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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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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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FIL has type 1 and administers his insulin by injection. Most of the LTC facilities in the area do not allow injections. Question: Do all injectable diabetes meds have an oral option? Located in CA.
In California, diabetes injections need to be administered by "appropriately skilled professionals" see title 22. You need to investigate a larger facility that has nurses on staff.
Perhaps look into a smaller "board and care" licensed six bed facility. What they do in the case of my friend is use the "hand over hand technique" which is permitted by law. " professionals, can assist with diabetes injections through a "hand-over-hand" technique, where they guide the person's hand while they perform the injection."
I’m sorry to see your FIL’s medical condition. From what I’ve read, daily insulin injections are required for a person to live since the pancreas has stopped producing it. No such thing for oral insulin since it gets destroyed by stomach juices and must go directly into the bloodstream to offset the glucose.
Without daily insulin, that individual will go into a diabetic coma and possibly die.
I hope these care facilities understand how dangerous this diabetes disease is. I could see possible liability for incomplete care if the loved ones’ condition goes beyond basic care and must be facility placed and then becomes very sick and dies due to lack of blood sugar mgmt.
How may a relative or friend be with the diabetic victim for daily mgmt when required to work?? Makes no sense. Nurses or medical assistants are not available in facilities very often, and hospitals are overwhelmed with cases besides diabetes individuals. Where else may these people go for care?
I often wonder how my late friend felt during her last days with diabetes when she passed away last Dec. it was type two but still diabetes with some insulin therapy. Sheila was found dead in her unit when her messages went unanswered.
Metformin is an oral medication, I think typically used for less serious diabetes. It reduces the blood sugar level. I don't know if there is an oral replacement for insulin injections. Have you asked the LTC (you should do a tour and meet with an admissions director) what medication options they rely on for their diabetic patients?
As someone has already said, Type 1 diabetes requires insulin because it is by definition the inability of the pancreas to produce insulin.
I am in Minnesota, and in my experience (50+ yrs. as an RN) when I was an AL nurse, I would set up a week's worth of insulin syringes for clients who needed to give their own injections and set them in a cup in the refrigerator in that resident's unit.
Our Home Health Aides (who are not authorized to administer medications) would check each time they went to the unit to see if the resident had been taking their insulin as ordered (they could also remind the resident) -- if they reported a problem, I would assess the resident and contact the family.
No, the RN is not available in AL 24/7, but if the resident is able to manage his own injections, there ought to be a reasonable solution. Perhaps family could set up the syringes, if drawing up the insulin (rather than administering it) is the difficulty. Otherwise, a daily visit from a competent friend or family member to manage the insulin would be necessary.
I have Type 1 diabetes. Type ones require insulin, either by injections or insulin pump treatment. There are no substitutions for type ones other than insulin. Some with type 1 may also take oral medications, but would still require insulin. (Some type 2’s might also take insulin.). I’m not sure how a facility would prohibit using insulin, since it’s vital for our survival.
When we talk facilities, Assisted Livings are just that they assist. The resident needs some help but can still get around. No skilled care is done in an AL. They do have an RN on duty, and I see jo reason why she can not give an injection. But she is usually there for day shift.
Memory care is for those with a Dementia and are like ALs when it comes to care.
Longterm care - by the time someone needs this, they need 24/7 care and maybe Medicaid to help with paying for care. LTC does injections. They have RNs and LPNs, in most states both can give injections. Some States may not allow LPNs to give injections.
Maybe they don't allow residents to give themselves the injections? Insulin does always work for some orally. Thats why the injections.
I would discuss this with the admins. at the facility. In my brother's ALF there were many who received injectable insulin, which was administered by the medication nurse (I believe an aid specially trained; not certain.
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.
Perhaps look into a smaller "board and care" licensed six bed facility. What they do in the case of my friend is use the "hand over hand technique" which is permitted by law. " professionals, can assist with diabetes injections through a "hand-over-hand" technique, where they guide the person's hand while they perform the injection."
https://assistedlivinglocatorsla.com/assisted-living-in-california---what-is-and-is-not-allowed#:~:text=In%20lay%20terms%2C%20Title%2022,by%20%E2%80%9Cappropriately%20skilled%20professionals.%E2%80%9D
https://codes.findlaw.com/ca/health-and-safety-code/hsc-sect-1507-25/
https://www.healthyplace.com/diabetes/treatments/complete-list-of-diabetes-medications-for-type-1-and-type-2
I’m sorry to see your FIL’s medical condition. From what I’ve read, daily insulin injections are required for a person to live since the pancreas has stopped producing it. No such thing for oral insulin since it gets destroyed by stomach juices and must go directly into the bloodstream to offset the glucose.
Without daily insulin, that individual will go into a diabetic coma and possibly die.
I hope these care facilities understand how dangerous this diabetes disease is. I could see possible liability for incomplete care if the loved ones’ condition goes beyond basic care and must be facility placed and then becomes very sick and dies due to lack of blood sugar mgmt.
How may a relative or friend be with the diabetic victim for daily mgmt when required to work?? Makes no sense. Nurses or medical assistants are not available in facilities very often, and hospitals are overwhelmed with cases besides diabetes individuals. Where else may these people go for care?
I often wonder how my late friend felt during her last days with diabetes when she passed away last Dec. it was type two but still diabetes with some insulin therapy. Sheila was found dead in her unit when her messages went unanswered.
It reduces the blood sugar level. I don't know if there is an oral replacement for insulin injections.
Have you asked the LTC (you should do a tour and meet with an admissions director) what medication options they rely on for their diabetic patients?
I am in Minnesota, and in my experience (50+ yrs. as an RN) when I was an AL nurse, I would set up a week's worth of insulin syringes for clients who needed to give their own injections and set them in a cup in the refrigerator in that resident's unit.
Our Home Health Aides (who are not authorized to administer medications) would check each time they went to the unit to see if the resident had been taking their insulin as ordered (they could also remind the resident) -- if they reported a problem, I would assess the resident and contact the family.
No, the RN is not available in AL 24/7, but if the resident is able to manage his own injections, there ought to be a reasonable solution. Perhaps family could set up the syringes, if drawing up the insulin (rather than administering it) is the difficulty. Otherwise, a daily visit from a competent friend or family member to manage the insulin would be necessary.
Memory care is for those with a Dementia and are like ALs when it comes to care.
Longterm care - by the time someone needs this, they need 24/7 care and maybe Medicaid to help with paying for care. LTC does injections. They have RNs and LPNs, in most states both can give injections. Some States may not allow LPNs to give injections.
Maybe they don't allow residents to give themselves the injections? Insulin does always work for some orally. Thats why the injections.
In my brother's ALF there were many who received injectable insulin, which was administered by the medication nurse (I believe an aid specially trained; not certain.