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Tin can caregivers in assisted living and memory intendance cut toenails and finger nails? Our ED wants the caregivers to cutting them to save money.
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Source: https://www.agingcare.com/questions/can-caregivers-in-assisted-living-and-memory-care-cut-toenails-and-finger-nails-466181.htm
Posted by: beallancomettiody.blogspot.com
Delane,
I tin can somewhat understand the cutting of fingernails to prevent scratches etc. Yet, toenails are a different story!
Done incorrectly, ingrown nails can occur, if diabetic, injury and infection can have place without the patient even knowing because of neuropathy.
My Aunts facility has a Podiatrist that comes one time a month. I private pay $seventy.00 to take her toenails cut properly.
IMHO, the facility has no business cutting nails!!
I think you lot should contact the local Council on aging for assistance!
God anoint!!
My MILs facility won't even let a licensed/certified/experienced pedicurist come up in and do annihilation to her anxiety. Nosotros've asked and they absolutely won't permit it. Simply they volition allow a family member to do information technology... information technology's non as easy as it sounds. The nails get very thick and the LO doesn't cooperate when you impact her feet.
As said, Medicare pays for a podiatrist to cut toenails. Non sure if its a policy of the facilities or a regulation of the state. I cut my Moms finger nails. Y'all may want to tell your ED it maybe a liability to have aides exercise it for the reasons mentioned.
The caregivers at my mom's place file fingernails, but don't unremarkably cutting them. They did cutting her nails today because she's started scratching herself encarmine, but that'south not the norm.
As far as toes -- podiatrist only. Cutting the toenails of an former person is like trimming a rhinoceros' horn.
In most places the CNA's or nurses aren't allowed to cut finger and toe nails. An aide will file someone's nails sometimes, but they won't trim them.
Usually a facility offers podiatrist services at different times if a resident needs nails trimmed.
It always costs actress though. Information technology won't exist covered in the regular monthly bill.
Nail care may be a licensed entity in states. Mom'south facility has a salon that I pay for her pedis. Otherwise I will come in and practise it
Most facilities do non allowed the staff to cut patients toenails considering of potential for injury, infection and liability, all of which could lead to an amputation of a toe, foot or part of leg, especially in diabetic patients with poor circulation. My mother is a diabetic and she has her appointment every 9 weeks with a podiatrist for cutting and trimming her toenails. I would never cut my moms toenails and gamble injury or infection. It is best to leave the task to a professional podiatrist.
Hm. I'm with BarbB, how does that salve money?
At my mom's nursing home the psw'due south could trim fingernails just not do whatever foot intendance, that was done by an outside agency and nosotros paid extra for it.
In my MIL's facility the podiatrist is the but 1 who does the nail trims and inspects their feet every 90 days.
How is that going to save money? Salve money for whom?
No, they should not. Cutting the nails on toes of seniors is a very dangerous pursuit Frequently the nails are hardened and thickened. A pocket-size nick on the toe of a senior tin accept such dire repercussions that they tin can atomic number 82 to decease. There are many dangers with circulation of elders. Some a diabetic, and a small cut could result in the danger of infection, gangrene, amputation, sepsis.
My recommendation to any personnel working in Senior Assisted Living or doing inhome care would be absolutely NO to nail cut.
I don't see why not, if the caregiver is comfy doing then. I know that sometimes when people go older their toenails in particular, get quite thick and can be more tricky, only with the proper boom clippers they tin be cut. My husband was completely bedridden in our home for the last 22 months of his life and I was the 1 who cut his fingernails and toenails, with no problems.
I know that most facilities have professionals come in on a regular basis to do peoples nails, and of class the patient or their families have to pay for that service. Not clear every bit to why this assisted living facility doesn't want to offer that anymore when it's the patient who pays for the services, not the facility. Unless there's a seperate fee that I'm not enlightened of.
If I was a CG at an ALF or MC, I'd apartment out Refuse to cut a resident's fingernails or toenails & then have holy hell to pay when the family had a fit when the resident started bleeding and/or the nails were trimmed incorrectly! The liability of such a matter is TREMENDOUS! The ED of this ALF must truly be a newbie in the field to even suggest such a affair, imo!! He's opening up a huge can of worms!!!!!!!! :(
Non in the Assisted Living places my folks have lived in, nope. When an unqualified person cuts fingernails & toenails for an elder, they run the take chances of cutting too deeply and causing a drain. Many elders are taking blood thinners which can lead to profuse haemorrhage and a trip to the ER tin can ensue. A qualified Podiatrist normally comes into the facilities to do these trims, and Medicare normally pays for it too. My female parent has it done every 3 months (which is how ofttimes Medicare will pay, according to her program) and she pays the co pay of about $38 I believe information technology is.
My motto with Assisted Living is, in for a penny, in for a pound. There are certain services you do not want to scrimp and salvage money on. Not to mention, how, exactly, does this ED feel similar he's 'saving money' by having his CGs cut the nails of the residents? Makes NO sense!