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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.
Remember, this assessment is not a substitute for professional advice.
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Almost impossible, to be frank. Requires special beds or equipment that are so expensive they are only available in hospital. Can you tell us why this is necessary? Most medical caregivers can give a pretty good "guess" by just looking, but in some cases MDs want daily weights to monitor diuretics and fluid retention. If this is the case then placement in SNF is likely necessary. Hoping you can give us a bit more information so that we can help more. I have seen some very ingenious methods of getting weights when someone is capable of a lift to wheelchair; can discuss if this is a possibility.
I am with Alva here. In my Moms AL they had a chair the residents sat in to be weighed.
I see by your profile you are having problems transporting her. This can be costly because you need to use a private transport. Is it that important now she is bedridden to transport her anywhere? Does she really need to see a doctor at this point? Can they send out a a Nurse practitioner? Doctors make suggestions without realizing how it effects the family being able to carry out that suggestion.
I have to agree with Alva, it may be time to place her where there is a doctor associated with the facility. If that is not an option for you, maybe time for Hospice. Hospice has changed over the years and you don't have to be dying within 6 months. For some on this forum it was a Godsend. Yes, you will be still be doing most of the work. But you will have a nurse 2x a week. An aide 2 or 3x a week for bathing. Maybe able to get more than the usual hour to run some errands. You will get a hospital bed if needed. Depends, wipes and Chuxs. Some prescriptions are covered. Durable equipment. She will be kept comfortable and Hospice provides support for the Caregiver. There will be no more doctor or Hospital visits. All this is covered by Medicare. Nature will be allowed to take its course. We have a member whose husband was on Hospice for 22 months. If you consult with a Hospice Agency, have someone there with you. Four ears are better than two. We tend to miss things the other person may pick up on. You can consult with more than one and make a choice. And ask questions.
Guliel, ask her doctor to send home health or hospice to help you with your wife’s care, When my aunt with Parkinson’s had reached the stage of being bed bound, she had been seeing hospice for quiet awhile. They were able to weigh her as my cousin would mention how much she weighed. I’m not sure how. I know she was in a home hospital bed. I know when hospice first started with my DH aunt, they used the MUAC method, (Mid upper arm circumference)of the non dominant arm. This is a way they could tell if the patient is acutely malnourished. Now that she is in a NH, they weigh her in a chair.
If your wife is bedridden she should qualify for hospice care and then you don't have to worry about transporting her as they will have a nurse practitioner come to the house every 3 months to check on her, a nurse to come every week, along with aides to come bathe her in the bed at least twice a week, all covered 100% under Medicare. They will also measure her upper arm to see if she's gaining or losing weight. They supply any needed equipment,(including hospital bed)supplies(diapers, pads etc.), and medications all covered 100% under her Medicare. My late husband who was completely bedridden, was under hospice care in our home for the last 22 months of his life. They never weighed him as his weight fluctuated due to his fluid retention, just measured his upper arm, but then I never was concerned about how much he weighed as that was the least of my concerns. And thankfully most states don't require a doctors recommendation anymore for hospice care, so you can just call them yourself and they will come out and do an assessment to see if she qualifies. I wish you and your wife well.
The Hoyer Lift I used for my Husband had a scale on it. Some hospital beds have scales on them so when you are in the bed you can easily get a weight. Weight is not the only criteria that medical staff uses. Appearance. How clothes are fitting. Circumference around the upper arm. Any of these can be used to determine if weight has been lost. For Hospice recertification if an actual weight can not be obtained then the arm measurement as well as all documentation indicating loss of appetite, appearance will be taken into consideration. If she is not on Hospice I suggest that you call one or more and ask them to evaluate her. If you do not want Hospice and you need to transport her to medical appointments calling for a Medical Transport will be all you have to do. Just tell them if she is of "normal" weight or if she is "obese" . Staff doing the transport can manage most transports.
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.
I see by your profile you are having problems transporting her. This can be costly because you need to use a private transport. Is it that important now she is bedridden to transport her anywhere? Does she really need to see a doctor at this point? Can they send out a a Nurse practitioner? Doctors make suggestions without realizing how it effects the family being able to carry out that suggestion.
I have to agree with Alva, it may be time to place her where there is a doctor associated with the facility. If that is not an option for you, maybe time for Hospice. Hospice has changed over the years and you don't have to be dying within 6 months. For some on this forum it was a Godsend. Yes, you will be still be doing most of the work. But you will have a nurse 2x a week. An aide 2 or 3x a week for bathing. Maybe able to get more than the usual hour to run some errands. You will get a hospital bed if needed. Depends, wipes and Chuxs. Some prescriptions are covered. Durable equipment. She will be kept comfortable and Hospice provides support for the Caregiver. There will be no more doctor or Hospital visits. All this is covered by Medicare. Nature will be allowed to take its course. We have a member whose husband was on Hospice for 22 months. If you consult with a Hospice Agency, have someone there with you. Four ears are better than two. We tend to miss things the other person may pick up on. You can consult with more than one and make a choice. And ask questions.
They will also measure her upper arm to see if she's gaining or losing weight. They supply any needed equipment,(including hospital bed)supplies(diapers, pads etc.), and medications all covered 100% under her Medicare.
My late husband who was completely bedridden, was under hospice care in our home for the last 22 months of his life. They never weighed him as his weight fluctuated due to his fluid retention, just measured his upper arm, but then I never was concerned about how much he weighed as that was the least of my concerns.
And thankfully most states don't require a doctors recommendation anymore for hospice care, so you can just call them yourself and they will come out and do an assessment to see if she qualifies.
I wish you and your wife well.
Some hospital beds have scales on them so when you are in the bed you can easily get a weight.
Weight is not the only criteria that medical staff uses.
Appearance.
How clothes are fitting.
Circumference around the upper arm.
Any of these can be used to determine if weight has been lost.
For Hospice recertification if an actual weight can not be obtained then the arm measurement as well as all documentation indicating loss of appetite, appearance will be taken into consideration.
If she is not on Hospice I suggest that you call one or more and ask them to evaluate her.
If you do not want Hospice and you need to transport her to medical appointments calling for a Medical Transport will be all you have to do. Just tell them if she is of "normal" weight or if she is "obese" . Staff doing the transport can manage most transports.