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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.
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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Determining blood sugar levels is not theraputic -- it doesn't cure or make anything better. It provides information only. How often this information is needed depends on the particular circumstances. If a diabetic's condition has been very stable and is in the target range, taking it once a week, before and after a meal in order to see how the body is handling the challenge of carbs, may be perfectly appropriate. Poking a finger to draw blood when the information is not particularly useful is unnecessary discomfort and expense. If the person's blood sugar level is outside the target range and/or it seems to be wildly varying, and/or the person takes insulin or a medication that must be calibrated to the blood sugar level, then more frequent testing is justified and necessary -- perhaps even multiple times a day.
As in so many aspects of health care, one size does not fit all. There is no "normal" without knowing the specific circumstances. I think it is irresponsible to poke someone's finger to draw blood when the information is not needed. I think it is irresponsible to not draw blood if doing so can provide information that will help determine effective med dosages or an early warning about problems.
Probably more informative than asking the person who takes the blood sugar reading would be talking to the director of nursing. Do they customize how often this procedure is done based on the patient's circumstances? Are they trying for a one-size-fits-all approach because that is most most-effective? I'd want to find out the reasons behind the NH practices before judging the policy.
More important than the finger prick readings is the A1C test results. How often does the NH have that test done? How did they establish that policy?
Allshesgot, you may know someone, maybe more than one someone, with diabetes who needs to take bs readings multiple times per day, every day. Many do. But for many others a different schedule is appropriate. Some people with diabetes get by with manging bs through diet and exercise only. Others need oral medications. Others need insulin and possibly oral meds besides. Some have remained very stable and in the target range for the last 10 years, some have A1C levels creeping upwards, out of the "safe" range. Some recently diagnosed diabetics need to take frequent readings to learn how their bodies react to various carb loads and exercise.
Because diabetes is so common and everyone has it or knows someone with the condition it is easy to think we know what is needed. But it really is a complicated condition, and each case needs individual guidelines.
Jeanna,bless your heart for awnsering, you are right, not everyones diabetes is the same or treated the same. Yes, I know many people who have diabetes including the lady I take care of now, the lady I took care of before her, a childhood friend and mother, other realitives and countless residents and patients in nh and hospitals that I have taken care of over the last 12 years or so. If you will look back I said especially insulin dependant diabetics should have theirs taken 2 or 3 times a day. Krnhersh said she asked and they told her that's just when they do it, if nothing else ,if a family member ask that type of question it deserves more of a dignified response than its just when we do it, she should have at least been directed to the person who could awnser that question for her. She said her mom had had it for more than 20 years, I assume she probably has been around her mother in the past and knows her diabetes was handled differently that's why she was concerned. It is also common in the elderly for their diabetes to become worse over time, and become more resistant to insulin causing them more problems rather than stabilize. I also repectfully disagree with your statment that taking a bs reading is not theraputic, or makes anything better. I have seen people crash and paramedics run iv glucose to pull them out of convulsions or comas because they will have a hypoglycemic attack. Its not pretty! People especially the elderly can die from this. Controlling blood sugar is many times part of pallitive and hospice care to keep them comfortable. Extemly high and low bs causes discomfort. And a person feels so much better when their bs is in a normal range.Its also important part of healing. I have also seen in the nh many things thats done for the convince of nh staff, including bs not taken, meds given at wrong times. If you have an elderly in a nh you do need to make sure they are being cared for properly. Yes nh staff is often times oover worked under paid, and "cutting some corners" has to be done at times but not at the expense of the health and well being of a resident. You are right, this may not be the case here, she should get an explination. Family should be able to leave a patient in the care of a nh, and know all is well and things are being taken care of, but as we all know from what we hear in the news often times its not. It s important for the family to make sure. At the end of the day in care facilitys its the ones who has a caring watchful family that gets the best care. Fair? NO! But true? yes, somtimes. People ask questions on here to get quick advise and opinions. No one on here claims to be a dr. Or know all the right awnsers, and the people asking the question knows this is a forum of peers not experts. So if you didn't agree with my awnser that's ok. I dont always agree with people either. Somtimes that's what makes this forum work so well, a mix bag od awnsers. you ask a question you get educated awnsers, commonsense awnsers, somtimes awnsers so simple they are brilliant. And lots and lots of opinions. Thank you for your comment it was very informative. Some good points, no we shouldn't jump to conclusions and blame the nh for somthing that has a reason. I bet you have a lot to teach all of us. Taking care of somone with alz. Is no easy task. Big ol huggs from me to you.
IThe answers given were great but the AC-1 needs to be taken as needed and I would tell this lady to talk to the DON to get answers since she is not POA they may feel they are not responsible to give her answers but if she asks in a calm way she will probably get asnwers and she has a right to be concerned she knows her Mon's health history-most NH have family meetings so all family members can get together with the staff and work together alos an ombudsman should be available to meet with her and maybe with this her questions can be answered and she will feel reassured no nurse should bark at a family member yes they are overworked in most NH but that is so the owners can make more of a profit.
Hey, my grandmother was a diabetic (predisone induced) and when she was in NH for Rehab they checked hers 3 times a day. I was not the POA but I was her caregiver my Aunt was her POA/ Health Care Serrogent you need to speak to the director of Nursing and let her know. They are not there to be your friend it just helps. Just let her know as her caregiver and yes you are her caregiver even though she is in NH this is a concern you have and you do not need the POA to have concerns. I have even gone to the administration of a major hospital because my grandmother didnt get the care I thought she needed so do not be afraid be her voice.
Allshesgot, I respectfully repeat that taking the bs reading only provides information. In itself it does not cure or help anything. It is somewhat like taking a blood pressure reading or taking a temperature. Acting on the information is what counts. Managing blood sugar is certainly important. How often you need bs readings to do that varies greatly depending on the situation. Also, sometimes diabetics get worse as they age. It is also possible that as they lose weight and are in an environment where their food is managed that they can also stabilize at a healthier bs level. I know nothing about the Mom in question -- if she takes insulin, what her last A1c test number is, what meds she is on. Presumably the NH does know these things. I just know that with the information given we can't say that she definitely needs her blood tested several times a day, and we can't find out by calling other NHs and checking how they do it. If it were my mother I'd talk to the nursing director before I jumped to any conclusions.
You and I are definitely in agreement that managing blood sugar levels is vitally important to diabetics. I just know that one size does not fit all when it comes to how to do that.
Here's a twist in the stories about taking care of your elderly parents. I am that 81 yr. old elderly parent, who is now taking care of her 53 yr old son and his wife . They live in my home totally as he has stage 4 throat cancer, is homeless, jobless, ' moneyless'and very ill . Su, his wife is bi-polar and unable to support them, has had no employment for over 25 yrs. I want to help, so took them in to live with me. I love them unconditionally, but must also face facts and payfor the 'doubling' of my bills since I am a below poverty level Sr.citizen. So how and where can I find funds to keep the roof over our heads, while my son is so ill with this dreaded cancer epidemic. Pease give me your thot's and ideas. Sincerely, A stressed Mom
Bless you. This is not something any parent should have to face. My heart goes out to you.
Contact your county's social services department, explain the situation, and ask for a social worker or other professional to come to you and assess the situation. He or she can advise you of resources available to you and can see to it you get assistance in filling out applications, etc. You will love your children forever, but you are not financially responsible for them quite that long.
If your son has been hospitalized during this illness, you might call the hospital and ask to speak to the medical social worker there.
There will be help for you. You need someone who can navigate through all the red tape. Make some phone calls and find that someone.
Please come back and let us know how you are doing. Good luck to you!
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.
As in so many aspects of health care, one size does not fit all. There is no "normal" without knowing the specific circumstances. I think it is irresponsible to poke someone's finger to draw blood when the information is not needed. I think it is irresponsible to not draw blood if doing so can provide information that will help determine effective med dosages or an early warning about problems.
Probably more informative than asking the person who takes the blood sugar reading would be talking to the director of nursing. Do they customize how often this procedure is done based on the patient's circumstances? Are they trying for a one-size-fits-all approach because that is most most-effective? I'd want to find out the reasons behind the NH practices before judging the policy.
More important than the finger prick readings is the A1C test results. How often does the NH have that test done? How did they establish that policy?
Because diabetes is so common and everyone has it or knows someone with the condition it is easy to think we know what is needed. But it really is a complicated condition, and each case needs individual guidelines.
makes sense-
have to ask more quest to the nh-
thank you
hug
k
You and I are definitely in agreement that managing blood sugar levels is vitally important to diabetics. I just know that one size does not fit all when it comes to how to do that.
. Su, his wife is bi-polar and unable to support them, has had no employment for
over 25 yrs. I want to help, so took them in to live with me. I love them unconditionally, but must also face facts and payfor the 'doubling' of my bills since I am a below poverty level Sr.citizen. So how and where can I find funds to keep the roof over our heads, while my son is so ill with this dreaded cancer epidemic. Pease give me your thot's and ideas. Sincerely, A stressed Mom
Contact your county's social services department, explain the situation, and ask for a social worker or other professional to come to you and assess the situation. He or she can advise you of resources available to you and can see to it you get assistance in filling out applications, etc. You will love your children forever, but you are not financially responsible for them quite that long.
If your son has been hospitalized during this illness, you might call the hospital and ask to speak to the medical social worker there.
There will be help for you. You need someone who can navigate through all the red tape. Make some phone calls and find that someone.
Please come back and let us know how you are doing. Good luck to you!
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