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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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I worked as a physical therapist for 40 years. There are times when our patient can no longer benefit from therapy. The caregivers/patient think that more therapy equals more improvement. Or the facility demands therapy because they can get renumeration. Sadly, there are also times when therapy is clearly indicated but there is no money to pay for it .I never found a facility that would allow me treat with out renumeration
As an Orthopedic Technician I have seen the doctors orders for CPM or cold compression therapy be undermind by PT's down the line whose opinions may be valid but isn't this a discussion that should be between the doctor and the therapists . Not the therapist and the patient because the majority of patients getting CPM benefit from getting the active motion for many hours a day when not in therapy. The therapist opinion should not over ride the learned choices of treatment that a doctor feels would the most beneficial to their patients specific needs. And upon this order, the therapist job should be to encourage the patient to maximize their success using what the doctor feels is best. CPM's are a great benefit to flexion extension of any post op knee .
I'm going to be starting physical therapy soon, and I want to know what to expect. I trust that whoever I go to will know what not to have me do, but it's good to know. It's my knees that are the worst of it, the older I get, the worse they seem to get. Thanks for all the great information!
Thanks for sharing these insights! Some of these seem like a no-brainer - like stopping whirlpool treatment for open wounds. Getting out of bed to prevent blood clots seems to have caught on within the medical community but perhaps not as fast within the physical therapy community. Getting out of bed to build strength post-joint replacement has caught on if my mother's experience is any indicator.
But what is posted are really just general guidelines. A professional therapist must do an evaluation and make a determination as to the best approach for his or her client. This often means balancing different concerns. For an otherwise healthy senior, pushing further with strength training may be a good idea. But what if the senior has a heart condition or other underlying condition that limits his or her ability to exert him or herself? That would have been my FIL. He would have done anything the therapist told him to do, if he could. But his body could only go so far. Therapists must keep this in mind...and those of us in the caregiver role need to do so as well.
Ice and heat for short term only....again, that's a balance that needs to be struck between the overall condition of the patient, the actual problem which needs the heat or ice, and the long term effectiveness of any physical therapy program. Yes, physical therapy can do a lot of good. It's not a cure-all. For instance, physical therapy did reduce and occassionally eliminate the pain in my arthritic knee. It also had a tendency to aggrevate my knee. I stopped after about six months of therapy. Meanwhile, there are only so many different solutions to knee pain. When all other options are considered, that bag of frozen peas is one of the least invasive, has very few if any medical side effects, and is relatively inexpensive in comparison with what else is out there. The take away from this item is that if heat and/or ice don't fix it, try PT. If PT doesn't fix it, you probably need to take it up a notch with the doctor. But all things considered, if heat/ice helps, fits your budget, and keeps you going...stick with the peas.
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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.
4 Comments
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5 Physical Therapy Treatments Seniors Might Want to Avoid
There are times when our patient can no longer benefit from therapy. The caregivers/patient think that more therapy equals more improvement. Or the facility demands therapy because they can get renumeration. Sadly, there are also times when therapy is clearly indicated but there is no money to pay for it .I never found a facility that would allow me treat with out renumeration
But what is posted are really just general guidelines. A professional therapist must do an evaluation and make a determination as to the best approach for his or her client. This often means balancing different concerns. For an otherwise healthy senior, pushing further with strength training may be a good idea. But what if the senior has a heart condition or other underlying condition that limits his or her ability to exert him or herself? That would have been my FIL. He would have done anything the therapist told him to do, if he could. But his body could only go so far. Therapists must keep this in mind...and those of us in the caregiver role need to do so as well.
Ice and heat for short term only....again, that's a balance that needs to be struck between the overall condition of the patient, the actual problem which needs the heat or ice, and the long term effectiveness of any physical therapy program. Yes, physical therapy can do a lot of good. It's not a cure-all. For instance, physical therapy did reduce and occassionally eliminate the pain in my arthritic knee. It also had a tendency to aggrevate my knee. I stopped after about six months of therapy. Meanwhile, there are only so many different solutions to knee pain. When all other options are considered, that bag of frozen peas is one of the least invasive, has very few if any medical side effects, and is relatively inexpensive in comparison with what else is out there. The take away from this item is that if heat and/or ice don't fix it, try PT. If PT doesn't fix it, you probably need to take it up a notch with the doctor. But all things considered, if heat/ice helps, fits your budget, and keeps you going...stick with the peas.