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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.
Share a few details and we will match you to trusted home care in your area:
My mother, bedridden for the last three years, has a bedsore that doesn't seem to heal. Treating her with silver wound besides and antiseptics. What else can I do?
Have her doctor refer her to a wound specialist. They are up on the latest techniques, treatments and medications.
A deep (stage 4) ulcer is very difficult and takes many, many months to heal and often leaves a scar.
There are also so many factors that contribute to effective or ineffective healing. Age plays a part. The older the patient, the less they move or want to be moved, the more chance they will get ulcers.
*Nutrition is a huge factor. Usually a high calorie, well balanced diet is ordered. It takes calories to heal. *Positioning is another factor. Turning and repositioning the patient every 2 hours, keeping the patient off the ulcerated site helps to prevent the pressure that causes the lack of blood flow and tissue death, that causes bedsores. *Treatments have ranged from massaging the area to create more blood flow, to removing the eschar (dead tissue that grows over the wound), to packing with medicated gauze or pouring granulated medicine into the wound. I believe hyperbaric oxygen chambers have also been used (concentrated oxygen).
Prevention is the best. Using protective devices, such as gel, air or foam cushions or mattress on any bony body part that comes into contact with pressure (arm of chair, seat of chair, shoulders, buttocks and heels on the bed) should be used.
I agree with using a wound care specialist. My son in law, who is a doctor, said to only use a wound care specialist in case of bed sore/ ulcers.
I also am a big believer in preventative measures. My mom has had slight pressure spots (red) but not any ulcers.
First, we use an alternating pressure mattress pad... One on her bed and one on the recliner in our living room where she hangs out during the daytime. We avoid the wheelchair for anytime over an hour, even with a nice pad, she gets red. My mom weighs under 75lbs. so she is boney.
We also make sure her skin is clean, dry, and lubricated with lotions and ointments/barrier cream. This requires frequent changing of her pad/brief.
We make sure to change her position every 1 1/2-2 hours. She always has a washable bed pad under her so a gentle hug and an adjustment to the hospital bed or recliner make this easy.
We check her entire body each morning and at bedtime for any areas of concern that need added attention...i.e. red spots. If she has any, we make sure to position her so it is not getting any pressure and we and medicated cream.
Finally, we add as much healthy fat and protein as we can in her diet. She takes in so little food at this point so we have to make each bite count. Protein helps keep the skin healthy.
I have heard that an open ulcer takes quite a while to heal. Just be diligent in keeping it clean and dry, keep cream/ointment on it, and keep the pressure off it as much as possible. Be sure to change her position so she doesn't form another by leaving her on one side too long.
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.
A deep (stage 4) ulcer is very difficult and takes many, many months to heal and often leaves a scar.
There are also so many factors that contribute to effective or ineffective healing. Age plays a part. The older the patient, the less they move or want to be moved, the more chance they will get ulcers.
*Nutrition is a huge factor. Usually a high calorie, well balanced diet is ordered. It takes calories to heal.
*Positioning is another factor. Turning and repositioning the patient every 2 hours, keeping the patient off the ulcerated site helps to prevent the pressure that causes the lack of blood flow and tissue death, that causes bedsores.
*Treatments have ranged from massaging the area to create more blood flow, to removing the eschar (dead tissue that grows over the wound), to packing with medicated gauze or pouring granulated medicine into the wound. I believe hyperbaric oxygen chambers have also been used (concentrated oxygen).
Prevention is the best. Using protective devices, such as gel, air or foam cushions or mattress on any bony body part that comes into contact with pressure (arm of chair, seat of chair, shoulders, buttocks and heels on the bed) should be used.
I also am a big believer in preventative measures. My mom has had slight pressure spots (red) but not any ulcers.
First, we use an alternating pressure mattress pad... One on her bed and one on the recliner in our living room where she hangs out during the daytime. We avoid the wheelchair for anytime over an hour, even with a nice pad, she gets red. My mom weighs under 75lbs. so she is boney.
We also make sure her skin is clean, dry, and lubricated with lotions and ointments/barrier cream. This requires frequent changing of her pad/brief.
We make sure to change her position every 1 1/2-2 hours. She always has a washable bed pad under her so a gentle hug and an adjustment to the hospital bed or recliner make this easy.
We check her entire body each morning and at bedtime for any areas of concern that need added attention...i.e. red spots. If she has any, we make sure to position her so it is not getting any pressure and we and medicated cream.
Finally, we add as much healthy fat and protein as we can in her diet. She takes in so little food at this point so we have to make each bite count. Protein helps keep the skin healthy.
I have heard that an open ulcer takes quite a while to heal. Just be diligent in keeping it clean and dry, keep cream/ointment on it, and keep the pressure off it as much as possible. Be sure to change her position so she doesn't form another by leaving her on one side too long.