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How are they managing their medications?
Does their living environment pose any safety concerns?
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Acknowledgment of Disclosures and Authorization
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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If she wants to do it and you are ok with it, get at least a letter from her doctor stating that it won't be harmful to her recent surgery and that this method of toileting is medically ok. The release of liability is a good idea too.
Honestly, I can't imagine how this is comfortable for someone to use the commode mid air. I have never had to use a hoyer that way.
If you work for an agency, let them get all the proper documentation in place first.
Oo crumbs - the haemorrhoid treatment a month ago - was she sent home with any information about how to handle toileting, and for how long she needed to take extra care? I think I'd get advice from her doctor and relay that advice to her. If she's using the pressure on her buttocks from the sling as a kind of lever (!) to help her pass a motion, isn't that a slightly alarming thought?
What's she got against transferring to a commode, so that at least her weight rests partly on her feet for most of the time?
Thank you Family of course did not tell the doctor about the hoyer use The main after care instruction was keep bowels soft I do not do her meds ! yes she is using the sling to make her crapshoot in the commode bucket The complaint with the commode is it hurts her back I’ve have been looking for a more comfortable commode
I have used a Hoyer for my husband, and I can say that maneuvering it over a bedpan and trying to keep it still while the person used it would be pretty difficult. You’d have to hold the sling and the person in place. There is a “toileting sling” with a hole in the back. But, if you went to the trouble of getting them into the sling, why not just get them to the toilet in a wheelchair and use the sling to get them on the toilet? Using a bedpan on its own and just slipping it under the person would be much easier.
Thank you for your response I agree the bed pan is the safest The client is claiming the hoyer and commode bucket is the easiest for her because it comes out easier for her. Your correct the toilet sling is for transfer to commode or toilet or to the wheelchair or shower It is total misuse of the machinery
It isn't obvious to me why, if your client is happy to use the Hoyer at all, the client wouldn't be better off being transferred to a commode for toileting. Safer, less stressful and less hurried, I'd have thought, no?
Is the problem that you're not comfortable using the hoyer, or that you don't like the idea of setting a bed pan under someone who's still in mid-transfer, or that you don't like the idea of keeping someone suspended in the sling for too long?
It's unconventional, but there's nothing obviously unsafe. How long is the client expecting to be suspended in the sling? That might be an issue.
But if you don't have authorisation to use the Hoyer, or not outside strict guidelines, then just don't do it. Seek advice from your supervisor or agency on how the client's wishes can be met.
Thank you for your response I am completely comfortable using the hoyer I have been a CNA for 20yrs+ and I have never been in this situation before The client wants me to hoist her up in the hoyer over the bed and place the commode bucket under her for BM The reason I don’t want to do it is because she just had her hemorrhoids banded about a month ago I informed her and her family that I know that this is not proper use of the hoyer and she should not be straining and this is also a dignity issue To me it doesn’t matter how long she wants to be up there however there are patient rights so I requested that she sign a liability waiver
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.
Honestly, I can't imagine how this is comfortable for someone to use the commode mid air. I have never had to use a hoyer that way.
If you work for an agency, let them get all the proper documentation in place first.
What's she got against transferring to a commode, so that at least her weight rests partly on her feet for most of the time?
Family of course did not tell the doctor about the hoyer use
The main after care instruction was keep bowels soft
I do not do her meds !
yes she is using the sling to make her crapshoot in the commode bucket
The complaint with the commode is it hurts her back
I’ve have been looking for a more comfortable commode
I agree the bed pan is the safest
The client is claiming the hoyer and commode bucket is the easiest for her because it comes out easier for her.
Your correct the toilet sling is for transfer to commode or toilet or to the wheelchair or shower
It is total misuse of the machinery
Is the problem that you're not comfortable using the hoyer, or that you don't like the idea of setting a bed pan under someone who's still in mid-transfer, or that you don't like the idea of keeping someone suspended in the sling for too long?
It's unconventional, but there's nothing obviously unsafe. How long is the client expecting to be suspended in the sling? That might be an issue.
But if you don't have authorisation to use the Hoyer, or not outside strict guidelines, then just don't do it. Seek advice from your supervisor or agency on how the client's wishes can be met.
I am completely comfortable using the hoyer I have been a CNA for 20yrs+ and I have never been in this situation before
The client wants me to hoist her up in the hoyer over the bed and place the commode bucket under her for BM
The reason I don’t want to do it is because she just had her hemorrhoids banded about a month ago
I informed her and her family that I know that this is not proper use of the hoyer and she should not be straining and this is also a dignity issue
To me it doesn’t matter how long she wants to be up there however there are patient rights
so I requested that she sign a liability waiver