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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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Yes.. as a recent retired Nutrition Geriatric Counselor that is true. Education to balance carbs will be taught.. fewer high carb desserts will be provided. Avoiding candy as a snack is a good idea.you should know your diet and choose wisely. Ask for diet education if you are uncertain. Strict old school diabetic diets are unnecessary.. carb balancing is the key..
The assisted living where my parents are don’t even offer low carb options and definitely not low carb dessert options. Sometimes the protein part of the meal is also high carb. They’ve been there for nearly 3 months now and it’s a constant battle. So frustrating.
I know when Mom was in the hospital she picked, from a list, what she wanted for each meal. Not sure about her Rehab. But I would think they would have to provide for certain diets.
Not sure if your doctor can order this. May need to be the doctor who is associated with the facility. Talk to the Director of Nursing and explain you need a diabetic diet and could she/he have the doctor order one. If you get resistance, call your Dr. and ask if he could call the DON and order a diabetic diet.
I can't imagine being in Rehab and being given a cup of coffee, orange juice and eggs and told I had to eat/drink what was given. I am not a coffee drinker. OJ upsets my stomach and I don't care for eggs.
talk to the ombudsman for the facility. generally a diet has to be ordered by an MD, even if the order is for a regular diet. often the 'diabetic' diet is written as regular diet with no concentrated sweets. fresh fruit but not pudding. diet jello but no ice cream. Medicare and state regulations apply in nursing homes and skilled rehab facilities, and the ombudsman may be able to approach issue with management so that the direct care staff do not feel attacked. I know, it shouldn't be about their egos...but nursing homes were so battered by COVID and deaths and bad behaviors on all fronts that a resolution that allows staff to save face may be needed. The ombudsman can serve as the messenger between you and the facility. Once the correct diet is appearing, just thank the kitchen and food service staff for the wonderful food...without sarcasm. or mentioning the past. No point in alienating the caregivers. venting here is a good place for your complaints and concerns, to start with. good luck.
I don't think it's acceptable, but it's very common. I understand the concept that diabetics need to be able to manage their own diets and choose wisely. But often, when my mother was in rehab for a broken hip, she wasn't given enough healthy options to make those choices from. Meals would feature one protein, and sides were all high-carb, starchy foods, things that are cheap for the facility, popular with the patients, and easy to prepare. Vegetable choices were very limited and not always offered every day. I hate to think what a vegetarian with diabetes would do in one of those places.
My mom is a vegetarian from India and she had to be in rehab after a bout of pneumonia at the local hospital. As you so said rightly said, food was a struggle in the rehab & I visited almost daily to make sure she was not accidentally eating meat (this happened a few times). Her diet chart clearly said diabetic with dementia and daily she was given the same pureed carrots, peas, sweet potatoes for lunch & dinner, with a normal serving of cake, jello pudding etc even though the kitchen staff assured me mom would be given only 1/3 of the normal dessert size. Thankfully mom is not a big eater & barely touched the desserts. She also forgot she was eating the same stuff everyday. I guess this was a blessing?! Anyway, I took dinner almost daily
I did have the option of taking Indian vegetarian meals and putting them in the fridge but this became too much for me with all the driving & other things going on in my life and I took only dinner.
No. Even when I was in the hospital for an injury they served me what everyone else was getting. I simply did not eat the bad stuff. I think the mentality in a nursing home is so what you will not live long anyway.
My doctor ordered my diabetic diet and that's what I got. The hospital always gave me the correct diet and they monitor my liquids according to instructions.
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.
That's the only way to ensure you get it.
So, you have no meal options whatsoever? I have never heard of a one meal choice only facility, ever.
Get your doctor to write the order.
Not sure if your doctor can order this. May need to be the doctor who is associated with the facility. Talk to the Director of Nursing and explain you need a diabetic diet and could she/he have the doctor order one. If you get resistance, call your Dr. and ask if he could call the DON and order a diabetic diet.
I can't imagine being in Rehab and being given a cup of coffee, orange juice and eggs and told I had to eat/drink what was given. I am not a coffee drinker. OJ upsets my stomach and I don't care for eggs.
often the 'diabetic' diet is written as regular diet with no concentrated sweets. fresh fruit but not pudding. diet jello but no ice cream.
Medicare and state regulations apply in nursing homes and skilled rehab facilities, and the ombudsman may be able to approach issue with management so that the direct care staff do not feel attacked.
I know, it shouldn't be about their egos...but nursing homes were so battered by COVID and deaths and bad behaviors on all fronts that a resolution that allows staff to save face may be needed.
The ombudsman can serve as the messenger between you and the facility. Once the correct diet is appearing, just thank the kitchen and food service staff for the wonderful food...without sarcasm. or mentioning the past. No point in alienating the caregivers. venting here is a good place for your complaints and concerns, to start with.
good luck.
I did have the option of taking Indian vegetarian meals and putting them in the fridge but this became too much for me with all the driving & other things going on in my life and I took only dinner.