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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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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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what used to be second nature for this person to do the routine, has become less reliable. Difficulty putting new needle on the injection pen. Occasionally getting flustered.
There are organizations that can provide Volunteers You can get a caregiver that will come in daily BUT for either of these the person they are checking on or caring for HAS to be able to take their own medication, has to be able to draw the insulin and give it to themselves. If they can't you are looking at paying a Nurse to do these things. And that can get expensive. (The exception to this...if you hire PRIVATELY you can instruct the person to do what you want them to do. If you hire through an agency they will require a Nurse to administer any medications) It might be time that this person has a permanent caregiver or you begin looking for a facility that can manage the care properly and safely. I think if you explore the options and print out all the "Pro's and Con's" you might find that a facility, either Assisted Living or Memory Care whatever is appropriate, will be more cost effective than paying all household expenses as well as a caregiver.
You're noticing a decline and it's not going to get any better,so sorry as this journey is going to get very difficult from here on. As hmhollar mentioned, management of prescriptions is very,very important!! It's something I wouldn't trust anyone but myself(POA) or a medical professional/staff. It's time for POA/Health Director to assume their role and take control of this situation, this person can no longer take care of their medical needs and should not be alone. Left alone and unattended could result in charges of neglect if anything happens to this person. If this person has property,it's probably time to sell and use the money towards their care,memory care does a good job of prescription management. I don't see any other options as it's only going to go downhill from here and it's going to get so complicated to manage everything in a medical emergency situation. Right now, you've got some breathing room to work this out gradually. POA/Health Director should have no guilt as this what they were assigned to do, make sure their loved ones are safe and cared for. By all means, don't try to do this yourself, it's a burden that nobody here wanted but learned the hard way. We can't fix the broken elderly and we only break ourselves instead. Take care of you,too!
This elderly person cannot live alone anymore. Facility placement is a better option. Get a social worker to help at the Local Area of Aging. Some places hire nurses or qualified medical techs to visit and inject medicines if no family or friend is present to administer the meds.
RetiredBrain. I’m a huge fan of home health. Covered by part B of original Medicare for those classified as home bound. And sometimes covered by Advantage Plan, each one being a different private company needed to be checked with by contacting the number on the insureds card.
And home health WILL set up pill planners among many other helpful things but they won’t give daily shots which is what this person is looking for.
She needs memory care with a tech to deliver meds. But many states will require the client to self inject. The tech would just set up the delivery device and dial in the number. Another option varies state to state. Mom was in IL but needed assistance with baths and meds including daily insulin. Because she was in a facility with over 100 apartments, there was a visiting nurse group that had several clients and thus no need for a hired nurse to travel distances. They even had an office. Mom was charged in 15 min increments each day.
Speaking as an R.N. who worked in Home Health -- medication management was one of our foremost responsibilities. Medication errors can cause a serious medical emergency, e.g., overdosing, hyperglycemia from skipping meds that are needed, like insulin. I can tell you that there is no way to "stop in and check on someone" to tell if they took their insulin injection at all, or took it correctly. Removing a pill from the pill minder does not prove that the client swallowed the pill, the correct dose at the correct time. The nurse would need to actually be present to give the injection or the pills, or stand by and observe while the client prepared and administered the injection and took oral meds. Like others responding to this query, your family member's safety may require closer in-person monitoring at this time.
Are there single shot diabetic meds? Or maybe ones that only need to be given once a week?
This person needs to see an endocrinologist to make sure they are on the best meds given their inability to change daily needles. my MIL lived for years w/o taking her meds. Of course she developed cancer. Connection? I don’t know. FIL no longer needed meds after years of taking because he lost weight.
I know that diet plays a huge role as well as exercise. Both things sometimes hard for a senior to change.
Home health for the homebound through original Medicare used to give insulin shots years ago but they no longer do.
I hired an aide for my aunt to come two hours a day to help with meds but it wasn’t a shot.
This is a game changing stage for the diabetic. Must be millions faced with the same problem.
Contact your Area Agency on Aging. There is an office for every county and see if they have suggestions.
, I think this is true in every state. A CNA cannot administer meds (neither oral nor injected). A med tech is licensed to do so. I don't know if there are any limitations on the med tech's administering meds. If there were, it would probably be for narcotics.
Not all assisted living facilities have staff that can legally give meds. In my state, anyway. Staff can remind a resident to take meds, or cue the resident to take meds that are already laid out, but it stops there. So it works OK until it doesn't.
I got my sister with dementia a timed pill dispenser. You can set the times that the pills need to be taken and at the appropriate time the little door is openable so the pills can be taken. An app on my phone would let me know if the pills were taken, so I could call and ask if there was a problem. It took a few days for her to get used to it, but it worked very well. Sorry it won't help with a shot. But the alarm would be a good reminder. The alarm sounds for up to a half an hour so it's hard to ignore it.
Quite honestly, this inability to remember and administer medications is one of the primary reasons that some people enter ALF.
I think, realistically, it will be impossible to get someone to stop daily and do medications. Taking on giving medications to someone is a lot to ask, especially when diabetes is involved. Payment would be massive because people cannot afford to have a job where they move home to home to home giving medications in the morning. Almost any caregiving agency has minimums of four hours a day and three days a week for their workers so that said workers can have a job that pays and sustains them.
This may be time to consider care. Interestingly, in a recent memoir I read called The Marmalade Diaries by Ben Aitken I read that in England there is a "share-care" program in which Elders provide low cost rent to people in need of same who may be going to school and etc., in return for companionship and some agreed upon contractural duties. The program seems to be working quite well for many. I wish we here could more "think outside the box" but here it seems ultimately to all come down to following the almighty dollar.
I had some agencies in Maryland that had a 3 hour minimum. The problem was that CNA's working for an agency in Maryland are legally not allowed to administer meds in a home setting.
We had to private pay CNA's to get around this rule. Expect a 3 hour minimum even if they just stop by to administer the meds.
Its this way in NJ unless they are medtechs. CNAs are not medically trained. They can remind they can't hand the meds to the person. They all can't give shots.
Does this person have a PoA? If so, the PoA needs to be informed of this problem so they can manage it.
If this person doesn’t at least have a local, trustworthy and willing relative to help move this forward and manage it, then report this person to APS so that they can be protected and get appropriate care.
I'm going to tell you straight that there are no free options for what you're looking for other than a volunteer. Talk to a homecare agency and hire a home/health aide to help this elder out.
A hired homecare worker will make sure the person takes their meds and is okay. Of course, the meds need to be laid out in advance in a pill organizer. A home/health aide from an agency cannot fill the pill box or administer meds. They can put them in a cup and hand them to the client to take though. If they are a CNA home/health worker, they can do blood sugar testing and put the needle on the insulin pen. Why doesn't the elder you're talking about have insulin pens that get thrown away after the doses finish? Then there's no need to fuss with it.
I think the others on the thread are right though. This elder should not be living alone anymore.
These difficulties mean that she can no longer be left alone or live by herself. What happens: You notice the things you've noticed but have no idea what difficulties come up when you're not there. They will evidence themselves eventually - she hasn't done laundry in a while and you get curious and find it stuffed under the beds. Not life threatening, but it shows the level she's operating from, which could have serious consequences, such as she hides her pills under the bed too because she got flustered and confused, and she knew they should be gone, but she doesn't remember how to put them in her mouth or that they're medicine.
In my husband's case, there was 12" butcher knife under the couch cushions. He thought the vacuum cleaner was a hedge trimmer. That his toothbrush should be flushed down the toilet.
The signs you see indicate that facility care is on the horizon. Or in-home caregivers 24/7, but that soon becomes unsustainable.
My SIL is an R.N. who used to help elders with their meds. She'd visit their homes and lay out the meds in containers. But I'm telling you, that will only work for so long, and you need to prepare for the obvious next step.
Other than having a family member, friend or neighbor stop by daily to make sure this person is taking their medications and getting the insulin that they need, I see no other option if you're wanting this person to continue living in their home. The other option of course is having them placed in the appropriate facility where all of that will be taken care of for them. Hiring a home healthcare agency usually requires a 4 hour limit, so unless you would have other things for the aide to do in the 4 hours other than making sure this person takes their meds and insulin, it would be a costly venture.
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.
You can get a caregiver that will come in daily
BUT for either of these the person they are checking on or caring for HAS to be able to take their own medication, has to be able to draw the insulin and give it to themselves. If they can't you are looking at paying a Nurse to do these things. And that can get expensive.
(The exception to this...if you hire PRIVATELY you can instruct the person to do what you want them to do. If you hire through an agency they will require a Nurse to administer any medications)
It might be time that this person has a permanent caregiver or you begin looking for a facility that can manage the care properly and safely.
I think if you explore the options and print out all the "Pro's and Con's" you might find that a facility, either Assisted Living or Memory Care whatever is appropriate, will be more cost effective than paying all household expenses as well as a caregiver.
It's time for POA/Health Director to assume their role and take control of this situation, this person can no longer take care of their medical needs and should not be alone. Left alone and unattended could result in charges of neglect if anything happens to this person.
If this person has property,it's probably time to sell and use the money towards their care,memory care does a good job of prescription management.
I don't see any other options as it's only going to go downhill from here and it's going to get so complicated to manage everything in a medical emergency situation. Right now, you've got some breathing room to work this out gradually. POA/Health Director should have no guilt as this what they were assigned to do, make sure their loved ones are safe and cared for. By all means, don't try to do this yourself, it's a burden that nobody here wanted but learned the hard way. We can't fix the broken elderly and we only break ourselves instead.
Take care of you,too!
And home health WILL set up pill planners among many other helpful things but they won’t give daily shots which is what this person is looking for.
Another option varies state to state. Mom was in IL but needed assistance with baths and meds including daily insulin. Because she was in a facility with over 100 apartments, there was a visiting nurse group that had several clients and thus no need for a hired nurse to travel distances. They even had an office. Mom was charged in 15 min increments each day.
This person needs to see an endocrinologist to make sure they are on the best meds given their inability to change daily needles. my MIL lived for years w/o taking her meds. Of course she developed cancer. Connection? I don’t know. FIL no longer needed meds after years of taking because he lost weight.
I know that diet plays a huge role as well as exercise. Both things sometimes hard for a senior to change.
Home health for the homebound through original Medicare used to give insulin shots years ago but they no longer do.
I hired an aide for my aunt to come two hours a day to help with meds but it wasn’t a shot.
This is a game changing stage for the diabetic. Must be millions faced with the same problem.
Contact your Area Agency on Aging. There is an office for every county and see if they have suggestions.
In my state, however, it is. You have to be a med tech.
I think, realistically, it will be impossible to get someone to stop daily and do medications. Taking on giving medications to someone is a lot to ask, especially when diabetes is involved. Payment would be massive because people cannot afford to have a job where they move home to home to home giving medications in the morning. Almost any caregiving agency has minimums of four hours a day and three days a week for their workers so that said workers can have a job that pays and sustains them.
This may be time to consider care.
Interestingly, in a recent memoir I read called The Marmalade Diaries by Ben Aitken I read that in England there is a "share-care" program in which Elders provide low cost rent to people in need of same who may be going to school and etc., in return for companionship and some agreed upon contractural duties. The program seems to be working quite well for many. I wish we here could more "think outside the box" but here it seems ultimately to all come down to following the almighty dollar.
We had to private pay CNA's to get around this rule. Expect a 3 hour minimum even if they just stop by to administer the meds.
If this person doesn’t at least have a local, trustworthy and willing relative to help move this forward and manage it, then report this person to APS so that they can be protected and get appropriate care.
A hired homecare worker will make sure the person takes their meds and is okay. Of course, the meds need to be laid out in advance in a pill organizer. A home/health aide from an agency cannot fill the pill box or administer meds. They can put them in a cup and hand them to the client to take though. If they are a CNA home/health worker, they can do blood sugar testing and put the needle on the insulin pen. Why doesn't the elder you're talking about have insulin pens that get thrown away after the doses finish? Then there's no need to fuss with it.
I think the others on the thread are right though. This elder should not be living alone anymore.
In my husband's case, there was 12" butcher knife under the couch cushions. He thought the vacuum cleaner was a hedge trimmer. That his toothbrush should be flushed down the toilet.
The signs you see indicate that facility care is on the horizon. Or in-home caregivers 24/7, but that soon becomes unsustainable.
My SIL is an R.N. who used to help elders with their meds. She'd visit their homes and lay out the meds in containers. But I'm telling you, that will only work for so long, and you need to prepare for the obvious next step.
The other option of course is having them placed in the appropriate facility where all of that will be taken care of for them.
Hiring a home healthcare agency usually requires a 4 hour limit, so unless you would have other things for the aide to do in the 4 hours other than making sure this person takes their meds and insulin, it would be a costly venture.