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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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I learned a lot from a CNA from almost a couple years ago. Here's a YouTube video that might give you ideas:
https://www.youtube.com/watch?v=LcaiMHduqPc
There are a lot of videos how how to do many tasks for bed-bound patients and how to do things safely for them AND for you. Make sure you protect your own physical health and not get hurt!
I just used a small tub of warm, soapy water for my mom and bathed her in sections. I had the towel right there on the bed and did not remove all her clothing at once - just in sections. Worked well for my previously VERY modest mom.
As an RN, we don't use the pricey stuff for our bedridden patients. It is always a sponge bath. I recommend mild soap - not antibacterial soap since if leaves a film on the skin that can be harsh. Always use a damp cloth to get all soap off. Dry well and apply skin lotion. I like to put a large towel in the dryer before bathing and put it over the person. I wash face first, then arms and chest. move onto back, then legs and lastly bottom. If they can help, I ask them to wash whatever they can reach - good stretching and mobility exercise. Hair can be a different matter. Try dry shampoo. There are "baby tub" type basins where a person can get their hair washed - shampoo and water - while reclining and the water drains into a bucket on the floor through a hose. Your loved one needs to be very cooperative for this.
If your loved one can sit on a commode, they can sit in a shower chair. If you go with a shower chair, get one with a back and preferably arms. The plastic ones are easier to clean than the pricey teak ones. I like to make sure the shower room is nice and toasty and have a warm towel ready to dry my loved one off.
Most folks can get away with an airplane bath - under the wings (armpits) and tail (bottom) - daily. A complete bath every couple of days and hair at least weekly. However, bacteria grow at the same rate on young or older skin. I recommend daily bathing of all body parts as much as possible.
In regards to bedsores, several factors can keep people from getting these pressure wounds: good hydration, good nutrition, good hygiene, good mobility (changes positions at least every 2 hours), good blood circulation and good oxygenation. Everything except the last 2 can be addressed easily at home.
When I was recovering from surgery, the nurses used some kind of a "wash" that was not soap but like foam. They rubbed it all over me and then just dried it off. It seemed to work fine.
The very most important thing to remember is that aging skin is very delicate and easily damaged. No hard scrubbing. Clean very very gently and use an antibacterial and or disinfecting soap that is very gentle. Also, it is important to change to clean bedding with each bathing.Most so called bedsores are caused by tiny almost invisible breaks in skin. Bacteria, viruses, and or fungi enter these tiny wounds and cause terrible difficult to treat infection.
The remark about caring for the skin is critical. I have cellulitis on both shins which measure about 4" wide by 10" long and appears like raw hamburger. It seeps fluid quite a bit. I have been fighting to keep it from spreading on my legs, etc. The medical staff and family have me in hospice with End Stage COPD for 18 months, and fighting the cellulitis and other skin problems with antibiotics, steroids, lasix, antibiotics, for over 11 months. Just keep praying for me and others on caring for me, and others on forum. Praying for you and yours.
Do they get up AT ALL to go to the bathroom? While sitting up... even on the side of the bed... much easier on the back of the caregiver. Remember... they do NOT have to get everything washed all at the same time. Have wash cloth and towel handy to wash one thing one time, another part another time, etc. I wash their bottoms really good at least ONCE a day. Their most "dirty" areas are their behinds, the armpits and under breasts... groin area... anywhere that skin touches skin. I
If able to sit up on bedside commode/toilet, I have a large glass, cup for holding water. Have them sit towards the front of toilet, pour water down their backside at least a couple of times... wash with soapy water, rinse again and dry. Then have them scoot towards the back of toilet, pour water down front, wash, rinse again then dry. Also...to help, have one of those sprayers in the toilet that spray water on them !!! THAT does the rinsing for you !!!
While in bed though, put garbage bags under them and I like to give baths when ready to change the sheets then don't mind getting the sheets wet.
Washing hair? Hopefully you can move the bed and be at the head of their bed. Hopefully, you can put their head down flat. Don't do this until ready to wash their hair. Get large garbage bag... put under their head then lay towels (trying to figure out how to describe this) roll up the towels... lay them on each side of head so that garbage bag does 2 things.......lays OVER rolled towels ( towels are laying so they are parallel with the length of the bed, end on end till the reach the head of bed) and goes over the end of bed into a large container to catch the water.
I know there are items made for doing this stuff but yeah... pricey and really not needed if you have some creativity.
I have heard of these blow up tubs before. You lay them flat on the bed uninflated and situate the subject onto it like you do when changing sheets for an immobile patient.
Once they are in position, you inflate the tube (like a pool life raft) then fill it with water. I was told that filling and emptying the water is done same as a blowup shampoo tub though I'm not familiar with those.
I know when my mom had bathers, her favorite lady had a home made shampoo tub that she easily managed all by herself using a tub, a tube and a bucket. She was amazing as are most every home health aide we've ever had.
I am lucky enough to have a shower with no edge to step over so I would use the Hoyer Lift and get my Husband onto the shower wheelchair and he would have a nice shower. BUT it came time when even with the Hoyer, the shower chair and an easily accessible shower, his trunk strength just made it unsafe and we did "bed baths". The CNA from Hospice was by that time in 3 times a week, she would do an amazing job with the bed bath I did pretty good myself the rest of the time. And as much as he loved the showers I think it became exhausting for him the bed baths were just as relaxing. If you are getting the person clean and they are safe there really is no need to sit in a tub of water. The important things are Clean, then Dry and what is also important that some people forget is the contact. So often we don't think about the touch when we are bathing someone but (as long as this is not someone that is fighting a bath) take time, be calm, don't be rushed. When the CNA started with us she would tell my Husband everything she was going to do she continued this with the bed baths telling him where she was going to touch next. What parts of his body she was not bathing were covered to keep him warm and also respect/privacy. When you are done use some moisturizing cream where you can, apply barrier cream where you can. Even a light massage when putting the lotion on. (heavier barrier cream is easier to put on by patting it on not rubbing it in)
I know that you indicated that your patient is bedridden. If the patient can stand with the aid of a lift (get-u-up lift from inv a care ) where a sling goes around just the upper body then you would easier access to clean the lower part of the body.
My mother was bed ridden for 12 years and I tried the portable bath which felt good to my mom, but the cleanup afterward puts more work on caregiver and patient. I resorted to a two pan sponge bath changing out water and towels to cut down on infections. Occasionally, I would use the portable bath to make her feel like she was in a shower.
My wife has been "in bed" for the last 21 months--I prefer that expression to "bed-ridden." She is still doing well. I agree that a full body tube would be difficult to handle and liable to break. However, the small tube in which to wash her hair works well and leads to a good wash, soap and rinse.
Also, not connected to washing but important for body care, she has had a masseur come to the home and give her legs, arms and shoulders an hour and a quarter massage. She has also begun exercising her legs herself; and a test showed that her arteries were in good condition at the age of 83. Caregivers who come in can also give a massage once they have watched the professional do it.
It is possible for those in bed all the time to be reasonably content as long as those around them are also content and communicate to them that they are NOT doing anything wrong because are in bed and incontinent. Having a really good bed (in England, it's the AirProPlus bed) that moves up and down, with sides, with a rubber mattress that fills and unfills with air every 20 minutes is essential. This prevents bedsores/pressure points. Bedsores can be treated with MediHoney that works well, but they do need to be watched carefully.
Prayers and hopes for a purpose-full life, both for those in bed and out
The blowup tub would probably pop if we tried it and it sounds like it would be great deal of effort and time trying to place person in the tub. I do a sponge bath for my mother. Two basins with nice warm water in one and the other with warm water and a gentle body wash such as Honest. I wash her hair with a wet face cloth with the honest soap, and rinse then proceed to washing her whole body. She is just as clean and perhaps cleaner with the sponge bath. Too difficult for her to stand in the shower so we only shower her on occasion. We also use on occasion a shampoo cap, it is rinse free and does a great job, I microwave the cap less than 30 sec and make sure it is not too hot then put it on her head and massage for about 1-2 minutes. Single use only. Hair is clean and smells nice too. This works well for us and my mother is clean as a whistle
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.
https://www.youtube.com/watch?v=LcaiMHduqPc
There are a lot of videos how how to do many tasks for bed-bound patients and how to do things safely for them AND for you. Make sure you protect your own physical health and not get hurt!
If your loved one can sit on a commode, they can sit in a shower chair. If you go with a shower chair, get one with a back and preferably arms. The plastic ones are easier to clean than the pricey teak ones. I like to make sure the shower room is nice and toasty and have a warm towel ready to dry my loved one off.
Most folks can get away with an airplane bath - under the wings (armpits) and tail (bottom) - daily. A complete bath every couple of days and hair at least weekly. However, bacteria grow at the same rate on young or older skin. I recommend daily bathing of all body parts as much as possible.
In regards to bedsores, several factors can keep people from getting these pressure wounds: good hydration, good nutrition, good hygiene, good mobility (changes positions at least every 2 hours), good blood circulation and good oxygenation. Everything except the last 2 can be addressed easily at home.
I have cellulitis on both shins which measure about 4" wide by 10" long and appears like raw hamburger. It seeps fluid quite a bit. I have been fighting to keep it from spreading on my legs, etc. The medical staff and family have me in hospice with End Stage COPD for 18 months, and fighting the cellulitis and other skin problems with antibiotics, steroids, lasix, antibiotics, for over 11 months.
Just keep praying for me and others on caring for me, and others on forum.
Praying for you and yours.
rev mike
West Virginia
4-30-2020
If able to sit up on bedside commode/toilet, I have a large glass, cup for holding water. Have them sit towards the front of toilet, pour water down their backside at least a couple of times... wash with soapy water, rinse again and dry. Then have them scoot towards the back of toilet, pour water down front, wash, rinse again then dry. Also...to help, have one of those sprayers in the toilet that spray water on them !!! THAT does the rinsing for you !!!
While in bed though, put garbage bags under them and I like to give baths when ready to change the sheets then don't mind getting the sheets wet.
Washing hair? Hopefully you can move the bed and be at the head of their bed. Hopefully, you can put their head down flat. Don't do this until ready to wash their hair. Get large garbage bag... put under their head then lay towels (trying to figure out how to describe this) roll up the towels... lay them on each side of head so that garbage bag does 2 things.......lays OVER rolled towels ( towels are laying so they are parallel with the length of the bed, end on end till the reach the head of bed) and goes over the end of bed into a large container to catch the water.
I know there are items made for doing this stuff but yeah... pricey and really not needed if you have some creativity.
Once they are in position, you inflate the tube (like a pool life raft) then fill it with water. I was told that filling and emptying the water is done same as a blowup shampoo tub though I'm not familiar with those.
I know when my mom had bathers, her favorite lady had a home made shampoo tub that she easily managed all by herself using a tub, a tube and a bucket. She was amazing as are most every home health aide we've ever had.
If you are getting the person clean and they are safe there really is no need to sit in a tub of water.
The important things are Clean, then Dry and what is also important that some people forget is the contact. So often we don't think about the touch when we are bathing someone but (as long as this is not someone that is fighting a bath) take time, be calm, don't be rushed. When the CNA started with us she would tell my Husband everything she was going to do she continued this with the bed baths telling him where she was going to touch next. What parts of his body she was not bathing were covered to keep him warm and also respect/privacy. When you are done use some moisturizing cream where you can, apply barrier cream where you can. Even a light massage when putting the lotion on. (heavier barrier cream is easier to put on by patting it on not rubbing it in)
Also, not connected to washing but important for body care, she has had a masseur come to the home and give her legs, arms and shoulders an hour and a quarter massage. She has also begun exercising her legs herself; and a test showed that her arteries were in good condition at the age of 83. Caregivers who come in can also give a massage once they have watched the professional do it.
It is possible for those in bed all the time to be reasonably content as long as those around them are also content and communicate to them that they are NOT doing anything wrong because are in bed and incontinent. Having a really good bed (in England, it's the AirProPlus bed) that moves up and down, with sides, with a rubber mattress that fills and unfills with air every 20 minutes is essential. This prevents bedsores/pressure points. Bedsores can be treated with MediHoney that works well, but they do need to be watched carefully.
Prayers and hopes for a purpose-full life, both for those in bed and out