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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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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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Bella, I'm very, very surprised that the PT would tell them that. Are you sure that's what was actually said? Not a slightly mangled interpretation of what they thought she said?
Frames and walkers and rollators are better than canes because they don't make you twist your back, but in any case what really matters is keeping mobile and - yes, as you say - avoiding falls, which is also what any PT experienced in elder care will tell you. If I were you I'd have a discreet, friendly gossip with the PT and see if you can't persuade her to clarify to your parents what she meant.
Last I heard walkers and canes were mobility aids not mobility hinderances! I do see the PTs point in not relying on artificial support but once one reaches the stage of being unsteady and falling then they become essential safety measures. PT can be enormously helpful in building up muscle strength. Upper body strength is just as important as leg strength in walking. All of this depends on the co=opertion of the patient. Gait belts can be very helpful for the caregiver but as a patient I found them to be rather unsettling. I felt much safer with a friendly arm to hold on to As far as collators and walkers are concerned I personally prefer the rollator because it has the brakes which make it more secure when getting up for a chair.
My husband fell often early in his dementia, even while correctly using a walker. Once he got a wheelchair he had a new lease on life! He could scoot around the house using his feet and with no fear of falling. Like MsMadge, our goal became retaining enough strength for transfers.
Both my parents are off balance/dizzy from strokes...got mom a cane, and dad a walker with a seat. The PT at AL told them they will get weaker using them. Mom gave up cane, dad uses walker now and then. I want them used all the time. I see the PTs point but I think them falling is worse!?
Countrymouse, umm, duh, why didn't I think of that!?!?! You are so right, I need to have a one on one with the PTherapist!! Ha, "slightly mangled", that's a great description, how could I be so naive? I seriously think I'm getting dementia being around parents so much but I have really backed off a lot! But they both are off balance/dizzy/weak...I understand increasing body strength helps...dad has fallen (I'm brain dead, is a word?) 3Xs in a month/no injuries. Anyway, the Therapist is awesome,we will have a little chat! Thanks friends!
Some physical therapy may help but mobility is a severe issue as motor skills deteriorate and falls occur oftentimes as folks forget to use their walker - very few are mobile at mom's memory care
My mom can still walk a short distance with great effort and her walker but she's pretty much in a wheelchair at this point and my goal is to keep her able to transfer from chair to toilet and chair to bed
What mobility aids is your mother already using, CR? I remember trying out a variety with my mother and finding that some felt a lot steadier and more reassuring than others.
Your mother's fear of falling may reflect a sensation of being off-balance coming from changes in her brain, so in that sense yes it is inevitable with dementia and unfortunately won't go away no matter how tightly she's holding on to a walker or rollator. Letting her take her time when she gets up is important - there's a tendency I've noticed to grab elders' arms and help them up, but that rushes them and makes them feel more anxious. Let her hold on to you, and put your arm around her waist or hips to keep her securely balanced and upright. You soon get used to being more up close and personal than you have been, maybe, for years! :)
Well, you could pop a bottle of hand sanitizer next to the toilet, so that she can use that while she's still sitting down.
I would also try not to get this out of proportion. I agree about the sadness around lowering of standards; but in terms of actual health risk..? Not so much, as long as the bathroom fittings are cleaned regularly (I'm sure they are!).
Mom is currently using a standard walker. I've noticed she won't move from toilet to sink without grabbing something with both hands. She usually "forgets" to flush - I believe because that requires a step and a reach. She reaches for her walker before washing her hands because even if the sink is within arms reach, that's not enough for her confidence. This adds to the concern of germ transfer. I've even watched her flush AFTER she just washed her hands. In public restrooms i mean. She was always so germ conscious in the past, it's disheartening for me. But I try hard to "pick my battles" & this is one feels too much like instructing a child. When I have said something, she seems to feel embarrassed.
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.
Frames and walkers and rollators are better than canes because they don't make you twist your back, but in any case what really matters is keeping mobile and - yes, as you say - avoiding falls, which is also what any PT experienced in elder care will tell you. If I were you I'd have a discreet, friendly gossip with the PT and see if you can't persuade her to clarify to your parents what she meant.
Gait belts can be very helpful for the caregiver but as a patient I found them to be rather unsettling. I felt much safer with a friendly arm to hold on to
As far as collators and walkers are concerned I personally prefer the rollator because it has the brakes which make it more secure when getting up for a chair.
You are so right, I need to have a one on one with the PTherapist!! Ha, "slightly mangled", that's a great description, how could I be so naive? I seriously think I'm getting dementia being around parents so much but I have really backed off a lot!
But they both are off
balance/dizzy/weak...I understand increasing body strength helps...dad has fallen (I'm brain dead, is a word?) 3Xs in a month/no injuries.
Anyway, the Therapist is awesome,we will have a little chat!
Thanks friends!
My mom can still walk a short distance with great effort and her walker but she's pretty much in a wheelchair at this point and my goal is to keep her able to transfer from chair to toilet and chair to bed
Your mother's fear of falling may reflect a sensation of being off-balance coming from changes in her brain, so in that sense yes it is inevitable with dementia and unfortunately won't go away no matter how tightly she's holding on to a walker or rollator. Letting her take her time when she gets up is important - there's a tendency I've noticed to grab elders' arms and help them up, but that rushes them and makes them feel more anxious. Let her hold on to you, and put your arm around her waist or hips to keep her securely balanced and upright. You soon get used to being more up close and personal than you have been, maybe, for years! :)
I would also try not to get this out of proportion. I agree about the sadness around lowering of standards; but in terms of actual health risk..? Not so much, as long as the bathroom fittings are cleaned regularly (I'm sure they are!).
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