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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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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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You will cleanse her thoroughly and position her on a new clean bedpan. This will be the best you can do. If doc says that isn't good enough she will have to go to the ER where they can straight cath her for a sterile specimen or a nurse or LVN can come to your home to do this in home. That will be discussion for you to have with the doctor ordering the test.
Im not trying to be insensitive, but if she is bed bound , how important is a urine test? Why put you and her through the difficulty of obtaining a sterile urine sample? Being catheterized just to get a urine sample is alot to put her through. Keep her safe and comfortable, and don't put anymore stress on yourself.
No one can be comfortable with a UTI ! Any prudent MD and informed by a diligent caregiver of her observations ( thoughts and feelings= >positive actions} could resolve the problems! I will not seek other actions to buy whatever is available! Good luck and do not delay appropriate actions. Instant relief for you as well!
Obtaining a urine sample ( from the Alzheimer's Association)
If a urine sample is required, either to do a routine dip test or to be sent to the laboratory for testing, this should preferably be taken in the morning – the first time urine is passed that day.
If the person is incontinent and wears incontinence pads, a urine collection pack can be used to draw a sample of urine from the pad. These are usually made up of two urine collection pads, a 5ml syringe and a urine specimen container.
Contact your GP/PCP for advice on how to obtain these.
We had Mom sit on the wheelchair shower chair with a "hat" underneath to catch the urine.
This is similar to what we used. Amazon.com: Soaids 4-in-1 Shower Commode Chair with Wheels for Elderly & Disabled Adults, Padded Rolling Toilet Chair, Bedside Commode, Transport Wheelchair with Locking Caster for Bathroom, Home Care (Green) : Health & Household
There are some cheaper ones on the market.
The only time we used the commode function with the shower chair was when we had to get a urine sample.
Here is a "hat" style.
Amazon.com: Urine Hats for Toilet - Reinforced Ribbing Stool Sample Collection Kit - Standard Fit Urine Collection Hat for Toilet - Specimen Collector Urine with Durable Materials - 2 Pack : Industrial & Scientific
We picked up the lab cups from Mom's PCP office.
We also used the shower chair with the padded seat option in the middle of the bathroom for bathing Mom.
We kept a stack of "hats" and lab specimen cups (free from PCP)at the house.
Mom's PCP would not prescribe antibiotic without a urine sample.
1. Suspect UTI 2. Sat Mom on shower chair with "hat" in commode function. This could take awhile. Usually we wrapped Mom in a blanket as she got chilly. 3. Once we got a sample it was poured into the lab cup. 4. Sample driven to PCP and dropped off. 5. PCP called in appropriate antibiotic once urine tested.
One of Mom's CNA's suggested squeezing the urine out of Mom's depends. We tried this. THIS DOES NOT WORK WITH DEPENDS.
Is your wife on hospice? When my DH aunt was on hospice and a UTI was suspected, she was given a broad spectrum antibiotic w/o a urine test to treat the symptoms she exhibited...you might discuss this with her care team.
I asked Google if there were UTI testing kits that could be used with a wet diaper. You might try that for some ideas.
A particular website came up that you might want to read through to explore “smart”’ diapers.
It will be very difficult although you could try to use a nun's hat with a commode. It won't allow you to get a clean catch sample, which is the main problem you'll run into. She'll have to be cath for this, most likely.
Did you tell the doctor requesting the sample that she is incontinent? They may offer a solution.
I've had to do this a couple times - collect a urine sample from my incontinent husband. It's a little easier with the male anatomy, but, still not ideal. I literally stood holding the container in place, waiting for him to pee. This is while he was laying in bed. I can't see that working very well with a woman. You might be able to place a collection system under her (like a bedpan) although I would think that would allow contamination of the sample. See if the doctor can place a catheter and collect the urine needed for testing.
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.
If a urine sample is required, either to do a routine dip test or to be sent to the laboratory for testing, this should preferably be taken in the morning – the first time urine is passed that day.
If the person is incontinent and wears incontinence pads, a urine collection pack can be used to draw a sample of urine from the pad. These are usually made up of two urine collection pads, a 5ml syringe and a urine specimen container.
Contact your GP/PCP for advice on how to obtain these.
This is similar to what we used.
Amazon.com: Soaids 4-in-1 Shower Commode Chair with Wheels for Elderly & Disabled Adults, Padded Rolling Toilet Chair, Bedside Commode, Transport Wheelchair with Locking Caster for Bathroom, Home Care (Green) : Health & Household
There are some cheaper ones on the market.
The only time we used the commode function with the shower chair was when we had to get a urine sample.
Here is a "hat" style.
Amazon.com: Urine Hats for Toilet - Reinforced Ribbing Stool Sample Collection Kit - Standard Fit Urine Collection Hat for Toilet - Specimen Collector Urine with Durable Materials - 2 Pack : Industrial & Scientific
We picked up the lab cups from Mom's PCP office.
We also used the shower chair with the padded seat option in the middle of the bathroom for bathing Mom.
Thank you for the helpful and detailed reply.
CharlesT
We kept a stack of "hats" and lab specimen cups (free from PCP)at the house.
Mom's PCP would not prescribe antibiotic without a urine sample.
1. Suspect UTI
2. Sat Mom on shower chair with "hat" in commode function. This could take awhile. Usually we wrapped Mom in a blanket as she got chilly.
3. Once we got a sample it was poured into the lab cup.
4. Sample driven to PCP and dropped off.
5. PCP called in appropriate antibiotic once urine tested.
One of Mom's CNA's suggested squeezing the urine out of Mom's depends.
We tried this. THIS DOES NOT WORK WITH DEPENDS.
I asked Google if there were UTI testing kits that could be used with a wet diaper. You might try that for some ideas.
A particular website came up that you might want to read through to explore “smart”’ diapers.
https://wellnessbriefs.com/blogs/news/uti-detection-with-smart-diaper-sensors?srsltid=AfmBOorxhLCRi7Omh1HO8x6wISbuPp4sda7zoY_76egF9Y7Wj1XDEmDh
I've had to do this a couple times - collect a urine sample from my incontinent husband. It's a little easier with the male anatomy, but, still not ideal.
I literally stood holding the container in place, waiting for him to pee. This is while he was laying in bed.
I can't see that working very well with a woman. You might be able to place a collection system under her (like a bedpan) although I would think that would allow contamination of the sample.
See if the doctor can place a catheter and collect the urine needed for testing.
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