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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.
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.
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One of the residents is declining and really needs a shower we can assess with a wheelchair. On her bad days, which are getting more frequent, we can only give her a sponge bath.
Does the company need to supply the proper equipment?
Are you asking this as an employee of a care home that has no equipment sufficient for you to do your job? If so, have you discussed with your employer? Is there some reason that no once can give a sufficient bedbath here? Because the truth is that there are MANY people who cannot get into a shower for many years. It isn't necessary for cleanliness. As a nurse who gave many bedbaths I can assure you of this.
It could be the policy of the residential home that they only provide a certain level of care. If someone needs more then they have to be placed somewhere else.
No. The company does not need to supply different equipment. The resident has to be relocated to a different care facility that can meet her needs.
If it's the policy of where you are that residents have to be able to help with their own transfers from wheelchair to shower, or bed, or whatever then the residents who cannot need to be placed elsewhere.
I was a supervisor at a nice AL years ago. There were rules that all residents were contracted to. For example, wheelchairs were not permitted. If someone could not walk, they could not stay. Babysitting was not offered either. If someone's dementia got to the point where they were wandering and taking off, they could not stay because we were not a memory care facility staffed to handle these care needs.
What sort of "residential home" are you running if you require a sick and declining elder to assist YOU with a shower? You should have a shower with no lip that a wheelchair can roll into so there will be no transfer involved for the resident. Or 2 able bodied caregivers to help the elder into the shower chair, grab bars in there, and the entire bathroom inspected by an Occupational therapist to give you ideas for safety features to be installed. I do think it's your responsibility to supply the proper equipment so that the people you care for are able to get all the necessary services.
With Alzheimer's and dementia care, bad days are going to become more and more frequent with your residents who all require bathing, so I think you need to address this matter right away. If you cannot accommodate their needs, you may have to let the families know of the situation to see if they are okay with sponge baths or want to move their loved one(s) to a facility better equipped to meet their needs.
My wheelchair bound mother lived in Memory Care Assisted Living until her death at 95 and had showers 2x a week even when she required 2 caregivers to help her. They were able to get her into the shower seat but if not, the shower was wheelchair accessible. Once hospice came on board and she was bedbound, then the hospice CNA gave her bed baths.
Mom paid a great deal of money in monthly rent at her facility, so I did expect full bathing to be included, to be honest.
Mom was unable to transfer to a shower chair for most of her last year. We kept her very clean with daily "bed baths." Mom was incontinent and needed wound care, but all of this could be done by one person because Mom wasn't very big. Mom was also too weak to help. As long as the person isn't fighting you, this isn't too hard. The problem may be that the staff isn't properly trained.
Usually when the needs of a resident exceed what can safely be handled they are advised to move on to a higher level of care (a nursing home). I've read a lot of posts from people who remain in assisted living or facilities such as yours because assurances have been given that moving isn't necessary but I've always been skeptical that this is more about keeping a client than about doing what is best for that person. Most nursing homes are not the h3ll holes that people fear they are and are more equipped to provide for higher needs: things like lifts, the ability to have a shower or bath, special diets, and higher staffing levels including on site RNs can make a real difference in quality of life. As for your situation - they do make wheelchairs designed for the shower that could either be bought by your residence or the person in question.
The assisted living facility that I was interested in for my mom was owned by several individuals. They operated differently than corporate owned facilities. The policies will vary depending upon the facility.
More than likely this patient now has more needs than you can provide in your home.
I would doubt whoever is paying you is going to remodel your home. More than likely they will say patient needs to be moved to a home equipped with roll in shower or time to go to a NH.
It won't hurt to ask, but once you put the problem out there creates a good probability patient will be moved.
In some states (if not all) a facility can not use equipment. If a person needs equipment for transfers then they would typically be transferred to a Skilled Nursing facility that has the ability to use equipment.
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.
If so, have you discussed with your employer?
Is there some reason that no once can give a sufficient bedbath here? Because the truth is that there are MANY people who cannot get into a shower for many years. It isn't necessary for cleanliness. As a nurse who gave many bedbaths I can assure you of this.
It could be the policy of the residential home that they only provide a certain level of care. If someone needs more then they have to be placed somewhere else.
If it's the policy of where you are that residents have to be able to help with their own transfers from wheelchair to shower, or bed, or whatever then the residents who cannot need to be placed elsewhere.
I was a supervisor at a nice AL years ago. There were rules that all residents were contracted to. For example, wheelchairs were not permitted. If someone could not walk, they could not stay. Babysitting was not offered either. If someone's dementia got to the point where they were wandering and taking off, they could not stay because we were not a memory care facility staffed to handle these care needs.
With Alzheimer's and dementia care, bad days are going to become more and more frequent with your residents who all require bathing, so I think you need to address this matter right away. If you cannot accommodate their needs, you may have to let the families know of the situation to see if they are okay with sponge baths or want to move their loved one(s) to a facility better equipped to meet their needs.
My wheelchair bound mother lived in Memory Care Assisted Living until her death at 95 and had showers 2x a week even when she required 2 caregivers to help her. They were able to get her into the shower seat but if not, the shower was wheelchair accessible. Once hospice came on board and she was bedbound, then the hospice CNA gave her bed baths.
Mom paid a great deal of money in monthly rent at her facility, so I did expect full bathing to be included, to be honest.
Good luck to you.
I think op’s employer should tell the client’s family that she must go to a higher level of care.
As for your situation - they do make wheelchairs designed for the shower that could either be bought by your residence or the person in question.
I would doubt whoever is paying you is going to remodel your home. More than likely they will say patient needs to be moved to a home equipped with roll in shower or time to go to a NH.
It won't hurt to ask, but once you put the problem out there creates a good probability patient will be moved.