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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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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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We have found medication cups several times in trash as well with his soiled clothes. They deny him being medicated but sleeps all the time . WHAT can I do.
The nursing home keeps a record of all medication given. What med was given and when it was given. Talk to the Director of Nursing and express your concern that your dad is being overmedicated at night, or is being given a medication that you are not aware of.
A lot of people don't realize that when we put our elderly parents in a nursing home the caregiving doesn't stop, it just gets different. Our parents still need advocates. Good for you for being your dad's advocate.
Dear aging1312, This is for you and anyone else that may be reading and has a loved one in a Nursing Home. In this months AARP News Letter there is an article about just what you are asking. It is a widespread issue in this country that NH patients are being given drugs that have this effect and many other effects without the permission of Family. I would suggest you call or go online and see if you can get a copy of the article. It is a very touchy situation when speaking to the NH Staff about such matters, although I don't think it should be if they are not doing anything out of the ordinary. If you have asked and they have denied, then the only way to find out is thru a complete analysis of drugs in his system. They may or may not agree to have done, if they do not agree at your request then I would be really aggressive in finding out how to follow up and have it done even if you have to do an independent testing. Please note that when you do this you will put them on guard. So you will have to be more on top of things with your Dad than ever. Have you tried going in unexpectedly at night to see for yourself? You can always say you are concerned and needed to check for yourself. I have found that having a regular schedule in which they are expecting me is not good. If they never know when you are coming it is to your advantage in taking care of your Dad. And after all said and done, if you feel this strongly, I agree you should look into moving him if at all possible. God Bless you for your Caring and Concern for you Dad, Please keep on top of it and seek any outside help you have available. I hope this has been of some help to you...KEEP UP THE FIGHT FOR YOUR DAD!!!
It was my experience when mom was in a nursing home for two months for rehab that the NH doc changed and tweaked her medication at will. In other words, I didn't know when her meds were changed unless I asked.
Ask for a printout of her meds. Honestly, if you really have lost that much faith in the nursing home that you think they're lying to you about night meds, you should probably move your dad.
Contact the DON and schedule a care plan meeting. Now for my mom, her care plan meetings are done every 90 days but if I wanted too I can request one due to a concern I have.
Now the care plan meetings are especially good as in addition to nursing staff, there will also be someone from dietary, activities, social work etc and then you & whatever other family can make it. I would highly recommend that you get all your ? & concerns written down with a space for their answers so that the page can be placed in mom's history chart & have someone with you to take notes while you ask ? and speak on your concerns.
Maggie is spot-on in her answer in that it is likely that stuff is being tweaked. Also those paper (if your person is in a "green" NH) or plastic mini cups are used for about everything as it is sanitary & easier to track each item. So you could find dz in the garbage can but 7 were for sips of water, juice or a bit of applesauce and then the other 5 were for 5 medications (so each pill gets it's own cup).
Simple ask the Nursing Home Administrator who the Ombudsmen, advocate for the elderly, is for their facilty. Also make yourself available for the evening shift and ask for the charge nurse. Squeaky wheel gets the grease. God Bless you for standing up for him.
Isn't this one to consult APS about? I'm afraid you might find it's a commoner problem than we'd all like to think; but at least they could perhaps give you constructive advice relevant to your location?
Yipster7, I read that article from AARP a it is so true. My father was given the same med they talked about. and it didn't do any good. He was put on a different one, but still had this one prescribed on a as needed basis. I talked to the doctor about why this one was still on his med list, and my answer was "because I am the attending physician" Doctors are definitely getting kickbacks for this med, and from what I've read about it, it shouldn't be prescribed for elderly with dementia.
This is awful, but I am afraid probably not so uncommon, depending on where your parent or loved one is. Have you researched the facility where your dad is? If you feel you are not being 'shot straight' you have a couple of options but probably the best one would be to get him out of there, unfortunately. We had some issues with my mother in law's care and were out of town. When we called to check in with the nursing staff, although we would get 'answers' often we discovered that the entire evening the person we were speaking with, nurse on duty, had not even actually seen her all night. Not good. One thing to look out for is the number of UTI's patients have. This is linked to keeping them catheterized. Another 'easy out' rather than helping them to the bathroom. If you have a fairly cognizant person in a mostly dementia care facility, also, not good. I like the idea of 'popping in' at any time. We wanted to get mil closer to us but she lived in the same town she lived in for 50 years and refused. She was mentally there but physically not. We had to honor her wishes but it was terrible, especially since she had saved and had resources. God bless you.
Demand that you get a care conference with the provides. They are not going to want to do this but it is your right. Every week hospital staff have meetings to discuss patients and their plan of care - ask to be included in the next one that concerns your family member. On behalf of the nursing staff it is very difficult to wake a person to give him a pill. The timing of his meds may need to be changed and this is all done in the care conference. Be an advocate, do not let them bully you, it is your right.
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.
A lot of people don't realize that when we put our elderly parents in a nursing home the caregiving doesn't stop, it just gets different. Our parents still need advocates. Good for you for being your dad's advocate.
If you have asked and they have denied, then the only way to find out is thru a complete analysis of drugs in his system. They may or may not agree to have done, if they do not agree at your request then I would be really aggressive in finding out how to follow up and have it done even if you have to do an independent testing. Please note that when you do this you will put them on guard. So you will have to be more on top of things with your Dad than ever.
Have you tried going in unexpectedly at night to see for yourself? You can always say you are concerned and needed to check for yourself. I have found that having a regular schedule in which they are expecting me is not good. If they never know when you are coming it is to your advantage in taking care of your Dad. And after all said and done, if you feel this strongly, I agree you should look into moving him if at all possible.
God Bless you for your Caring and Concern for you Dad, Please keep on top of it and seek any outside help you have available. I hope this has been of some help to you...KEEP UP THE FIGHT FOR YOUR DAD!!!
Ask for a printout of her meds. Honestly, if you really have lost that much faith in the nursing home that you think they're lying to you about night meds, you should probably move your dad.
Now the care plan meetings are especially good as in addition to nursing staff, there will also be someone from dietary, activities, social work etc and then you & whatever other family can make it. I would highly recommend that you get all your ? & concerns written down with a space for their answers so that the page can be placed in mom's history chart & have someone with you to take notes while you ask ? and speak on your concerns.
Maggie is spot-on in her answer in that it is likely that stuff is being tweaked. Also those paper (if your person is in a "green" NH) or plastic mini cups are used for about everything as it is sanitary & easier to track each item. So you could find dz in the garbage can but 7 were for sips of water, juice or a bit of applesauce and then the other 5 were for 5 medications (so each pill gets it's own cup).
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