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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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I just noticed my mom's toenails are very long. She just saw her pc doc a few weeks ago. I thought they were supposed to check for foot care since she has type 2 diabetes and other health issues?
I see your mom lives in an Independent Living facility. My mom's facility had a podiatrist who would come in to treat residents. You might see if your mom's place has a similar program.
When my mother was in a nursing home, they had a podiatrist who came around on a monthly basis to trim nails - the nurses, CNAs and staff were not allowed to do it.
Medicare pays for toenail cutting every 10 weeks, not hands. Caring facilities staff are not allowed to cut toenails because of infection. It should be podiatrist.
It always amazes me that Americans go to podiatrists for routine toenail care, and that these professionals go to school for 8 years and then willingly spend the majority of their days doing nothing more challenging than trimming nails.
Oh I don't think it's an "American" thing, it's a "Diabetic foot" thing! Older folks with Diabetes Need to have their feet checked routinely, to guard against infection, and poor circulation which comes with Diabetes, and even "nipping" a cuticle put that patients at risk for serious infection that could be difficult to clear up, if not done properly, hence the Podiatrist recommendation.
As an healthy American, I've never seen a Podiatrist in my life, so no need to stereotype! I'm sure Canadian Diabetics see Podiatrists too! Lol!
Staceyb, in Canada Podiatrists do a lot of nail trimmings as part of diabetic foot care, they can also prescribe medications, perform nail procedures and other minor surgical procedures. But you can also have a Foot Care nurse provide diabetic foot care.
cwillie, there is much money to be made trimming toenails. Podiatrist charge around $65.00 per visit and see up to 12 patients an hour. They do not have the same overhead as a GP. The Foot Care nurse I use for Dad charges $40.00, can do house calls (I have not asked about the cost) and sees perhaps 2 patients an hour. I just wish I could get Dad to see her more regularly.
One of the podiatrists I used to work for had been a Major in the US Army. The one I liked best and had treat my own feet, is a wonderful woman who cares deeply for her patients.
A good podiatrist doesn't just "snip, snip". She or he checks for pedal pulse, skin integrity, both between the toes, top and bottom of the feet, ankles, and even up the lower legs if they are skin issues.
After searching past the snip, snip guys, we finally found one who really is top notch.
I am starting to understand why as we start to age we need some one to clip our toe nails. I am finding at my age, early 70's, that I can no longer swing my leg up onto the sink [would fall over now if I did] to do the clipping. Can't even sit on the bed to bend into a pretzel.
Finally found an one-step stool that I can sit on and bend over [with my weight gain THAT wasn't easy] to reach the nails. I found best time to cut is right after a shower when the nail itself is soft.
One thing I have noticed, if I use a certain nose spray for allergies, my finger nails and toe nails grow faster. Oh great... [sigh]
"It always amazes me that Americans go to podiatrists for routine toenail care." cwillie, if you have diabetes it is drummed into you to take extra care of your feet. Even "routine" care can be disastrous if it goes wrong.
More than 80 percent of amputations begin with foot ulcers. Wow! My toes are ugly but I'd sure like to keep them if I can. And, as ff says, it gets harder and harder to do proper foot care our selves as we age.
Even Medicare knows that paying for podiatrist care 5 times a year, and paying for one pair of therapeutic shoes, is way way less expensive than 1 amputation and followup care.
Here is what Mayo Clinic (well-respected in the US) says about diabetic foot care: "Don't remove calluses or other foot lesions yourself. To avoid injury to your skin, don't use a nail file, nail clipper or scissors on calluses, corns, bunions or warts. Don't use chemical wart removers. See your doctor or foot specialist (podiatrist) for removal of any of these lesions."
I'd be seriously surprised if this advice isn't given to diabetics in all countries.
Does this help explain why podiatrists often have full waiting rooms?
Chiming I’m on this. My mom had her nails trimmed by RN with HH. More of maintenance. But she still had to have podiatrist trim them every now and then. She wasn’t diabetic. HH wouldn’t allow CNA or even LVN to do it. But the CNA trimmed her finger nails. For her 95 bd her sister who was around 92 at the time and BIL 94 came to mothers party. About a 5 hr ride. Cousin drove. Uncle brought his dramel I think he called it. A kind of electric grinder. There the two sisters were with their feet up in recliner. Uncle busy trimming their nails. My aunt (91) went to podiatrist to have hers trimmed. They were concerned about PAD. Did a test that showed her pulse was low in legs. So all kinds of things for the podiatrist to do.
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 are signs in each of examining rooms at my clinic that say, "If you are diabetic please take off your shoes. Help us to remember to check them."
Once she is set up with a podiatrist she will probably be examined and nails trimmed every 9 weeks.
As an healthy American, I've never seen a Podiatrist in my life, so no need to stereotype! I'm sure Canadian Diabetics see Podiatrists too! Lol!
cwillie, there is much money to be made trimming toenails. Podiatrist charge around $65.00 per visit and see up to 12 patients an hour. They do not have the same overhead as a GP. The Foot Care nurse I use for Dad charges $40.00, can do house calls (I have not asked about the cost) and sees perhaps 2 patients an hour. I just wish I could get Dad to see her more regularly.
One of the podiatrists I used to work for had been a Major in the US Army. The one I liked best and had treat my own feet, is a wonderful woman who cares deeply for her patients.
After searching past the snip, snip guys, we finally found one who really is top notch.
Finally found an one-step stool that I can sit on and bend over [with my weight gain THAT wasn't easy] to reach the nails. I found best time to cut is right after a shower when the nail itself is soft.
One thing I have noticed, if I use a certain nose spray for allergies, my finger nails and toe nails grow faster. Oh great... [sigh]
cwillie, if you have diabetes it is drummed into you to take extra care of your feet. Even "routine" care can be disastrous if it goes wrong.
More than 80 percent of amputations begin with foot ulcers. Wow! My toes are ugly but I'd sure like to keep them if I can. And, as ff says, it gets harder and harder to do proper foot care our selves as we age.
Even Medicare knows that paying for podiatrist care 5 times a year, and paying for one pair of therapeutic shoes, is way way less expensive than 1 amputation and followup care.
Here is what Mayo Clinic (well-respected in the US) says about diabetic foot care:
"Don't remove calluses or other foot lesions yourself. To avoid injury to your skin, don't use a nail file, nail clipper or scissors on calluses, corns, bunions or warts. Don't use chemical wart removers. See your doctor or foot specialist (podiatrist) for removal of any of these lesions."
I'd be seriously surprised if this advice isn't given to diabetics in all countries.
Does this help explain why podiatrists often have full waiting rooms?
For her 95 bd her sister who was around 92 at the time and BIL 94 came to mothers party. About a 5 hr ride. Cousin drove.
Uncle brought his dramel I think he called it. A kind of electric grinder. There the two sisters were with their feet up in recliner. Uncle busy trimming their nails.
My aunt (91) went to podiatrist to have hers trimmed. They were concerned about PAD. Did a test that showed her pulse was low in legs.
So all kinds of things for the podiatrist to do.