you have specific conditions like diabetes.
Fear that you will fall again
Frailty
Low vitamin D
Lifestyle or Behavioral Risk Factors
Even healthy people experience new challenges with aging that can increase the risk of falling.
Medications
The older you get, the more likely it is that you take many different prescription and over-the-counter medicines. When you are older, medications take longer to break down and leave your body. They may also interact with each other in ways that are unexpected and harmful. Certain medications strongly increase your chances of falling. These include medicines such as tranquilizers, sedatives, sleeping pills, antidepressants, or antipsychotics. Additionally, diuretics and blood pressure medications can lower your blood pressure, which increases your chances of falling. Some medications have side effects such as dizziness or confusion that can also increase your fall risk. Additionally, drinking alcohol while taking medications increases the risk of a fall.
Lack of Exercise
Common problems like arthritis, dizziness, and chronic pain may make it more difficult to exercise, even if you were active before. Muscles get weaker, joints ache more, and exercise is more and more challenging. Also, staying indoors reduces your exposure to sunshine. This means that your body produces less vitamin D, which you need to keep bones strong.
Environmental Factors
There may be factors in your environment that can make it more likely that you will fall. These include:
Improper footwear. Wearing shoes with heels or shoes that your feet slide around in is particularly dangerous.
Risks in the home. These can include loose carpets, wires, dark stairways or corridors, or water on the floor.
Risks in the environment outside your home. These can include uneven ground, clutter in the yard, or ice and snow.
Incorrect use of walking aids such as canes or walkers.
Find a company that has a monitor that can detect falling or change in position; those monitors activate automatically and spur a call from the company to the individual, or any of the 3 named first responders (caregiver, EMS or other) if the person wearing the monitor doesn't respond.
And if you're considering any kind of first alert system (which is an excellent idea), also consider instilling a lockbox that's code operated so EMS can open it to get into the house. Locks that slip over the door handle aren't as sturdy and can be sawed off by someone who knows how and has the patience.
Funny story, she once set it off in the middle of the night and didn’t hear them call, and none of the call chain folks heard their phones either, she woke up to 4 police officers standing in her bedroom shining flashlights on her! LOL! It was scary but again, at least we know the service works:)
Sometimes the legs just give out. My DH would always fall backwards and one day I noticed he kept his toes in the air - it seems many seniors do this in the mistaken belief that it will prevent a fall; what it does is leans them backwards and they fall. Also, when turning, if the feet cross - they are more apt to fall.
Turning too quickly can also bring on a fall. That happened to my dad when he would come out of the shower - he would turn to grab the towel. I put down locking blocks that cushion (like children's' floor blocks) and told him to steady himself before he turned and it helped a lot.
Caregiving changes us and helps us appreciate basics more than we could realize; at least that's been my situation.
My mother lived in an apartment. I got a call that she had fallen, that she said she was not injured, but that she could not get up. (She only remembered to press the alert button after lying on the floor several hours. I can see where a fall detection feature would be good.)
I used the supervisor code to get into her building, and he accompanied me to her door. He was able to use a pass key to open the door, but mother had the chain on, so he had to go back and get a chain cutter. After that incident we did not have the chain fixed.
I've just arranged for all of my family to know how to get into my house. If I were sick in bed, or had fallen, and I phoned one of them, I'd want to be sure they could get in (but I didn't want 17 copies of my house key floating around!)
You are very wise to be thinking ahead.
Definitely get the medical alert 9-1-1 necklace. Be aware that some elders err when they mistakenly take it off when bathing.
My husband's falls were from "narcoleptic-like episodes." Since he did not have a diagnosis of narcolepsy, his doctor had to convince the insurance company to pay for the medication, but it was awesome. I think this was part of his overall condition of dementia.
For several weeks this year I had falls myself, every day. The cause? A UTI! I had not heard of that as a possible UTI symptom, and I haven't seen it on this thread. But the falls (and several other weird symptoms) went away when the UTI was cleared up. Who knew?
I am a moderate fall risk (according to the PT who treated by sciatica) and I have purchased a cute and functional across-the-chest bag to keep my cell phone with me at all times.
The highest risk factor, I think, is simply being old. Old people fall. It is what we do. We can minimize the risk, and try to make it easy to get help after-the-fact, but we can't change our age!
.