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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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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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Much smaller portions served. If he finishes then serve more. I found small portions served throughout the day was better for my Husband. You may have also reached a point where his food should be minced or maybe even pureed. Also it may also be to a point where some foods should not be served. Anything "slippery" Peaches, Nectarines, can easily slide down the wrong way into the trachea. This also includes hard candy, popsicles. Just like with a child round things should be cut in half. Hotdogs, sausages, carrots. Grapes fall into both categories of slippery and round. So have them but be careful and supervise. My Husband was a fast eater as well and I would try to distract him while he was eating so that he would slow down.
My CNA'S didn't help me do much at all. They delivered the meals nothing else. If I asked for anything outside meal time they said the kitchen was closed. A favorite reply was "that's not in my contract".
Were you living in a Memory Care ALF? If so, and you needed help with your meals, that ridiculous CNA behavior should have been reported immediately. My mother lived in Memory Care AL for 3 years and had help with everything she needed help with, 24/7. Not to mention, Memory Care ALs do not 'deliver meals' to residents rooms, as a rule, but serve them in a common dining room setting where residents can get help and be monitored for choking issues.
Nobody can enter into the mind of another to get such a question answered, especially when a broken brain is at the core of the behavior! Feed your husband very small meals every few hours rather than 3 larger meals a day and see if that helps. Make sure his food is chopped up into VERY small bits so he doesn't choke while swallowing, and avoid foods like:
Hot dogs (especially cut into a coin shape), meats, sausages, and fish with bones Popcorn, chips, pretzel nuggets, and snack foods Candy (especially hard or sticky candy), cough drops, gum marshmallows, caramels, hard candies, and jelly beans Whole grapes, raw vegetables, raw peas, fruits, fruits with skins, seeds, carrots, celery, and cherries Dried fruits, sunflower seeds, all nuts, including peanuts Peanut butter, (especially in spoonfuls or with soft white bread) Ice cubes and cheese cubes Foods that clump, are sticky or slippery, or dry and hard textured Food size and shape, especially round or a shape that could conform to the shape and size of the trachea (windpipe).
Your husband should have a swallow study test ordered by his PCP and performed to see if he has dysphagia, a swallowing disorder which may require a pureed diet from now on.
Here is a link to an article about choking in elders and dysphagia, and signs to watch out for:
Perhaps because his brain is now broken and he doesn't know any better. Why don't you just take the time to feed him yourself? That way he will eat only as fast as you feed him. To me that's such a simple solution and a no brainer. And if he's in a facility and you're not there to feed him every meal, the CNA's will do that for him. You will NEVER be able to figure out why folks with any of the dementias do what they do, and will drive yourself crazy trying to. Again his brain is broken and it will never get better, only worse.
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.
I found small portions served throughout the day was better for my Husband.
You may have also reached a point where his food should be minced or maybe even pureed.
Also it may also be to a point where some foods should not be served.
Anything "slippery" Peaches, Nectarines, can easily slide down the wrong way into the trachea. This also includes hard candy, popsicles.
Just like with a child round things should be cut in half. Hotdogs, sausages, carrots.
Grapes fall into both categories of slippery and round. So have them but be careful and supervise.
My Husband was a fast eater as well and I would try to distract him while he was eating so that he would slow down.
Hot dogs (especially cut into a coin shape), meats, sausages, and fish with bones
Popcorn, chips, pretzel nuggets, and snack foods
Candy (especially hard or sticky candy), cough drops, gum
marshmallows, caramels, hard candies, and jelly beans
Whole grapes, raw vegetables, raw peas, fruits, fruits with skins, seeds, carrots, celery, and cherries
Dried fruits, sunflower seeds, all nuts, including peanuts
Peanut butter, (especially in spoonfuls or with soft white bread)
Ice cubes and cheese cubes
Foods that clump, are sticky or slippery, or dry and hard textured
Food size and shape, especially round or a shape that could conform to the shape and size of the trachea (windpipe).
Your husband should have a swallow study test ordered by his PCP and performed to see if he has dysphagia, a swallowing disorder which may require a pureed diet from now on.
Here is a link to an article about choking in elders and dysphagia, and signs to watch out for:
https://www.moranelderlaw.com/choking-in-the-elderly/
Best of luck
And if he's in a facility and you're not there to feed him every meal, the CNA's will do that for him.
You will NEVER be able to figure out why folks with any of the dementias do what they do, and will drive yourself crazy trying to. Again his brain is broken and it will never get better, only worse.