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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.
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OK, well his toenails are his.. BUT this effects you too.
This may be the duty of care of those looking after him - you, his Doctor, maybe staff (if he resides in care) VS his right to choose his own medical treahment for his own body.
But I'd be going with You need this done Mister. It will be done.
Nothing has worked to coax him to allowing his toenails to be cut?
Does he experience pain while they are being cut?
All the above?
If a podiatrist can't help, I'm now sure what we can suggest... although I know podiatrists don't usually soak people's feet first. If you haven't started with a 10-minute, warm soak before cutting then try it. Also have you used a nipper (not a clipper).
Have you tried having someone sit with him to distract him while someone is doing the trimming? Incentives, like going out for a treat afterwards?
So even with feet soaked to make it better & Valium or similar, someone coming at me with a drill looking thing for my sensitive feet is a frightening concept.
Adding factors like possibly less ability to understand HOW this will benefit him plus how LONG it will take... Then add real pain. Yes. A Problem.
A total screening to hide all of his legs & feet from his view & a local anaesthetic to actually numb his feet is all I can think of... This could not be done at home - have to be a day procedure type enviroment - slide over onto a bed until he could regain feeling to walk or transfer to a wheelchair.
I think I would ask the Podiatrist if this is even possible or ever recommended?
Have you talked to a doctor about , some kind of local pain reliever. If It was a tooth ache they would do something, sence it seems to be all about the pain.
Hi Fireisland. I’m assuming that he is taken out of the house to podiatrists office. Maybe that is upsetting him some in addition to the procedure? I use a dremel on my Mom’s nails…she also has dementia. Maybe you could try after putting on some numbing cream and while he is eating and listening to music to relax/distract. Good luck!
Back you go to the doctor, because if everything else is tried then you are going to likely have to put him into the hospital for come and go surgical cutting of the nails with a mild sedation that doesn't put him completely out. One cannot be bedridden for the lack of cutting nails. Discuss with the podiatrist. If there is no answer from modern medicine then there is no answer, and he will remain bedridden which will greatly hasten his death. I am so sorry. I have seen these thick curling nails and I know what you speak of. This truly is now likely a surgical procedure.
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.
This may be the duty of care of those looking after him - you, his Doctor, maybe staff (if he resides in care) VS his right to choose his own medical treahment for his own body.
But I'd be going with You need this done Mister. It will be done.
What is Dremel?
Nothing has worked to cut his thick nails?
Nothing has worked to coax him to allowing his toenails to be cut?
Does he experience pain while they are being cut?
All the above?
If a podiatrist can't help, I'm now sure what we can suggest... although I know podiatrists don't usually soak people's feet first. If you haven't started with a 10-minute, warm soak before cutting then try it. Also have you used a nipper (not a clipper).
Have you tried having someone sit with him to distract him while someone is doing the trimming? Incentives, like going out for a treat afterwards?
https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/nails/art-20546831#:~:text=Getting%20ready%20to%20trim,grip%20and%20easy%20to%20control.
Many senior centers have foot care nurses to do that task. Contact one or you local Area Agency on Aging for more resources.
And there are lots of thick toenail trimming videos on YouTube.
tried soaking etc, Valium. He still imagines pain.
Adding factors like possibly less ability to understand HOW this will benefit him plus how LONG it will take... Then add real pain.
Yes. A Problem.
A total screening to hide all of his legs & feet from his view & a local anaesthetic to actually numb his feet is all I can think of... This could not be done at home - have to be a day procedure type enviroment - slide over onto a bed until he could regain feeling to walk or transfer to a wheelchair.
I think I would ask the Podiatrist if this is even possible or ever recommended?
It was a tooth ache they would do something, sence it seems to be all about the pain.
One cannot be bedridden for the lack of cutting nails.
Discuss with the podiatrist.
If there is no answer from modern medicine then there is no answer, and he will remain bedridden which will greatly hasten his death.
I am so sorry. I have seen these thick curling nails and I know what you speak of. This truly is now likely a surgical procedure.