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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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.
Remember, this assessment is not a substitute for professional advice.
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What is done in a home is not regulated. There may be warnings not to use it by yourself but that is a standard warning. I used a Hoyer Lift at home and I used it by myself. When the CNA from Hospice came there were 2 when he required the use of a Hoyer. But that is the regulation that Hospice had. I can/could instruct a hired caregiver (privately hired, not through an agency) to give my Husband medication. Again what you do in your home is not regulated. I could put bed rails up on both sides of my Husbands hospital bed...this would be considered a "restraint" in a facility but private homes are not bound by the same rules a facility or hospital is.
If you are a caregiver being paid to provide care in your client's home, you had better check this very important point with your insurer (professional indemnity) and with your client's insurer (home policy, covering injury to third parties). Such insurers will know the law, and even better they will tell you in what circumstances you're covered. It's a useful guide as to whether or not something is a good idea.
If you are employed by an agency, ask your agency/line manager to do the same.
If you are the client or the client's family member wondering whether a caregiver is keeping to real rules or is creating an unnecessary fuss, then you need to check the same points on the caregiver's behalf.
There are two sets of risks: risk to the client risk to the caregiver
If the caregiver is not confident that the lift can be used without risk to the client or to him/herself, s/he is right to refuse to operate it.
For academic interest and browsing, here is part of the relevant Health and Safety Code relating to Safe Patient Handling in Nursing Homes and Hospitals. The standards enforced in a domestic setting are, of course, not as stringent; but then again, you wouldn't want the client to be less safe, would you?
Sec. 256.002. REQUIRED SAFE PATIENT HANDLING AND MOVEMENT POLICY. (a) The governing body of a hospital or the quality assurance committee of a nursing home shall adopt and ensure implementation of a policy to identify, assess, and develop strategies to control risk of injury to patients and nurses associated with the lifting, transferring, repositioning, or movement of a patient. (b) The policy shall establish a process that, at a minimum, includes: (1) analysis of the risk of injury to both patients and nurses posed by the patient handling needs of the patient populations served by the hospital or nursing home and the physical environment in which patient handling and movement occurs; (2) education of nurses in the identification, assessment, and control of risks of injury to patients and nurses during patient handling; (3) evaluation of alternative ways to reduce risks associated with patient handling, including evaluation of equipment and the environment; (4) restriction, to the extent feasible with existing equipment and aids, of manual patient handling or movement of all or most of a patient's weight to emergency, life-threatening, or otherwise exceptional circumstances; (5) collaboration with and annual report to the nurse staffing committee; (6) procedures for nurses to refuse to perform or be involved in patient handling or movement that the nurse believes in good faith will expose a patient or a nurse to an unacceptable risk of injury; (7) submission of an annual report to the governing body or the quality assurance committee on activities related to the identification, assessment, and development of strategies to control risk of injury to patients and nurses associated with the lifting, transferring, repositioning, or movement of a patient; and (8) in developing architectural plans for constructing or remodeling a hospital or nursing home or a unit of a hospital or nursing home in which patient handling and movement occurs, consideration of the feasibility of incorporating patient handling equipment or the physical space and construction design needed to incorporate that equipment at a later date.
I also found this. Again it relates to nursing homes and other regulated settings, but again it just as well be applied to a family home.
Texas SB 1525. June 17, 2005. (not room for text so I've just included the link) http://www.capitol.state.tx.us/tlodocs/79R/billtext/html/SB01525F.htm
I can't imagine it would be required that 2 caregivers always be available in home to operate a Hoyer lift. Who on earth could afford that? How would any disabled people be able to remain in their homes? One sensible person with thorough training is fine. That's the whole point, the beauty, of the Hoyer. I operate it in flip flops while thinking about what I'm going to have for lunch, with National Public Radio blaring in the background and and perhaps also an important sporting event on the TV. It's fine.
SnoopyLove I preferred using the lift by myself, too. Not least because I found having another person was a distraction that stressed me out when I wanted to focus on my obsessive-compulsive strap-checking routine.
But you are and I was caring for our own parent. If we dropped him or her, or knocked ourselves out on the crossbar, or swung their foot into a cupboard door and broke a toe, then our heads be it. It isn't the same when a paid professional is in the house.
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.
There may be warnings not to use it by yourself but that is a standard warning.
I used a Hoyer Lift at home and I used it by myself. When the CNA from Hospice came there were 2 when he required the use of a Hoyer. But that is the regulation that Hospice had.
I can/could instruct a hired caregiver (privately hired, not through an agency) to give my Husband medication. Again what you do in your home is not regulated. I could put bed rails up on both sides of my Husbands hospital bed...this would be considered a "restraint" in a facility but private homes are not bound by the same rules a facility or hospital is.
If you are employed by an agency, ask your agency/line manager to do the same.
If you are the client or the client's family member wondering whether a caregiver is keeping to real rules or is creating an unnecessary fuss, then you need to check the same points on the caregiver's behalf.
There are two sets of risks:
risk to the client
risk to the caregiver
If the caregiver is not confident that the lift can be used without risk to the client or to him/herself, s/he is right to refuse to operate it.
For academic interest and browsing, here is part of the relevant Health and Safety Code relating to Safe Patient Handling in Nursing Homes and Hospitals. The standards enforced in a domestic setting are, of course, not as stringent; but then again, you wouldn't want the client to be less safe, would you?
Sec. 256.002. REQUIRED SAFE PATIENT HANDLING AND MOVEMENT POLICY. (a) The governing body of a hospital or the quality assurance committee of a nursing home shall adopt and ensure implementation of a policy to identify, assess, and develop strategies to control risk of injury to patients and nurses associated with the lifting, transferring, repositioning, or movement of a patient.
(b) The policy shall establish a process that, at a minimum, includes:
(1) analysis of the risk of injury to both patients and nurses posed by the patient handling needs of the patient populations served by the hospital or nursing home and the physical environment in which patient handling and movement occurs;
(2) education of nurses in the identification, assessment, and control of risks of injury to patients and nurses during patient handling;
(3) evaluation of alternative ways to reduce risks associated with patient handling, including evaluation of equipment and the environment;
(4) restriction, to the extent feasible with existing equipment and aids, of manual patient handling or movement of all or most of a patient's weight to emergency, life-threatening, or otherwise exceptional circumstances;
(5) collaboration with and annual report to the nurse staffing committee;
(6) procedures for nurses to refuse to perform or be involved in patient handling or movement that the nurse believes in good faith will expose a patient or a nurse to an unacceptable risk of injury;
(7) submission of an annual report to the governing body or the quality assurance committee on activities related to the identification, assessment, and development of strategies to control risk of injury to patients and nurses associated with the lifting, transferring, repositioning, or movement of a patient; and
(8) in developing architectural plans for constructing or remodeling a hospital or nursing home or a unit of a hospital or nursing home in which patient handling and movement occurs, consideration of the feasibility of incorporating patient handling equipment or the physical space and construction design needed to incorporate that equipment at a later date.
I also found this. Again it relates to nursing homes and other regulated settings, but again it just as well be applied to a family home.
Texas SB 1525. June 17, 2005. (not room for text so I've just included the link) http://www.capitol.state.tx.us/tlodocs/79R/billtext/html/SB01525F.htm
But you are and I was caring for our own parent. If we dropped him or her, or knocked ourselves out on the crossbar, or swung their foot into a cupboard door and broke a toe, then our heads be it. It isn't the same when a paid professional is in the house.