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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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What do you mean by risks? My mother-in-law is 93 years old, blind and lives in an ALF. She has fallen three times this week while simply walking with her walker. Fortunately, she has not hurt herself seriously any of these times, but a few weeks ago, she fell and broke a rib. Apparently, she is taking a risk each time she tries to walk, but what can be done to change that? There are various levels of risks, and some are unavoidable.
If they have not been deemed incompetent and you do not have legal authority over them, you cannot prevent them from taking risks until they do something where they or someone else gets hurt. You can share your thoughts, give advice, try to communicate and work with their physicians behind the scenes and alert neightbors and authorities to watch out for them in your absence, but you cannot DISallow anything! I learned this caring for my parents. I found the local police being called for 'welfare checks' the best actions, as they will never say 'who' called them, and if it's unsafe in the home and they can see it, they will call adult protective services, consult with the caller or even remove from the home, depending on the situation they see. And, I am assuming by 'patients' you mean someone you are 'caring for' as a non professional in a community situation. As a retired RN....if it were a 'patient' I was responsible for in a working situation, then that's an entire different answer from me.
My mother is in a NH with Parkinsons, dementia & stroke. She can`t stand alone and hasn`t walked in 9 months. She`s obsessed with the idea that if she can walk she can leave the NH, buy another house and have live in staff. The dementia is pretty much full blown. In the occasional lucid moment she knows she must call for assistance but she keeps trying to get out of bed or her wheelchair and on the floor she goes. The staff are wonderful, there`s an alarm on the bed and a seat belt on the wheelchair, but they can`t stand over her 24é7 and it`s just a matter of time before she seriously injures herself.
You will have to be more descriptive in your question for me to answer this and I'm a nurse. Everyone takes risks everyday of your lives by the food you eat, drink, and environment in which you live. Be more specific please...
I don't know where you're going with your question because you didn't supply any background information, but I'm going to forge ahead because this is kind of a hot button issue for me. I often run into folks who seem to want their parent to be wrapped in cotton balls so they're 'safe'. To them, everything - from little mishaps to serious injuries - is the nursing staff's fault. They should have 'protected' their parent. I remember a geriatrician once telling me that "old people fall, that's what they do." As ferris1 points out, we all take risks every day we get out of bed. And, when we're old and frail, those risks are many times greater. But, what's the alternative?? Life is to be lived. Living includes taking risks.
My mother's falls are NOT the fault of the nursing staff, ever. She's been unable to sit up or stand alone for 9 months but she keeps on trying. Though she has a bed alarm and a wheelchair seat belt, by the time staff get there she's on the floor. In the rare lucid moment she knows she must ring for assistance but her dementia is full blown now. It's only a matter of time before she falls and suffers injuries which lead to her demise. Nothing anyone can do about it.
In ALF she isn't going to get one on one care, my Mom is in an ALF and is not very stable at all and would likely fall if she tries to get out of bed unassisted she knows she has to ask for help putting her at risk of injury if she doesn't but I can't be sure she will 100% of the time so I guess that is a risk
See, my 94-year-old mother is in assisted living who is paying a lot for her care. She does not seem to remember to use her call button to ask for help or wants to still be independent when she wants to use her bathroom in her private room. Three weeks ago, she lost her balance and fell sideways, banging her right hip against the wall. Fortunately, help did come in fifteen minutes. No fractured bones.
In reading this forum, many family members don't know what to do about risk. They are afraid they will face anger and rejection. Professional caregivers have to tread a fine line between restraint and abuse. Both groups are confounded by a sneaky patient, who silently waits for the opportunity to get away with breaking the rules and getting what they want. If you take away the car, you are accused of stealing it. If you restrain patient to a bed or chair, families howl abuse. But if they drive, the victims can sue you when others are injured. If the patient falls, you are massively investigated. I took away the car. She was mad. So what. She says if she goes to a NH we won't get any money when she dies. Guess What? She's going, the money be damned.
I have a different situation. My husband in is a state nursing where they prefer their patients to travel in wheelchairs thus eliminating any falls. Walking is what my husband does best. But because they keep him in that wheelchair he is becoming less and less able to walk. I take him to the doctor and he walks but if this wheelchair situation continues I won't even be able to do that because he wont be able to to walk.
stumble they prefer wheelchairs because staff have 12 or more residents apiece to get dressed and to the dining room for meals. If their shift starts at 7 a.m. and breakfast is at 8.15 they have no time to guide "sort of" walkers to the dining room. It's done for speed.
Since breaking a hip last spring my mother can;'t walk and never will. At one point an aide would hang on to her while she shuffled along in her walker while another aide followed behind with the wheelchair but that hasn't happened for a long time. Staff are overwhelmed and do the best they can.
Unless you want to attend all the time and walk him it is what it is.
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.
I often run into folks who seem to want their parent to be wrapped in cotton balls so they're 'safe'. To them, everything - from little mishaps to serious injuries - is the nursing staff's fault. They should have 'protected' their parent. I remember a geriatrician once telling me that "old people fall, that's what they do."
As ferris1 points out, we all take risks every day we get out of bed. And, when we're old and frail, those risks are many times greater. But, what's the alternative?? Life is to be lived. Living includes taking risks.
If you take away the car, you are accused of stealing it.
If you restrain patient to a bed or chair, families howl abuse.
But if they drive, the victims can sue you when others are injured.
If the patient falls, you are massively investigated.
I took away the car. She was mad. So what.
She says if she goes to a NH we won't get any money when she dies.
Guess What? She's going, the money be damned.
Since breaking a hip last spring my mother can;'t walk and never will. At one point an aide would hang on to her while she shuffled along in her walker while another aide followed behind with the wheelchair but that hasn't happened for a long time. Staff are overwhelmed and do the best they can.
Unless you want to attend all the time and walk him it is what it is.