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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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:
Hi, Berthababy. Can you advise us what issues your spouse has and what the doctor or nurse says you need to do?
My father is a quadriplegic and originally when he came home from spinal cord rehab we were told to reposition him every 2 hours through the night. However, we eventually were able to start extending the time between repositionings. Now we do not reposition him during the night.
My dad does have an alternating pressure air mattress and regular home health nurse visits, in which his skin is checked. We check the skin on his backside twice a day and of course would immediately start the whole routine again at night if he developed any hint of a problem. His spinal cord injury doctor knows that we no longer change his position at night, and she advised us that while the ideal is changing position every two hours, she knows many patients and their families don't want to be waking up all night. I have my sister to share caregiving duties with and I know it would break me pretty fast if I had to be up every 2 hours, every night, with no end in sight. . .
So I would recommend talking frankly with the medical professionals overseeing your spouse's care about what exactly they are suggesting you do and how long you would need to do it. And frankly advising THEM about what you honestly are able to do without hurting your own health. Perhaps a care facility may need to be considered. People need sleep!
You sleep either in the same room or in the next room, and you set an alarm. I can tell you from experience that this is not sustainable for more than 48 hours.
If you are a sole caregiver and your loved one is being cared for at home with this level of need, you are going to need help. What is the situation currently?
Both of my bedridden parents had good skin. It wasn’t thin which easily tore or bruised.
Mom was bedridden for at least 13 years. Turning her every 2 hours at night was not possible between normal (wasn’t bedridden yet) Dad and I. We were usually knocked out from exhaustion. She was turned during daytime hours but not exactly every 2 hours. It’s usually when we remembered. She only had 1 really bad bedsore (hole on her butt area) from a month stay in the hospital. We used an air mattress. We changed her clothes daily. She had sponge bath about 4 times a week.
My dad became bedridden for 5 years after a stroke. He absolutely refused to shift from side to side nor to get on the wheelchair. In those 5 years, he stayed on his back 24/7. The only time he changed position was when changing his pamper. He had only 1 bedsore, deepened and bled. Fortunately the home visit nurse was also a wound care specialist.
My dad refused to use the bubble air mattress because it was so hard it caused ball marks on his skin. I tried adjusting the gauge, even pinpricking holes to slowly let out air. It didn’t work. So I bought large padded waterproof bed pads that are washable, reusable. It was thick enough to put some padding on the bed. I bought those padded chair seat covers at Kmart that came in a set of 4. I used that for his butt area while lying down. It added an extra layer of padding on the most vulnerable area of the body to bedsores. He had sponge bath 4 times a week and changed clothes daily. FYI, towards the end, the ER doctor was impressed that my dad was bedridden for 5 years and his skin was in great condition and no bedsores. She wanted to know how I was able to do this.
I also believe it had to do with his meals. He knew he needed protein. He wanted a hard boiled egg daily along with his breakfast meal.
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.
My father is a quadriplegic and originally when he came home from spinal cord rehab we were told to reposition him every 2 hours through the night. However, we eventually were able to start extending the time between repositionings. Now we do not reposition him during the night.
My dad does have an alternating pressure air mattress and regular home health nurse visits, in which his skin is checked. We check the skin on his backside twice a day and of course would immediately start the whole routine again at night if he developed any hint of a problem. His spinal cord injury doctor knows that we no longer change his position at night, and she advised us that while the ideal is changing position every two hours, she knows many patients and their families don't want to be waking up all night. I have my sister to share caregiving duties with and I know it would break me pretty fast if I had to be up every 2 hours, every night, with no end in sight. . .
So I would recommend talking frankly with the medical professionals overseeing your spouse's care about what exactly they are suggesting you do and how long you would need to do it. And frankly advising THEM about what you honestly are able to do without hurting your own health. Perhaps a care facility may need to be considered. People need sleep!
If you are a sole caregiver and your loved one is being cared for at home with this level of need, you are going to need help. What is the situation currently?
Mom was bedridden for at least 13 years. Turning her every 2 hours at night was not possible between normal (wasn’t bedridden yet) Dad and I. We were usually knocked out from exhaustion. She was turned during daytime hours but not exactly every 2 hours. It’s usually when we remembered. She only had 1 really bad bedsore (hole on her butt area) from a month stay in the hospital. We used an air mattress. We changed her clothes daily. She had sponge bath about 4 times a week.
My dad became bedridden for 5 years after a stroke. He absolutely refused to shift from side to side nor to get on the wheelchair. In those 5 years, he stayed on his back 24/7. The only time he changed position was when changing his pamper. He had only 1 bedsore, deepened and bled. Fortunately the home visit nurse was also a wound care specialist.
My dad refused to use the bubble air mattress because it was so hard it caused ball marks on his skin. I tried adjusting the gauge, even pinpricking holes to slowly let out air. It didn’t work. So I bought large padded waterproof bed pads that are washable, reusable. It was thick enough to put some padding on the bed. I bought those padded chair seat covers at Kmart that came in a set of 4. I used that for his butt area while lying down. It added an extra layer of padding on the most vulnerable area of the body to bedsores. He had sponge bath 4 times a week and changed clothes daily. FYI, towards the end, the ER doctor was impressed that my dad was bedridden for 5 years and his skin was in great condition and no bedsores. She wanted to know how I was able to do this.
I also believe it had to do with his meals. He knew he needed protein. He wanted a hard boiled egg daily along with his breakfast meal.