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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
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Mom has weak legs due to broken bones, many surgeries and polio. Can’t keep her down (she can get out of bed on her own) but can’t put her in restraints. Can’t be watched 24/7 What can I do????? At my wits end, please help!
UPDATE: Her husband is going to request that she be sedated during the night??? I do not live in the same state and over 4 hours away we are both POA, Has anyone ever had loved one sedated?
I’m copying this from another post I wrote for someone else. Maybe it will give you some ideas:
“In my state doctors cannot prescribe a restraint for NH residents. It makes too much sense. Here are some ways we try to keep Mom from falling out of bed or minimize the damage if she does. These are on her care plan: Bed is lowered to its lowest setting while sleeping. Head and foot positions slightly raised, putting her bum in a slight well. Fall mats on both sides. Rolled up blankets placed under her fitted sheet on both sides, making it harder to get her legs over. (this was a fight to get implemented, as they considered it a restraint too, but they’re finally doing it on the down-low, just not documenting on her care plan) Her call bell (which actually is a 4” round disc for the visually impaired) is placed by her legs so it’s activated if she rolls on it. Her wheelchair and rolling table are moved to the foot of the bed so she can’t hit them if she falls. Her a/c unit has had the hard corners padded. They suggested moving her to a room right across from the nurses station, but I didn’t want her to lose her excellent roommate (who looks out for her) so I declined. But that might be an option for you if you have no attachment to her current room. Good luck, this is one of the most difficult and frustrating aspects of NH residency.”
EDLass, as elders reach a certain point in their life they start falling, and there is very little we can do about it. It's like watching a toddler who can barely stand, then they fall over. It happens.
My Dad would tumble over just tying his shoes or outside pulling weeds. A rolling walker helped a lot. Dad loved his walker. But every now and then Dad would still fall forgetting he HAD to use his walker.
For my Mom, who was in a nursing home, the facility lowered her hospital bed so if she fell out of bed, the fall to the soft mats around her bed wouldn't be as jolting.
The facility tried to have Mom stay in a wheelchair because she was such a fall risk but she would forget that she could no longer stand up without falling. Even being parked near the nursing station, down she would go in a blink of an eye before a nurse/aide could get to her.
Then the facility put my Mom in a geri-recliner and placed a pillow under her knees.... great, that kept Mom falling for a while, until Mom learned to wrestle the pillow out under her knees. Then the facility tried a "seat-belt", well that lasted maybe 5 minutes... "click" the belt was opened..... [sigh].
So I had to pretty much tell myself, what will be will be.
EDLass This may be due to many things or a combo. Eyesight with dementia, is altered, depth perception is a symptom. Medication, could cause unstable movements, dizziness, confusion etc. Decline, walking jabits deterorates with memory loss.
Is AL still the best choice for her? I know change and moves are so difficult for all but she sounds a bit past the AL stage from my experience with the 2 my mother has been in. I would think maybe a NH might need to be considered if her behavior is chronic sad as that might seem.
I am beginning to lean that direction as the reason she got up last night was looking for her baby. She fell her first night in after rehab for broken hip at another facility. (She was moved to different facility), Fortunately this time she did not break anything and did not need to go to hospital. There is nothing to keep her from getting up there either.
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.
“In my state doctors cannot prescribe a restraint for NH residents. It makes too much sense. Here are some ways we try to keep Mom from falling out of bed or minimize the damage if she does. These are on her care plan:
Bed is lowered to its lowest setting while sleeping.
Head and foot positions slightly raised, putting her bum in a slight well.
Fall mats on both sides.
Rolled up blankets placed under her fitted sheet on both sides, making it harder to get her legs over. (this was a fight to get implemented, as they considered it a restraint too, but they’re finally doing it on the down-low, just not documenting on her care plan)
Her call bell (which actually is a 4” round disc for the visually impaired) is placed by her legs so it’s activated if she rolls on it.
Her wheelchair and rolling table are moved to the foot of the bed so she can’t hit them if she falls.
Her a/c unit has had the hard corners padded.
They suggested moving her to a room right across from the nurses station, but I didn’t want her to lose her excellent roommate (who looks out for her) so I declined. But that might be an option for you if you have no attachment to her current room.
Good luck, this is one of the most difficult and frustrating aspects of NH residency.”
My Dad would tumble over just tying his shoes or outside pulling weeds. A rolling walker helped a lot. Dad loved his walker. But every now and then Dad would still fall forgetting he HAD to use his walker.
For my Mom, who was in a nursing home, the facility lowered her hospital bed so if she fell out of bed, the fall to the soft mats around her bed wouldn't be as jolting.
The facility tried to have Mom stay in a wheelchair because she was such a fall risk but she would forget that she could no longer stand up without falling. Even being parked near the nursing station, down she would go in a blink of an eye before a nurse/aide could get to her.
Then the facility put my Mom in a geri-recliner and placed a pillow under her knees.... great, that kept Mom falling for a while, until Mom learned to wrestle the pillow out under her knees. Then the facility tried a "seat-belt", well that lasted maybe 5 minutes... "click" the belt was opened..... [sigh].
So I had to pretty much tell myself, what will be will be.
Fortunately this time she did not break anything and did not need to go to hospital. There is nothing to keep her from getting up there either.