Are you sure you want to exit? Your progress will be lost.
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?
Acknowledgment of Disclosures and Authorization
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 acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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.
Share a few details and we will match you to trusted home care in your area:
Debbie, is this an outing for pleasure or for care, such as a medical visit? The limitations of both your mother and you suggest that this would be a very challenging outing, for both of you and couldn't safely be done without a third or fourth person to accompany you both and provide the assistance for safe transfers.
I think you'd also need a specially equipped ambulette or vehicle with wheelchair lift capacity.
It's very thoughtful to take your mother on an outing, but this sounds like a real challenge, and not particularly a safe one.
I would ask someone at the nursing home to help her get into the car. Once she's in the car however, you might have to make it just a car ride & a stop to Dairy Queen for ice cream rather than getting her out of the car again and taking her somewhere. A road trip to me, beats anything anyway. ♥
Since you aren't able to assist with transfers, I would arrange to have 2 other people go with you and be with you at all times. Don't have people just meet you somewhere, because you could have car trouble and need their help immediately.
There is a certain way you are supposed to assist people in their transfer and I would make sure the two you take with you know how to do it. People who work in the senior care field, normally are pretty good with this, from what I have seen. They are much better at helping my cousin transfer than I was.
Make sure in advance that her wheelchair will fit in the back of your car and that you know how to open and close it.
Take extra clothes, wipes, paper towels in case of accidents.
Go early in the day, before she gets tired.
I would go somewhere that has easy wheelchair access. Check it out in advance for their parking spots, entry, and rest rooms.
Possibly go somewhere that she doesn't have to get out of the car. If you do that, you can have the nursing home help get her in the car when you leave and then assist when you return. HOWEVER, I would do that as a last resort. I used to do that with my cousin, but in retrospect, it's rather risky, since you are out on the road and if you have an emergency stop, you have no one to assist you.
I would opt to rent a van that can load her in her wheelchair and she never has to get out of her chair. Our community has a service that provides that kind of transport service for seniors and the disabled. You have to make an appointment, but their cost is very low. Like under $10.00 for most trips. I'd look for a service like that.
Does the nursing home have a patio, garden or gazebo area? Sometimes, you can have a nice visit on the grounds, just bringing your own picnic. You didn't mention if she has mental decline. If that is the case, I look into whole other set of considerations with that type of issue.
DaughterDebbie, could you give us some more information. Like how long has your Mom been in the nursing home? Is this her residence or is she there for rehab? Does your Mom have any type of memory issues? Have you taken Mom out for an outing prior before she became immobile?
What I would worry about is if your Mom would refuse to return to the nursing home. That has happened before with grown children who wanted to take their parent out for the day from a continuing care facility.
My Dad [94] lives in Assisted Living and the only time he gets away from the building is if he has a doctor appointment. Dad is still pretty sharp for his age, but any type of disruption to his day, he will become more confused in the evenings [he does have what appears to be sundowner's dementia]. So we don't take him out for outings, and he never asks to go out.
My mother has been in a nursing home for 2+ years. She is a 2-person assist with a sit-to-stand machine. She also has dementia, but that is not a factor in the outing issues.
The nh has a van go to Walmart once a month. She can be wheeled onto the van. My sister and BIL meet the van at the store and wheel her around. She loves shopping this way. She never leaves the wheelchair for the entire trip to and back. It is a short enough outing that the bathroom issue doesn't come up.
We push her around the neighborhood, and she occasionally hits a garage sale, which she loves. She loves watching the gardens progress. And she always comments on the trees.
The only other outing we have arranged in 2+ years was to her sister's 100th BD party. We hired a van and a driver, who brought her both ways without needing to transfer her from the wheelchair. We worried some about bathroom needs, because we could not have transferred her, but thought this very special occasion was worth the risk. All was well on that front.
So, my answer is if someone needs 2 people to transfer out of a wheelchair that severely limits their outings, and if it is 2 people + a mechanical device that nearly eliminates all but the most important outings. Make the most of what you can do in and around the facility.
The best way is to use a van that takes the wheelchair, so no transfers are necessary. Care centers generally have these, and they are available to rent in large cities.
Oh ... BTW we have family gatherings right at the nh now. Her 96h bd was last week and a few of us brought in a bright tablecloth, nice dishes, roses, balloons, small gifts, and carry-out Chinese food plus cakes. She can't go to the parties, so we bring the parties to her. Works great.
If this is a family gathering, I'd do what Jeannegibbs suggested - take the party to the nursing home. We did that often and the staff was extremely helpful when we needed assistance.
If this is for medical reasons, I agree that you need others to assist you. I'd take my parents in a paratransit bus. They'd be in their wheelchairs, but I'd balance a walker on the handles of the wheelchair for Mom because, with the help of the walker, she could use that bathroom.
I felt that I should have a sign on my back that said "wide load" but it worked - sort of. Bulky and not great, though. At least one other body would have been very helpful.
With your back issues, having other to help is extra important. I hope that you can find some extra bodies. Please let us know. Take care, Carol
Lots of loving and good advice here. Just reminded me of an outing we did with my "second Mom" who was in a nursing home in New Orleans. Wheelchair, sit-to-stand lift, 2 person assist for everything -- all of what you've mentioned plus dementia and an arm injury that refused to heal, plus some old hip and leg stuff that flared. She was also terrified of being dropped in a transfer. Yet still I thought (being WonderWoman, of course) that I could give her a treat by taking her out. By the grace of God, it turned out okay, but it was probably pretty foolish on my part to risk it. We got her out of the wheelchair and into the passenger seat of a large Tahoe-type truck, drove her to one of her favorite restaurants, which had outdoor seating, pulled her side of the truck up to the edge of the sidewalk and pulled one of the outdoor tables over so she could be a part of the table without having to get in and out of the truck. She seemed to really enjoy being out and being able to order some really good NOLA food. The restaurant was very cooperative in terms of our moving their tables to accommodate her. Our parking was completely illegal, yet no one argued with it once they found out what we were doing. So -- mixed bag. We did give her one more good experience. She may or may not have been able to store it in her memory. And the transfers were traumatic for her and for us. We also took her to a family outing, with lots of strong young men to help with transfers. Again, a good memory for her, but seemed to create a lot of trauma for everyone else. Sometimes our very loving thoughts toward our loved ones make us compromise our common sense about the potential negative impact on our own physical realities and on others who will be impacted. It's a tough gig. So I guess my caveat would be to try to create special occasions that don't require us to be Wonder Woman. And my encouragement would be that there are, in fact, lots of very simple ways to provide them with joy and a knowledge of being loved within the limitations of not having super powers. Blessings!
If this is an outing for pleasure. You don't take her out. You have a small gathering where she is. If this is an outing for medical care you can either request the doctor visit her or you arrange medical transport. You can arrange to have medical transport for an outing but it can be expensive and you have to determine if it is worth the expense and possible trauma of the transport. there are wheelchair vans that you could rent though if you think you could manage yourself. As far as toileting incontinence briefs would be the solution. It is far to risky to try to transfer her from a wheelchair to toilet unless you have the space and enough trained hands to assist you. The CNA that helps me says you have to weigh things with " benefit VS burden" in mind. Who will benefit from the visit her or you and guests. After even just an hour or so your Mom may be just so exhausted that she will fall asleep. And you do not mention her diagnosis if she has dementia the change in routine as well as having may people and excitement around her may just be too much. Have people visit her, a few at a time. I am sure that she would love a walk around the grounds where she is but a full day might be just too much.
Nursing homes nowadays are extremely helpful when it comes to arranging family trips or outings with their inmates. I guess they believe that some time off with their loved ones can give them a peace of mind and positivity, which in turn makes it easier for the caregiver in many aspects.
DaughterDebbie: See below from information "how do I get some help for taking someone out of St.Clair, WI NH----- 8 ADULT DAY CARE Adult day care services are community - based programs designed to serve adults who are physically impaired or mentally confused that may require supervision, socialization and/or assistance with personal care or other daily living activities. The Council on Aging, Inc. serving St. Clair County Starpath Senior Day Care Center
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 think you'd also need a specially equipped ambulette or vehicle with wheelchair lift capacity.
It's very thoughtful to take your mother on an outing, but this sounds like a real challenge, and not particularly a safe one.
There is a certain way you are supposed to assist people in their transfer and I would make sure the two you take with you know how to do it. People who work in the senior care field, normally are pretty good with this, from what I have seen. They are much better at helping my cousin transfer than I was.
Make sure in advance that her wheelchair will fit in the back of your car and that you know how to open and close it.
Take extra clothes, wipes, paper towels in case of accidents.
Go early in the day, before she gets tired.
I would go somewhere that has easy wheelchair access. Check it out in advance for their parking spots, entry, and rest rooms.
Possibly go somewhere that she doesn't have to get out of the car. If you do that, you can have the nursing home help get her in the car when you leave and then assist when you return. HOWEVER, I would do that as a last resort. I used to do that with my cousin, but in retrospect, it's rather risky, since you are out on the road and if you have an emergency stop, you have no one to assist you.
I would opt to rent a van that can load her in her wheelchair and she never has to get out of her chair. Our community has a service that provides that kind of transport service for seniors and the disabled. You have to make an appointment, but their cost is very low. Like under $10.00 for most trips. I'd look for a service like that.
Does the nursing home have a patio, garden or gazebo area? Sometimes, you can have a nice visit on the grounds, just bringing your own picnic. You didn't mention if she has mental decline. If that is the case, I look into whole other set of considerations with that type of issue.
What I would worry about is if your Mom would refuse to return to the nursing home. That has happened before with grown children who wanted to take their parent out for the day from a continuing care facility.
My Dad [94] lives in Assisted Living and the only time he gets away from the building is if he has a doctor appointment. Dad is still pretty sharp for his age, but any type of disruption to his day, he will become more confused in the evenings [he does have what appears to be sundowner's dementia]. So we don't take him out for outings, and he never asks to go out.
My mother has been in a nursing home for 2+ years. She is a 2-person assist with a sit-to-stand machine. She also has dementia, but that is not a factor in the outing issues.
The nh has a van go to Walmart once a month. She can be wheeled onto the van. My sister and BIL meet the van at the store and wheel her around. She loves shopping this way. She never leaves the wheelchair for the entire trip to and back. It is a short enough outing that the bathroom issue doesn't come up.
We push her around the neighborhood, and she occasionally hits a garage sale, which she loves. She loves watching the gardens progress. And she always comments on the trees.
The only other outing we have arranged in 2+ years was to her sister's 100th BD party. We hired a van and a driver, who brought her both ways without needing to transfer her from the wheelchair. We worried some about bathroom needs, because we could not have transferred her, but thought this very special occasion was worth the risk. All was well on that front.
So, my answer is if someone needs 2 people to transfer out of a wheelchair that severely limits their outings, and if it is 2 people + a mechanical device that nearly eliminates all but the most important outings. Make the most of what you can do in and around the facility.
The best way is to use a van that takes the wheelchair, so no transfers are necessary. Care centers generally have these, and they are available to rent in large cities.
If this is for medical reasons, I agree that you need others to assist you. I'd take my parents in a paratransit bus. They'd be in their wheelchairs, but I'd balance a walker on the handles of the wheelchair for Mom because, with the help of the walker, she could use that bathroom.
I felt that I should have a sign on my back that said "wide load" but it worked - sort of. Bulky and not great, though. At least one other body would have been very helpful.
With your back issues, having other to help is extra important.
I hope that you can find some extra bodies. Please let us know.
Take care,
Carol
If this is an outing for medical care you can either request the doctor visit her or you arrange medical transport.
You can arrange to have medical transport for an outing but it can be expensive and you have to determine if it is worth the expense and possible trauma of the transport. there are wheelchair vans that you could rent though if you think you could manage yourself.
As far as toileting incontinence briefs would be the solution.
It is far to risky to try to transfer her from a wheelchair to toilet unless you have the space and enough trained hands to assist you.
The CNA that helps me says you have to weigh things with " benefit VS burden" in mind. Who will benefit from the visit her or you and guests. After even just an hour or so your Mom may be just so exhausted that she will fall asleep. And you do not mention her diagnosis if she has dementia the change in routine as well as having may people and excitement around her may just be too much.
Have people visit her, a few at a time. I am sure that she would love a walk around the grounds where she is but a full day might be just too much.
8
ADULT DAY CARE
Adult day care services are community
-
based programs designed to serve adults who
are physically impaired or mentally confused
that may require supervision, socialization
and/or assistance with personal care or other daily living activities.
The Council on Aging,
Inc. serving St. Clair County
Starpath Senior Day Care Center
Website:
www.thecouncilonagaing.org