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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.
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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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This is an unhealthy situation for all. Feces can spread all sorts of conditions that could damage the health of everyone involved. Your mom needs to go to a memory-care facility where they have the expertise to manage this difficulty. She really cannot live at home anymore.
You can help her and your sister by looking into the different facilities in moms area where mom can get the 24/7 care she needs and your sister doesn't have to clean up moms poop off everything, as that is a so unhealthy for all involved.
Why is your sister trying to care for your mother with THIS level of dementia at play and no experience??? She needs to be placed in a Memory Care Assisted Living Facility where teams of caregivers work in 24/7 shifts to care for her, including changing soiled disposable briefs & monitoring her in the bathroom.
In the meantime, if your sister is not accompanying mom to the bathroom, she needs to start doing so immediately, so she can wipe her and then clean her up afterward. She needs to be dressed in an Alzheimer's anti strip suit, with a disposable Depends on underneath it, in the morning when she wakes up. She then needs to be toileted by your sister every 2 hours and have the anti strip suit removed, along with the Depends, and put on the toilet to see if she needs to urinate or have a BM. Then your sister cleans her up immediately, and dresses her back in the Depends and the anti strip outfit. This is the routine that needs to develop for the duration of the time she lives in the house. That way, she can't 'poop on the floor, get in on her hands, counter and doesn't know it.' Elders with THIS level of dementia at play need 24/7 supervision, period. And to be accompanied to the toilet EVERY time they go. And if she has a BM your sister is unaware of, the Depends will collect it and mom can't get her hands into it, thanks to the anti strip suit she's wearing.
You can also purchase a bidet toilet seat attachment to make clean up a bit easier. But it's dressing mom in the anti strip suit with Depends that will prevent the 'accidents' from happening in the first place. And not leaving her alone at ALL, which is why Memory Care AL is a much better alternative; so your sister can have a life of her own.
".. on the floor" could be urgency - unable to hold on until in place.
Maybe temporary with an upset? A good diet, sufficient fluid & fibre intake may hopefully restore things.
But unfortunately many seem to get unruly bowels. Intolerances increase, side effects from meds, gut bacterial gets out of whack (& stays whacked), neurological changes too (eg strokes).
If unable to CURE or Retrain, aim to CONTAIN.
Contain as best you can by; 1. Good fitting absorbent incontence pad/pants. 2. Easy access clothing - elastic waisted pants or skirt to quickly flip up. 3. Help with toileting.
You may already be doing all of the above?
*Help with toileting* may start as mostly hands-off. Is this what Sister is doing - then finding the mess? Direct supervising & verbal directions are next level. Then hands-on assisting.
It sounds like hands-on assistance is required here.
Have a chat to your sister. Is she happy to do this? Short term? Long term? Is Mom alone for much of the day? Who else can help? Are paid aides part of the longer term plans?
The only thing I can think of here is working toward the sort of bowel training that many colostomy patients do, which is to ensure one BM daily, in the a.m., and not a lot otherwise. This can sometimes be done with something like citrucel daily. Do not use metamucil. It ferments in the gut differently tho it is basically still a psillium. It causes a lot of gas for some people which means more frequent and more explosive stools with a lot of flatus. Something you definitely don't want. This is almost a problem so severe that it may or may not have a good answer. At some point care in the home is almost impossible to manage 24/7 and this is something you and your sister may need to start discussing and thinking about. Sure do wish you the best. Definitely go to some colostomy forums and ask about bowel training and what works for people. This can work for some individuals so well that they don't have to always wear colostomy bags.
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.
In the meantime, if your sister is not accompanying mom to the bathroom, she needs to start doing so immediately, so she can wipe her and then clean her up afterward. She needs to be dressed in an Alzheimer's anti strip suit, with a disposable Depends on underneath it, in the morning when she wakes up. She then needs to be toileted by your sister every 2 hours and have the anti strip suit removed, along with the Depends, and put on the toilet to see if she needs to urinate or have a BM. Then your sister cleans her up immediately, and dresses her back in the Depends and the anti strip outfit. This is the routine that needs to develop for the duration of the time she lives in the house. That way, she can't 'poop on the floor, get in on her hands, counter and doesn't know it.' Elders with THIS level of dementia at play need 24/7 supervision, period. And to be accompanied to the toilet EVERY time they go. And if she has a BM your sister is unaware of, the Depends will collect it and mom can't get her hands into it, thanks to the anti strip suit she's wearing.
You can also purchase a bidet toilet seat attachment to make clean up a bit easier. But it's dressing mom in the anti strip suit with Depends that will prevent the 'accidents' from happening in the first place. And not leaving her alone at ALL, which is why Memory Care AL is a much better alternative; so your sister can have a life of her own.
Good luck.
Maybe temporary with an upset? A good diet, sufficient fluid & fibre intake may hopefully restore things.
But unfortunately many seem to get unruly bowels. Intolerances increase, side effects from meds, gut bacterial gets out of whack (& stays whacked), neurological changes too (eg strokes).
If unable to CURE or Retrain, aim to CONTAIN.
Contain as best you can by;
1. Good fitting absorbent incontence pad/pants.
2. Easy access clothing - elastic waisted pants or skirt to quickly flip up.
3. Help with toileting.
You may already be doing all of the above?
*Help with toileting* may start as mostly hands-off. Is this what Sister is doing - then finding the mess?
Direct supervising & verbal directions are next level. Then hands-on assisting.
It sounds like hands-on assistance is required here.
Have a chat to your sister.
Is she happy to do this?
Short term? Long term?
Is Mom alone for much of the day? Who else can help? Are paid aides part of the longer term plans?