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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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.
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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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It is true that, with a doctors prescription, Medicare will pay for a Hoyer lift. But, last I knew, it will only be for a manual Hoyer that you have to pump with your arm to lift the person. My aide and I did that for two years until both of us started having shoulder aches. My aide asked me to get a battery operated one. I found one used and believe me it was worth the $. Medicare will pay for the basic Hoyer but there will be a monthly charge for an upgrade to a battery operated one.
My mom is 92 and on hospice. When she could no longer bare weight on her own legs we started using an electric Hoya lift. I waited until my husband, and I just could not hold her up anymore and were afraid of injuring ourselves. We are all she has. She holds on to the straps, and we get her up 3 times a day. it's a life saver. We could not keep her home if not for this lift! Hope this helps someone!
You are so right - my electrical Hoyer is a life saver and a back saver and an arm saver. It makes the difference in my mother living out her life in bed or being able to sit in the living room everyday as well as transfer to a wheelchair if needed.
My late 91-year-old father had a trapeze bar over his hospital bed in his home’s basement to help lift him up during his last five months of life after he suffered a broken hip from a fall.
Unfortunately, Dad was no longer able to get himself, even with assistance, out of bed.
i used a transfer chair with a split seat. It kinda scoops the patient up. Google it and you can see what I mean. But think about the size of it and how wide it opens. The concept was great but we couldn’t put Dad in his recliner very well because of the arms on his chair. That was very easy to use when we had it. We also used a transfer board. It’s a a slick slightly curved board that wedges under 1 “cheek” and the other side to the chair. The patient slides with your help down the board to the chair. We as used a transfer safety belt like PT uses. These are options for you to look into . But it all depends on her mobility. Hospital beds are great since, if she’s mentally capable, they adjust to sit ting position. Oh! and on the hosp bed, they can add a trapeze bar that hangs above for her to grab ahold of and pull herself up . Whew that was a lot. Hope some of it helps! God bless
As far as I can see nobody has mentioned bed assist rails, these devices go at the top end of the bed by the pillow and give you something to hold on to to help with standing and sitting, there are dozens of styles available.
There are many solutions including a Hoyer lift. Personally, when I was dealing with my wife, I just lifted her up. People will say that’s not safe, but it’s a lot easier considering dealing with mechanical contraptions. You don’t see workers in hospitals using those contraptions they just usually get another person to help them.
You might want to consider discussing this with her doctor and asking her doctor to write an order for home health physical and occupational therapy so that they can assess her and provide recommendations for mobility assistance, including beds or devices her insurance may cover. It's also important for her doctor to be aware if this information so he can explore any causes for her lack of mobility that might be able to addressed with physical therapy and strengthening or medications for an underlying medical cause (such as arthritis pain).
If she does not have a hospital style bed, then I would strongly suggest investing in one now! She can raise the head or foot for comfort, she can use the side rail to help pull herself up. She may not have the strength and will need assistance to get in and out of bed as well as getting out of her recliner.
There are devices to help an assistant to help her out of bed. A Sit-to-Stand lift or a hoyer lift. I've also seen a bed which sits up then turns to become like a chair. I have not used this and I think they're pretty expensive. See if her insurance, medicare or medicaid will help with the cost of a hospital bed, and or a lift device.
Is her recliner a lift chair? That, too is helpful, but in my experience, nearly every electric lift chair recliner comes with a massage function. Those massage points can feel like a hard lump in the chair. My husband sometimes gets a pressure ulcer from the hard massagers, and I can't seem to find a chair that does NOT include this.
If she is more comfortable sleeping in her recliner, let her. She will need to get up and be moved to a different position to prevent pressure sores.
Have her evaluated by an occupational therapist and a physical therapist. There are many types of aids and lifts. If she has this much trouble, she should be evaluated first. She would need an OT or PT to order any kind of a lift.
My mother also sleeps in her recliner much of the time. I got her an adjustable bed (not a hospital bed though) but between misplacing the remote and just forgetting that the bed adjusts she still prefers her recliner. She has chronic post nasal drip issues and occasional GER and the recliner helps with those. Her current recliner also has the lift to stand ability which she now likes, though in the past she was not open to that feature when I suggested it. About a week ago she fell out of bed and bruised herself badly. She can’t roll out of her recliner! We do put a pad on it incase she wets it while sleeping.
My mom used a power lift chair during the day and a hospital bed at night. She had CHF and needed an elevated head. My DH aunt preferred the hospital bed, the lift chair was too complicated for her although her aide could amazingly change her in the chair.
I would ask your MILs doctor to order her Physical therapy to show you how to move her when necessary w/o hurting either of you.
My nephew is 35 and sleeps in his recliner. He has physical problems that he is more comfortable in a recliner. My MIL slept in her recliner because her hips bothered her sleeping in a bed. There is nothing wrong wiyh sleeping in a recliner.
There are devices/equipment that can help to get her in and out of bed. BUT... Many people I know and have known are more comfortable sleeping in their recliner chairs. This can be for various reasons. The recliner head can be positioned so that the person is more comfortable. Some chairs offer more support for the back then their bed does.
A hospital bed may be more comfortable for your MIL than her current bed. The bed head can be adjusted, the foot of the bed can be raised or lowered. The mattress can come in more supportive structure. The bed itself can be raised and lowered so that it is easier to get in and out of. And if incontinence is an issue the mattresses are easily cleanable.
My Mom is 96 and due to pain and weakness has now preferred her recliner. This is pretty common.
I researched hospital-style beds. They often have uncomfortable mattresses, but raising and lowering the head and bending up at the knees is nice but the real necessary feature (IMO) is if can raise and lower the height. To get a bed with this feature is very expensive.
My Mom has a La-z-boy that has a remote to control the head and foot. My Aunt had a recliner where the seat actually pushed you to an almost standing position. This is a very helpful feature, I wish my Mom's could do this.
You can consider somehow lowering your Mom's existing bed and then putting arm rails on it so she can pull herself up (but my Mom thought they got in the way and disliked this solution).
IMO it would be more economical to try to buy a used recliner with the seat that pushes you up. My Mom doesn't seem bothered at all by the lack of cushy-ness of the recliner compared to her bed mattress.
I would not buy her anything that has been used. A friend of mine bought a recliner from Good Will, and brought home bed bugs. She couldn't see them but she was getting full of bites and her doctor said they were bed bug bites.
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.
Unfortunately, Dad was no longer able to get himself, even with assistance, out of bed.
There are devices to help an assistant to help her out of bed. A Sit-to-Stand lift or a hoyer lift. I've also seen a bed which sits up then turns to become like a chair. I have not used this and I think they're pretty expensive. See if her insurance, medicare or medicaid will help with the cost of a hospital bed, and or a lift device.
Is her recliner a lift chair? That, too is helpful, but in my experience, nearly every electric lift chair recliner comes with a massage function. Those massage points can feel like a hard lump in the chair. My husband sometimes gets a pressure ulcer from the hard massagers, and I can't seem to find a chair that does NOT include this.
If she is more comfortable sleeping in her recliner, let her. She will need to get up and be moved to a different position to prevent pressure sores.
I would ask your MILs doctor to order her Physical therapy to show you how to move her when necessary w/o hurting either of you.
BUT...
Many people I know and have known are more comfortable sleeping in their recliner chairs. This can be for various reasons.
The recliner head can be positioned so that the person is more comfortable.
Some chairs offer more support for the back then their bed does.
A hospital bed may be more comfortable for your MIL than her current bed.
The bed head can be adjusted, the foot of the bed can be raised or lowered.
The mattress can come in more supportive structure.
The bed itself can be raised and lowered so that it is easier to get in and out of.
And if incontinence is an issue the mattresses are easily cleanable.
I researched hospital-style beds. They often have uncomfortable mattresses, but raising and lowering the head and bending up at the knees is nice but the real necessary feature (IMO) is if can raise and lower the height. To get a bed with this feature is very expensive.
My Mom has a La-z-boy that has a remote to control the head and foot. My Aunt had a recliner where the seat actually pushed you to an almost standing position. This is a very helpful feature, I wish my Mom's could do this.
You can consider somehow lowering your Mom's existing bed and then putting arm rails on it so she can pull herself up (but my Mom thought they got in the way and disliked this solution).
IMO it would be more economical to try to buy a used recliner with the seat that pushes you up. My Mom doesn't seem bothered at all by the lack of cushy-ness of the recliner compared to her bed mattress.