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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.
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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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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.
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Now that the bedsore is infected, the nurse is concerned because i made a big deal. My dad has cancer. My questions is can the nurse prescribe a antibiotic for this? I have read that they could prescribe one.
Sounds like this hospice agency dropped the ball for sure. The nurse is supposed to check your dad over every time they come, plus when the aides bathe him they are supposed to report any suspicious sores or the like. How did they all miss this is beyond me. You may need to hire an different and better hospice agency. But yes, hospice can order an antibiotic if deemed necessary, and they should also have a wound nurse now come out several times a week to check on this bedsore and clean and put whatever cream they decide on it and keep it bandaged. I learned first hand that you have to stay on top of whatever hospice agency you choose to make sure that your loved one is receiving the best care possible. Best wishes in getting your dad the care he deserves.
Request that Hospice send a WOUND NURSE, Bedsores should be addressed immediately. Even if the the nurse did not notice a bedsore the CNA should have observed it and documented it when she/he gave your husband a bath or shower. Would have been noticed if they gave him a bed bath as well. I also think this is worth a call to the Team manager and let them know that this was ignored.
Ummmmmmmmmmmm. That Hospice needs reporting to state regulatory commission in control of Hospice licensing. This lack of exam by a nurse that visits weekly is negligence. I cannot imagine why you didn't bring this to her/his attention? But that's not here nor there. For now, they may give antibiotics if the bedsore cultures out infected, but they often are not. They are simply necrosis (dying) of the flesh and can quickly go down to the bone. They can cause sepsis if they infect, and organ shutdown and death. They require special wound care. They should be cared for by a wound care nurse who will know how to treat and will inform you fully. I have said over and over that the NEW way of Hospice is horrible, that you will see one RN once a week and other than to check your BP and record she will likely sit at your bedside a few moments to visit and leave. THIS is certain an example of THAT. I am so very very sorry.
There are Kennedy ulcers which are signs the skin is breaking down and person is dying. Tell the hospice Nurse you want Dad seen by a Woundcare nurse. Bedsores can be painful and the Hospice is confort care pain free.
My wife was in hospital. Nurses were not cleaning her bottom as soon as possible. I told doctors but they didn't pay any attention. Palliative care team helped us. We came home and we regularly cleaned her. Palliative team care team recommended a cream. And now it is getting better.
Some hospices have different teams - like Team Blue, Team Red, Team 1 and 2 etc. You could demand a change to a different team. Or get another hospice altogether. Institute palliative care. Insist on a wound care nurse.
I would call the facility immediately and report that person that is helping him . Or if different people help report them all . That is a serious issue there that can lead to fatal infections
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.
How did they all miss this is beyond me. You may need to hire an different and better hospice agency.
But yes, hospice can order an antibiotic if deemed necessary, and they should also have a wound nurse now come out several times a week to check on this bedsore and clean and put whatever cream they decide on it and keep it bandaged.
I learned first hand that you have to stay on top of whatever hospice agency you choose to make sure that your loved one is receiving the best care possible.
Best wishes in getting your dad the care he deserves.
Bedsores should be addressed immediately.
Even if the the nurse did not notice a bedsore the CNA should have observed it and documented it when she/he gave your husband a bath or shower. Would have been noticed if they gave him a bed bath as well.
I also think this is worth a call to the Team manager and let them know that this was ignored.
That Hospice needs reporting to state regulatory commission in control of Hospice licensing.
This lack of exam by a nurse that visits weekly is negligence.
I cannot imagine why you didn't bring this to her/his attention?
But that's not here nor there.
For now, they may give antibiotics if the bedsore cultures out infected, but they often are not. They are simply necrosis (dying) of the flesh and can quickly go down to the bone. They can cause sepsis if they infect, and organ shutdown and death. They require special wound care. They should be cared for by a wound care nurse who will know how to treat and will inform you fully.
I have said over and over that the NEW way of Hospice is horrible, that you will see one RN once a week and other than to check your BP and record she will likely sit at your bedside a few moments to visit and leave. THIS is certain an example of THAT. I am so very very sorry.
Good luck with all this. Bedsores are difficult.