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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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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.
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Ask if hospice will consent to her being seen by an orthopedist for treatment. Cortisone shots sometimes help. Stretching and splinting appear to make matters worse.
I've had cortisone shots in my hands...it is painful (if it's in a joint) and may need to be guided (using real-time imagery). Just fyi so that the OP knows what this solution would involve.
My husband's right hand stayed contracted after he had a massive stroke on his right side which left him unable to use his right arm or hand at all. The thing that worked the best to keep air in it, was rolling up a cotton washcloth and putting it in his contracted hand. It was comfortable and didn't hurt him when I had to take it out to put a clean one in. You might want to give that a try. I can't believe hospice didn't suggest that, as that is a common practice in the medical field. Best wishes.
My mother developed an awful contracture in her hand. The fingernails would dig in and cut her hand. For a long time the nursing home used rolled up washcloths or cotton pads to help open it a bit. Over time though it became worse and we took her to a doctor who’s a specialist in hands. He performed a quick outpatient procedure to cut some tendons in her wrist. This caused the hand to open and she didn’t have the contracture at all again. It was well worth doing
The yeast infection is caused by the contraction, not the other way round, of course.
This often results from a stroke.
I was taught to take a very clean, bone-dry face flannel and roll it into a sausage; then gently ease my mother's fingers loose and close her palm around the flannel. This prevents the hand from curling ever more tightly on itself.
Washing the hand in a basin of water must be followed by very careful and thorough drying. You need to have quite strong hands yourself to do it gently.
I would guess that they mean that the yeast infection set in AFTER the clasping of the hand continuously. This action would hold in moisture and yeast would attack. I would guess that a splint may help a bit but this is something that you need medical help with. See your Mom's doctor; she may require some OT help with working the muscles of the hand if they are now contracted. Any antifungal cream such as monistat will help with the superimposed yeast. Hope you will update us with what her doctor suggests to help her condition.
Is she on any meds for dementia? My father had this presentation and was on meds to try to manage behaviours and it was a side effect from the meds. As they reduced the meds the hand opened back up.
Thank you all ! Every time we have tried to put even a wash cloth in her hand, she grimace and hurt with pain. The only medication they started her on is a low dosage of methadone and eloquist for a DVT in her leg. Thank you Barbbrookyln for the website, very helpful. I will try and find an orthopedic. Please keep my mother in your prayers..
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.
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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.verywellhealth.com/treatment-options-for-dupuytren-s-contracture-4123785
Ask if hospice will consent to her being seen by an orthopedist for treatment. Cortisone shots sometimes help. Stretching and splinting appear to make matters worse.
This often results from a stroke.
I was taught to take a very clean, bone-dry face flannel and roll it into a sausage; then gently ease my mother's fingers loose and close her palm around the flannel. This prevents the hand from curling ever more tightly on itself.
Washing the hand in a basin of water must be followed by very careful and thorough drying. You need to have quite strong hands yourself to do it gently.
But when did you first notice this happening?
Hope you will update us with what her doctor suggests to help her condition.