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How are they managing their medications?
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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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Have her doc’s run a culture to find out exactly what it is? & is the DX from a dermatologist & who saw her in person? I ask as there’s different skin fungal & bacterial infections and there’s a few new prescription drugs that work quite well for specific diseases. Treating fungal is slightly different that treating bacterial.
My family has done lots of on the water stuff plus live in high humidity and have tried all sorts of specialty derm medications, here’s my take: - silver / sulfa drugs, IMO there’s a lot of “silver” that’s OTC, as silver promotes skin healing. Silver infused band aids get used often for wound care. The sulfa is the part that would be used to deal with the infection. Silvadene is a silver / sulfa drug that’s used widely for burns. You see a tube often in commercial kitchens as it’s good for bad 2nd degree buns. Like dab it on & slap a waterproof heavy duty band over the burn and get back to working the line & it’s all good. - Luzu / Lulicorazole 1% cream, is amazing for tinea. It’s been around maybe a decade, so there’s a generic ($100 or so). Regular Luzu is $200-$300. - Ala-Quin / Hydrocortisone .5% & Iodochloroxyquin 3% cream. The steroid is for the redness and itching and the Iodo is a targeted type of antibiotic for fungal & bacterial infections. It worked amazing on stubborn fungal. It is not cheap, maybe $400-$600 per tube if it’s not in your insurance formulary. No generic. NDC 0316-0123-80
At these prices, you want to make sure just what type of infection it is. That’s the info a culture can provide.
Theres a whole segment of health that is wound care. If the rash has evolved into something more serious, you should ask for a wound care consultation. MediCARE and most other health insurance will cover wound care evaluation and some sort of basic training for the patient or a family member on how to properly do wound care.
Also there is another derm drug, Alo-Quin gel, that’s out there priced at 9K a tube if your drug plan formulary doesn’t include it. &Just crazy imo.
Igloo has given you great, really textbook info. I will also, as a nurse, agree with the fact that culture and testing is crucial here. What happens is that, especially in elders who have required antibiotic, treatment is given with little testing. That means that fungal infections are treated as bacterially, and vice versa. Often the two infections begin to "play around" with one another, a fungal infection taking the place of a bacterial, then going bacterial when a fungal medication is applied. Believe it or not, as a lifelong nurse, it was actually a veterinarian who taught me that often dogs get a rash on exposed belly from an allergy, then it gets treated with antibacterial and good bacteria are wiped out; then fungus takes over. Someone tests and finds a fungal problem and THAT is treated and it goes bacterial again. It can be a real merry-go-round. I wish you good luck. When I was in nursing, due to the enormous expense of the product, the one you are currently using was often used more for burn patients than for others. Times they are a-changin.
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.
& is the DX from a dermatologist & who saw her in person?
I ask as there’s different skin fungal & bacterial infections and there’s a few new prescription drugs that work quite well for specific diseases. Treating fungal is slightly different that treating bacterial.
My family has done lots of on the water stuff plus live in high humidity and have tried all sorts of specialty derm medications, here’s my take:
- silver / sulfa drugs, IMO there’s a lot of “silver” that’s OTC, as silver promotes skin healing. Silver infused band aids get used often for wound care. The sulfa is the part that would be used to deal with the infection. Silvadene is a silver / sulfa drug that’s used widely for burns. You see a tube often in commercial kitchens as it’s good for bad 2nd degree buns. Like dab it on & slap a waterproof heavy duty band over the burn and get back to working the line & it’s all good.
- Luzu / Lulicorazole 1% cream, is amazing for tinea. It’s been around maybe a decade, so there’s a generic ($100 or so). Regular Luzu is $200-$300.
- Ala-Quin / Hydrocortisone .5% & Iodochloroxyquin 3% cream. The steroid is for the redness and itching and the Iodo is a targeted type of antibiotic for fungal & bacterial infections. It worked amazing on stubborn fungal. It is not cheap, maybe $400-$600 per tube if it’s not in your insurance formulary. No generic. NDC 0316-0123-80
At these prices, you want to make sure just what type of infection it is. That’s the info a culture can provide.
Theres a whole segment of health that is wound care. If the rash has evolved into something more serious, you should ask for a wound care consultation. MediCARE and most other health insurance will cover wound care evaluation and some sort of basic training for the patient or a family member on how to properly do wound care.
Also there is another derm drug, Alo-Quin gel, that’s out there priced at 9K a tube if your drug plan formulary doesn’t include it. &Just crazy imo.