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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?
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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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She is hitting, slapping and pinching so we hid her big scissors and pocket knife. She has started sundowning and yelling at people audio hallucinations.
You do not mention if she is at home or in a facility. Our answers are frequent for this. You might go to the query link at the top of the page and type in combative or violence. The answer is the same, is to call 911 and insist on a psych hold where she cannot refuse. Tell the ER that her caregivers are not safe. And yes, caregivers have lost their lives with the weapons.
Sounds like she's living at home, so call 911 and tell them she's hallucinating and that she needs to get checked for a UTI. Once there tell the discharge planner that she's an unsafe discharge and that you're not her caregiver. Then ask to talk to a hospital social worker about transitioning her directly into a facility. Even if she doesn't have a UTI it may be time to give her meds if all other medical causes are discounted (like dehydration, uncontrolled diabetes, stroke, etc).
No more access to scissors and knives. Don’t underestimate her ability to find anything hidden. Those with dementia often go through closets, drawers, etc repeatedly so removing is far safer than hiding. Her doctor needs to be aware of the behaviors and can prescribe medication to calm her. It may take some trial and error to find what works. Understand this isn’t only frightening for those in harms way, it’s likely frightening for B as she doesn’t understand her environment anymore and feels out of control. It’s a kindness to her to medicate to calm her
OK..a few questions or maybe statements. 1. If you are an employee in a facility YOU don't handle the situations other than to take the problem to your Supervisor and let them know that you can not work with this person alone. It is getting more dangerous. If "B" is aggressive with other residents you need to bring that up as well. You need to document each incident and report that. This way the facility has documentation when they have to inform "B's" POA that she has to leave the facility. 2. If you are a guest visiting a resident, or a Volunteer visiting a resident you need to bring your observations to the attention to the staff. If at any time you feel like you or the person you are visiting in at risk of being injured you need to quietly leave the area. (I say quietly so you do not upset other residents. Or make the situation more volatile) 3. If you are a resident you request an appointment with the Supervisor in the area you are residing. You can also request a meeting with the Director of Nursing and explain your concerns and if you are afraid that you may be injured express that as well. If this produces no results you can contact the Ombudsman.
NO resident should have or have access to a pocket knife. I dare to say NO resident should have access to a pair of scissors that could possibly be described ad "big".
I would normally say in any situation that if you are afraid for your safety that you should call 911. If this is in a facility that might be a bit different as they may have different protocol. You might want to ask what the protocol is.
If this person is living at home .... If you are an employee and you are afraid for your safety call 911 Remove ALL items that may be used as a weapon. ALL knives, scissors should be locked. yes even a butter knife. Make sure your employer is aware of this. Document EACH incident. "B's" doctor needs to be aware of the increase in violence, anxiety so medication can be adjusted. If there is no improvement you resign from this job. If you are working for an Agency make sure your Supervisor is aware of the situation. Tell them that you feel unsafe and if there is no improvement that you will ask to be assigned to another client. If you are private you tell them when you are going to leave. A 2 week notice would be more than enough.
She needs to be checked out by a doctor and possibly a psych eval by geriatric specialists. Meds could help especially if it is a UTI or if she is lacking something like an important vitamin. My mom has been allowed "nothing sharp" for almost 2 and 1/2 years. At one point she asked for nail clippers and realized we were not allowing her anything sharp and said she couldn't hurt anyone with nail clippers.
Is this a facility and are you a staff member? You report her behavior to the DON. Who then gets an order from the doctor for Medications to help with these symptoms. Hide her scissors and knife? You take them out of her room and to the Nurses desk. If she has family that visits the items should be given to them to take home.
Time for a locked down memory care unit. She is no longer safe to be at home.
I've had clients like this. One in particular could not be properly medicated because no one in her family took the initiative to have her properly diagnosed for medications. She could showtime well in front of doctors and guests, but it would be hell to pay once the visit was over. Last I heard, she was still in the home and that's been over six years ago.
Medications is a must if you are trying to manage this person at home and even those are hit or miss.
I would start looking for full-time facility placement.
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.
1. If you are an employee in a facility YOU don't handle the situations other than to take the problem to your Supervisor and let them know that you can not work with this person alone. It is getting more dangerous. If "B" is aggressive with other residents you need to bring that up as well. You need to document each incident and report that. This way the facility has documentation when they have to inform "B's" POA that she has to leave the facility.
2. If you are a guest visiting a resident, or a Volunteer visiting a resident you need to bring your observations to the attention to the staff. If at any time you feel like you or the person you are visiting in at risk of being injured you need to quietly leave the area. (I say quietly so you do not upset other residents. Or make the situation more volatile)
3. If you are a resident you request an appointment with the Supervisor in the area you are residing. You can also request a meeting with the Director of Nursing and explain your concerns and if you are afraid that you may be injured express that as well. If this produces no results you can contact the Ombudsman.
NO resident should have or have access to a pocket knife.
I dare to say NO resident should have access to a pair of scissors that could possibly be described ad "big".
I would normally say in any situation that if you are afraid for your safety that you should call 911. If this is in a facility that might be a bit different as they may have different protocol. You might want to ask what the protocol is.
If this person is living at home ....
If you are an employee and you are afraid for your safety call 911
Remove ALL items that may be used as a weapon. ALL knives, scissors should be locked. yes even a butter knife.
Make sure your employer is aware of this. Document EACH incident. "B's" doctor needs to be aware of the increase in violence, anxiety so medication can be adjusted.
If there is no improvement you resign from this job. If you are working for an Agency make sure your Supervisor is aware of the situation. Tell them that you feel unsafe and if there is no improvement that you will ask to be assigned to another client. If you are private you tell them when you are going to leave. A 2 week notice would be more than enough.
If this is her home? I would have her placed.
I've had clients like this. One in particular could not be properly medicated because no one in her family took the initiative to have her properly diagnosed for medications. She could showtime well in front of doctors and guests, but it would be hell to pay once the visit was over. Last I heard, she was still in the home and that's been over six years ago.
Medications is a must if you are trying to manage this person at home and even those are hit or miss.
I would start looking for full-time facility placement.