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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.
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
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They had an alarm on the chair but now gone. He recently had physical therapy and she got him walking better. But the staff quit walking him after therapy stopped. He has fallen three times in the last two days , what should I do?
He no longer needed pt? Because he was independent or because he plateaued (wasn't making progress?)
Does dad know he needs to ring for help?
THEY FEEL HE SLID TO THE FLOOR.? At least where my mom is, an unwitnessed fall requires a call to poa and trip to the ER for examination and xrays.
it's their job to keep him safe. They really aren't doing their job. You might want to mention that if he falls again without them improving his care, you will be forced to call both the ombudsman and the joint commision. Because, gee, you really don't seem to be able to keep my dad safe, and after all, that's what you're being paid to do, isn't it?
None of this is to make YOU feel bad. I learned all this stuff here.
When my Dad started to fall more, I bought him a rolling walker [has hand brakes and a seat] and that has really helped with limiting the falls. Well worth the price :)
Were there any medicine changes made recently? What was he doing when he fell? Such as, going to the bathroom, going to mealtime....
I definitely think a walker of some sort is in order, or a cane. But why do they say they quit walking him. Have you asked them that? Does he have Parkinson's or any symptoms similar to Parkinson's? Frozen feet, shuffling gait, leaning way over (that changes his center of gravity), that sort of thing?
It's never good when they fall. Has he broken anything? Needed stitches or hit his head? I know you are concerned and rightfully so.
Questions to ask at the care meeting, or ask the head of social work to find out for you.
1. Why was pt discontinued ? 2. Why no more chair alarm? 3. What level of self mobility is dad cleared for? Is he independent ? Independent with a cane or walker? Cleared for self transfer? Must call for help when transferring? 4. What devices have they trained him on? Cane, walker, rolling walker? Have they ordered him one?
5. What is their plan, going forward, for preventing falls? What is causing these falls? Have any of them resulted in fractures or head injuries? How do they know that they have not? Have they done xrays.?
Also, have his doctor write orders for an aide to walk him at least once a dsy.
Is he in a wheel chair? If so, ask to have a seat belt installed. Most states have rules about restraints but if he can show that he can open the seat belt, they may agree to have it in use. After too many falls, I begged for some type of restraint for my loved one. They hesitatingly did allow a 'seat belt'. It was perfect, no more falls after that. BUT my Mom was only supposed to walk when someone was there. Her facility stopped walking her as they didn't want her to think she could just get up on her own. I walked her several times a week (it drove the facility crazy). But even with moderate dementia, she did get to understand that she only walked with me. If you count on the facility, it may be a very LONG wait!
He does have a walker , no med changes, most of the time I He is going to the bathroom or to the dinning room.PT was discontinued because therapist said he no longer needed it , but she also said that he needed assistance to do to meals and she was the one who had the alarm but in his chair, as far as the chair alarm but being used any more the NH said he was ringing for help but obviously he hasn't been ringing. I asked them if they were walking him after PT was over and they said no that it was more important that he go down to meals rather than walking. He has not broken anything yet . They feel that most of the time he's simply slid to the floor . I feel that the NH needs to be doing more to make sure he has help to the restroom and to meals, since that is the only time he really is walking.
Pt felt that he was doing so much better that he longer needed a physical therapist was needed . Dad has some dementia and can be very argumentive and he feels like he can do it by hisself and won't ask for help , which is why I liked the chair alarm . They might have notified the physician but have never taken him for X-rays . I feel that they aren't doing their job and it's kinda like ( well he slid to the floor again , not hurt . And they don't know what to do with him. I am definately going to call the physician and then the nursing home addminstration in the morning, too see what they are going to do about this
He does use a wheelchair when he has to go to the dining room . Usually the falls occur when he is getting up out of his chair with the help of his walker. Then walking around the bed and turning around to sit down in his wheelchair. I don't know what they don't just have him transfer from the wheelchair into his chair and from the chair into the wheelchair.
I'm so sorry your dad is having these troubles, and you having to both soothe him and also be advocating for him in dealing with NH staff. I wonder if he could do more PT or OT to regain strength? If he is so weak then balance gets bad too, and can't correct a fall before it happens I will send healing thoughts his & your way.
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.
He no longer needed pt? Because he was independent or because he plateaued (wasn't making progress?)
Does dad know he needs to ring for help?
THEY FEEL HE SLID TO THE FLOOR.? At least where my mom is, an unwitnessed fall requires a call to poa and trip to the ER for examination and xrays.
it's their job to keep him safe. They really aren't doing their job. You might want to mention that if he falls again without them improving his care, you will be forced to call both the ombudsman and the joint commision. Because, gee, you really don't seem to be able to keep my dad safe, and after all, that's what you're being paid to do, isn't it?
None of this is to make YOU feel bad. I learned all this stuff here.
I definitely think a walker of some sort is in order, or a cane. But why do they say they quit walking him. Have you asked them that? Does he have Parkinson's or any symptoms similar to Parkinson's? Frozen feet, shuffling gait, leaning way over (that changes his center of gravity), that sort of thing?
It's never good when they fall. Has he broken anything? Needed stitches or hit his head? I know you are concerned and rightfully so.
1. Why was pt discontinued ?
2. Why no more chair alarm?
3. What level of self mobility is dad cleared for? Is he independent ? Independent with a cane or walker? Cleared for self transfer? Must call for help when transferring?
4. What devices have they trained him on? Cane, walker, rolling walker? Have they ordered him one?
5. What is their plan, going forward, for preventing falls? What is causing these falls? Have any of them resulted in fractures or head injuries? How do they know that they have not? Have they done xrays.?
Also, have his doctor write orders for an aide to walk him at least once a dsy.
Let us know what you find out.
He is going to the bathroom or to the dinning room.PT was discontinued because therapist said he no longer needed it , but she also said that he needed assistance to do to meals and she was the one who had the alarm but in his chair, as far as the chair alarm but being used any more the NH said he was ringing for help but obviously he hasn't been ringing. I asked them if they were walking him after PT was over and they said no that it was more important that he go down to meals rather than walking. He has not broken anything yet . They feel that most of the time he's simply slid to the floor . I feel that the NH needs to be doing more to make sure he has help to the restroom and to meals, since that is the only time he really is walking.