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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.
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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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They are giving my mother morphine and she is lethargic and confused. Please advise. She had a ORIF on 1-29-15 and is now in rehab, she left hospital on tramadol and developed more pain after PE
My question to your question is why can't they give mom something like Percocet to control pain? If she needed something more then tramadol there are many drugs between that and Moraphine . Someone mentioned about addiction and my theory on that is: if they are 80 or 90 years old and one ir two pills a day increases their quality if life, who cares if they are addicted. At lease they are not lying in bed all day in pain.
It is not unusual for a senior citizen to feel lethargic and confused after surgery... I've always heard that for every hour one is under for surgery that it will take a month for the brain fog to lift. Thus, 2 hour surgery, 2 months before one doesn't feel confused. I know after my most recent surgery, I was zoned out for almost a month :P
A bone repair surgery can be painful, but it is important to get rehab right away, and yes your Mom will have more pain. It's the old "no pain, no gain".
It is equally important for pain to be controled as it is to complete the rehab. Morphine will certainly make most people lethargic and some confused especially if you are not a spring chicken. The trick is to give the patient analgesia at least half an hour before any exertion (exercise or bath) Are they making sure she is not constipated too? Pain relief is a very individual decision. A little discomfort is acceptible but not severe pain.
The surgery itself, plus the anesthesia can make one confused & lethargic. Morphine if not contraindicated would be an appropriate pain management drug while she is in the hospital. Once out and in rehab, I would think she would need something more than tramadol. The idea is to have a successful rehab and increase functioning, that won't happen if there is an increase in pain. Does the facility offer anything else on a prn basis? If not, they may want to speak with her doctor. Does the facility use heat or ice packs to help manage the pain? I would think the therapy department would recommend. Every person is different and everyone feels pain differently, there shouldn't be a major increase in pain. Speak with her nurse, it that doesn't work contact her doctor regarding the pain issue.
Weaning off morphine is good but not until there is something different to effectively control the pain. As stated above, morphine can cause confusion and lethargy but as also noted above, if the pain isn't controlled PT cannot be endured whether you're young or old and it won't work if you wait too long. I like the idea of PT driven pain control like hot/cold packs and giving pain medicine just prior to the increased activity. I have seen all of the above given successfully when controlled by skilled professionals.
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.
A bone repair surgery can be painful, but it is important to get rehab right away, and yes your Mom will have more pain. It's the old "no pain, no gain".