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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.
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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.
Remember, this assessment is not a substitute for professional advice.
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You are perhaps pumping this cuff up higher than need be. Listen with the stethoscope while you pump and only pump up to to 20 above where you hear the "beat". You don't need to go up really high. Reassure her that while it may feel tight for a few moments it will not hard her. I wish you good luck with this. I think that Omron makes the best and most reliable but the cuff and scope are much better over all than the "automatic wrist and other measurements, often inaccurate. Do check any new machine first opportunity with the nurse in your Doc's office to measure for accurancy.
I have one of the automatic devices you can buy at the drugstore and I've noticed that the cuff inflates considerably tighter if my BP is elevated, otherwise it isn't really uncomfortable at all. But I have to ask - is there really a need to monitor the BP at this point?
True, it hasn't been monitored in sometime. She is currently on palliative care. I read somewhere if BP is elevated (beyond the norm), this could indicate pain. My mother doesn't complain at this point but she appears to have pain. This is my current concern.
How accurate do you need to be? Too often we worry about exact figures rather than trends. If the device always measures 5 point low or high it in all prob ability doesn’t matter, but if her measurements are erratic or show a constantly raised or reduced level then maybe it does. Also BP in old people is not the same as in younger ones so make sure your Dr is aiming for something sensible or falls can easily become a problem. Having said that I have used both wrist measurement devices and even watches that measure BP and both give pretty good repetitive results. My Dr has even calibrated the wrist one against their arm one because I personally cannot use an arm one and he is satisfied with the accuracy. Arm bands can be very painful to use on a larger person, or someone with loose skin for any reason, so may themselves not be that accurate if the stress and pain raises the patients BP anyway.
I had to purchase the kind that wraps around your wrist for my husband, as he had a picc line in his good arm, and was paralyzed in the other. It worked great, and his hospice nurses always asked to use it when they came to get his vitals. It's called an automatic digital blood pressure wrist monitor.
I suggest an Omrom Wrist Cuff. I got one for my Mom when she got out of the hospital over a year ago and started taking BP meds. It's very accurate and she said it gets a little tight but does not squeeze as hard as the doctor's one. Ironically it's not the most expensive one for home use but it's the most accurate, at least for the year of tracking it compared to one that the hospitals & doctors offices use.
Omron are well regarded for medical devices of all types and are often found in medical facilities, I would certainly back up your suggestion of this make for reliability. We have an Omron which the Dr calibrated against their inhouse arm cuff machine and whilst the wrist tends to read a few points lower than the upper arm they found the machine to be reliably constant and the few points difference are simply noted and allowed for when they look at patterns of BP level.
Pasa - In my opinion if you think she is in pain then you should just go ahead and give her something, as long as you follow the prescribed dosages I can't see any downside.
Wrist cuff is probably the best in my opinion. The BP cuff I have now is too big for my mothers arm. I bought a automatic one with arm cuff but do not like it at all. I have to put it in the exact spot to get a reading, otherwise it does not work. The next one will be a wrist BP device.
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.
But I have to ask - is there really a need to monitor the BP at this point?