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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?
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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.
Remember, this assessment is not a substitute for professional advice.
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Abena brand is really good/absorbent: We use the M4 slip (i think there are different levels based on absorbency needs)-we buy directly from abena website (we used to get from amazon but found the abena website ones are bit better/different)-it's cheaper to sign up for 'subscribe & save': https://abenausa.com/products/abena-slip?variant=2945365377048&selling_plan=5021434098
I use pull up diapers, and insert two McKesson Long/Ultra Pads inside the diaper. Super absorbency. I must slightly overlap the pads inside the diaper. There is this item ID on the package: MFR # PADHV. McKesson questions phone line: 1-800-777-4908.
CaringWifeAZ "In other words, if the disposable you are using doesn't last more than 3 hours, change it before the 3 hour mark."
I am sure she is already doing that... however, there are times and places that changing is not an option. Looking for a 3 hour brief is something many of us may need as an option at times so I appreciate the serious question and hearing what worked for you as well as the other varied responses. While I don't often have this situation, it has given me a lot to consider as our situation progresses.
So I do agree with all these options to consider, trial and error is the only way each of us can find what works best especially since we each have to consider the feelings of our LO.
As a spinal cord injury since 1980, there are 'ways' to navigate incontinence. An external condom/ catheter attached to a leg bag worked for years, in my case. More paralysis due to post-injury accident about twenty years ago made the external catheter/ leg bag system cease. A Supra Pubic catheter was a small surgical procedure that allows my bladder to empty 24/7 with a monthly change of ballooned catheter. See a Urologist.
Lol. I'm laughing at some of the responses regarding 2 hour diaper changes. But, I have to agree with the suggestions to used briefs instead of pull-ups, and, yes, change more frequently. In other words, if the disposable you are using doesn't last more than 3 hours, change it before the 3 hour mark. My bed bound husband has been in diapers for 9 years. There was a lot of trial and error and frustration trying to find the best brand and fit for our needs. I recommend the ones with "wings" or stretch fastener panels.
Another tool you may find useful, because diapers and disposable underwear will leak. Buy disposable underpads as well as washable underpads, and always keep them under the person. On the bed, on chairs, etc.
There are some other suggestions here, such as inserts. Try every suggestion you see here and find what works for you and your circumstances.
Depends on the problem. If it’s urine you can get an external catheter that can collect it. If it #2 look at his diet and find things that are easier in his system.
I met Janet at a Social Work conference in MPLS. a few years ago, and the style and feel of her products seemed much better than others I have come across in the business and I was impressed by the ability to try before you buy as well. I have included her information below. God Bless the caregivers and know you aren't in it alone.
Janet Firestone Manager of Sales, Account Executive Team Email: jfirestone@pbenet.com Phone: 1-800-467-3224 x 275 Website: www.TranquilityProducts.com
By far the best for us! We use the Tranquility Overnight day and night, 24/7.
The VA provides them to us so anyone who is a veteran caregiver should check with their social worker/primary care. Some local VA providers let you request products by brand. If you only use the VA for incontinent supplies, it is well worth it. Many times it has been knowing what to ask for after hearing about different products/services from other veteran caregivers. The staff at the VA do not always know everything that may be available until they have a request and check it out.
I just did a search and found interesting incontinent products at this website: https://babykins.com/collections/adult-incontinence-products
There is something new out called Men's Liberty they claim it keeps the men dry for 24 hrs.Can be covered by medicare.It is a urine collection device.Google it or ask your doctor.I agree caregivers need their rest!!!
My hub now wears a pull-up . We put a men’s guard which is like a poise pad and stick it in his pull-up as extra he does go to the bathroom about every two hours and they change as needed. His skin is perfect . A pull up alone was hard to change cause needed to rip sides and then take shoes off etc to change. Diapers work but went thru more of those and they really aren’t made as nice as real baby diapers. It ends up being a trial and error experience to see what works best. And his memory care has bathrooms all around the hallways and they now have stashes of diapers and pull-ups in all of them for ease for staff and residents.
There are several adult diapers in the market like TENA ProSkin Overnight Super Breathable Underwear, Incontinence, Disposable, Heavy Absorbency that may help you manage his incontinence overnight. Also a layer of disposable or washable pads underneath will help prevent leakage through the bed. If it is possible, his physician can prescribe/order a Clinitron type bed/Alternating pressure bed as well to prevent bedsores. It is also helpful to restrict caffeine or too much fluid before bed.
@sp196902....YUP every 2 hours. That is what I did for 10 years. My Husband would go to bed at about 7pm and I would change him...in bed when I went to bed at about 10 and quite often he would wake at 3 or 4 and I would change him then. He would wake at 7 and I would get him up, onto the shower wheelchair and put him over the toilet. Brush his teeth and get him into the shower. Caregivers were instructed to change him every 2 hours as well. Had a Sit to Stand then later a Hoyer Lift that made it possible.
You should be changing the briefs every 2 hours. this does several things 1. It gets the person to change position to help prevent pressure sores. 2. By getting up and moving this changes position allowing the bladder to more fully empty. So if he is in a recliner, sit him up for a few minutes before you get him up to the bathroom. 3. You can check the condition of the skin. As difficult as it is to believe pressure sores, rashes, skin irritation can happen rapidly so checking every 2 hours is good. 4. It gets your LO up and moving. Much better than sitting and watching TV for 10 hours. "reward" the getting up and bathroom break with a piece of fruit, a walk outside, or other treat that they like.
There are inserts that you can put in a pull up brief that will allow the brief to absorb more. Look for ones that are intended to go in a pull up. the will not have a moisture proof lining so that both the pad and the pull up can absorb more. And you might want to look at a more absorbent "medical" briefs not the ones that are used more for light incontinence.
Regardless of what type of adult diapers you use, your husband should be changed every 2 hours anyway, so the fact that he's not making it more than 3 hours should tell you that he needs to be changed sooner. Have you tried putting the men's pads or guards in his Depends? That might help some. Or as in my late husbands case, your husband may have to resort to having a catheter, either condom, indwelling, or supra pubic put in place.
Every 2 hours? That is insane. How does a person who is also elderly do that without physically cracking under the strain of diapering a grown adult every 2 hours. It makes me tired just thinking about it. Her husband is 83 so she has to be in her late seventies early eighties too (unless she married someone 10 or 20 years older than her).
Adult "diapers" seem so much thinner to me, so I don't understand why you say it's time... for me it feels like digressing as far as level of protection. If a person is mobile, I have never seen any that stay totally in place. I brought some home from the hospital and they were not effective at all. Are there other adult "non pull-up" products I am not aware of?
By the way, I was advised by my father's nursing home not to use the word diaper for an adult because it is degrading. I was told the term brief should be used instead
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 am sure she is already doing that... however, there are times and places that changing is not an option. Looking for a 3 hour brief is something many of us may need as an option at times so I appreciate the serious question and hearing what worked for you as well as the other varied responses. While I don't often have this situation, it has given me a lot to consider as our situation progresses.
So I do agree with all these options to consider, trial and error is the only way each of us can find what works best especially since we each have to consider the feelings of our LO.
But, I have to agree with the suggestions to used briefs instead of pull-ups, and, yes, change more frequently.
In other words, if the disposable you are using doesn't last more than 3 hours, change it before the 3 hour mark.
My bed bound husband has been in diapers for 9 years. There was a lot of trial and error and frustration trying to find the best brand and fit for our needs.
I recommend the ones with "wings" or stretch fastener panels.
Another tool you may find useful, because diapers and disposable underwear will leak. Buy disposable underpads as well as washable underpads, and always keep them under the person. On the bed, on chairs, etc.
There are some other suggestions here, such as inserts. Try every suggestion you see here and find what works for you and your circumstances.
Janet Firestone
Manager of Sales, Account Executive Team
Email: jfirestone@pbenet.com
Phone: 1-800-467-3224 x 275
Website: www.TranquilityProducts.com
The VA provides them to us so anyone who is a veteran caregiver should check with their social worker/primary care. Some local VA providers let you request products by brand. If you only use the VA for incontinent supplies, it is well worth it. Many times it has been knowing what to ask for after hearing about different products/services from other veteran caregivers. The staff at the VA do not always know everything that may be available until they have a request and check it out.
I just did a search and found interesting incontinent products at this website:
https://babykins.com/collections/adult-incontinence-products
Works in Egypt !
Seriously, that Mens Liberty mentioned above could be the go-to.
My Husband would go to bed at about 7pm and I would change him...in bed when I went to bed at about 10 and quite often he would wake at 3 or 4 and I would change him then. He would wake at 7 and I would get him up, onto the shower wheelchair and put him over the toilet. Brush his teeth and get him into the shower.
Caregivers were instructed to change him every 2 hours as well.
Had a Sit to Stand then later a Hoyer Lift that made it possible.
this does several things
1. It gets the person to change position to help prevent pressure sores.
2. By getting up and moving this changes position allowing the bladder to more fully empty. So if he is in a recliner, sit him up for a few minutes before you get him up to the bathroom.
3. You can check the condition of the skin. As difficult as it is to believe pressure sores, rashes, skin irritation can happen rapidly so checking every 2 hours is good.
4. It gets your LO up and moving. Much better than sitting and watching TV for 10 hours. "reward" the getting up and bathroom break with a piece of fruit, a walk outside, or other treat that they like.
There are inserts that you can put in a pull up brief that will allow the brief to absorb more. Look for ones that are intended to go in a pull up. the will not have a moisture proof lining so that both the pad and the pull up can absorb more.
And you might want to look at a more absorbent "medical" briefs not the ones that are used more for light incontinence.
#4 Miss episodes of Walker, Adam 12, Tombstone Territory, Wyatt Earp, Petticoat Junction, and other older classic shows?
Have you tried putting the men's pads or guards in his Depends? That might help some.
Or as in my late husbands case, your husband may have to resort to having a catheter, either condom, indwelling, or supra pubic put in place.
By the way, I was advised by my father's nursing home not to use the word diaper for an adult because it is degrading. I was told the term brief should be used instead