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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.
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I have a friend who is 93 and still lives on her own and drives. She is amazing. However her hands are typically black and blue. This is primarily due to blood thinners. My mother was on Warfarin, a blood thinner, and I've actually noticed fewer bruises on her now that she is in hospice and they have taken her off all medications.
Excellent advice! I dealt with FIL having the 'thin skin' thing for the last few months of his life. I swear I could help him up out of his recliner and peel all the skin off his arms. And wow, could they bleed!
I did not use liquid skin--that seems brilliant! I was debriding many 'skin tear' 3 xs a day and I know the adhesive bandages just made it worse. I was using what his in-home CNA had left for him. FInally gave up with ANYTHING adhesive and used those mesh tubes to cover the gauze. It was better, but he did die with a lot of these tears on his body. They are generally not considered 'stitchable' so he was covered in patches. Poor guy. I was not prepared for the kind of care he needed.
two words. Thin Skin. I used to look at my Husband and a bruise could appear. It can also be related to medication. I used to take the Liquid Bandage stuff and paint it over the bruises so they would not open up. One of the surface bruises can lead to an open skin tear very easily. The liquid bandage reinforced the skin so it would not tear as easily. Do not try using a regular bandage, even the ones that say for sensitive skin, or won't pull, or easy off. The adhesive seems to weld to the skin making taking any bandage off difficult without tearing the skin. There are "wound prep" pads that can be used before a bandage is applied that makes it less likely to damage the skin. And there are special wound covers that can be used but I only got those when the Hospice nurse seemed to think it was necessary. (Used one 1 time for a blister on his heel)
She might also be bumping her arm either at the table or it could be anytime or anyplace where she is often and it does not take much of a bump to cause a bruise.
Check her posture, seated or while using a walker, or in other movements. It might be that she's sitting or moving in such a way as to create repeated bruises. I've been experiencing that as well, and am sure that w/o thinking, I'm bumping into or rubbing against something causing the bruises.
I think the other issue though is the thickness of her skin, since it tends to become thinner as we age.
Watch how she uses her arms, sits, and gets up, and monitor the bruises in connection with those movements.
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.
Excellent advice! I dealt with FIL having the 'thin skin' thing for the last few months of his life. I swear I could help him up out of his recliner and peel all the skin off his arms. And wow, could they bleed!
I did not use liquid skin--that seems brilliant! I was debriding many 'skin tear' 3 xs a day and I know the adhesive bandages just made it worse. I was using what his in-home CNA had left for him. FInally gave up with ANYTHING adhesive and used those mesh tubes to cover the gauze. It was better, but he did die with a lot of these tears on his body. They are generally not considered 'stitchable' so he was covered in patches. Poor guy. I was not prepared for the kind of care he needed.
Thin Skin.
I used to look at my Husband and a bruise could appear.
It can also be related to medication.
I used to take the Liquid Bandage stuff and paint it over the bruises so they would not open up. One of the surface bruises can lead to an open skin tear very easily. The liquid bandage reinforced the skin so it would not tear as easily.
Do not try using a regular bandage, even the ones that say for sensitive skin, or won't pull, or easy off. The adhesive seems to weld to the skin making taking any bandage off difficult without tearing the skin.
There are "wound prep" pads that can be used before a bandage is applied that makes it less likely to damage the skin. And there are special wound covers that can be used but I only got those when the Hospice nurse seemed to think it was necessary. (Used one 1 time for a blister on his heel)
She might also be bumping her arm either at the table or it could be anytime or anyplace where she is often and it does not take much of a bump to cause a bruise.
I think the other issue though is the thickness of her skin, since it tends to become thinner as we age.
Watch how she uses her arms, sits, and gets up, and monitor the bruises in connection with those movements.