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{{{{{Susan}}}}}
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Susan, you know I've been a supporter of you keeping your mother at home up until now, but I think it is time to let her stabilize at a skilled nursing facility. IMO, your mother's needs are greater than one person can provide. I really don't know if you (or anybody) can do this anymore. If she were a little woman, it would be easier. If she would leave her catheter in, it would be easier. But the way things are with the water retention, a skilled facility sounds so much like a better answer. I wonder if there is one around with free wireless access so you could visit for longer periods and still get some work done.
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Thanks Shilo & Jessie -

The NH has wifi, so I can work there, and plan to do so on Sundays so that I can spend more time with her. She seems very determined to come home, so this is not going to be easy.
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I know how it tugs you in every direction Susan and my heart goes out to you. I would lend you mt brain so you could make an objective decision but my brain is definitely not functioning at all right now hun xxxxxxxxxx

Do try to take an objective view - have a real good talk to yourself and determine what you can and more importantly what you can't manage to cope with and try to just lock your heart out of this one.

If you end up doing so much that you become ill who then is going to care for Mum. All the best with a god awful decision xxxxxxxxxxxxxxxxxxx
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See how it goes Susan. When it's as impossible to make a firm decision as it must be for you and your mother just now, it can be quite comforting to remember that you don't have to decide anything finally. It can just wait until everything is much clearer.
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Susan I agree with CM wait and see and the answer will become clear. There is no reason you can't keep going to the ER and having her admitted to get the fluid off. There will come a time as you already know when no treatment will work. By then she may be just so tired the effort of coming home will feel to be too much and she will be content to stay. Try not to look for trouble just take things as they are. if she is determined to come home this may be the time to call hospice. With that many admissions she would meet their criteria. It would give you 24/7 support and some extra help. A RN available 24/7 an aide about 5 days a week and possibly volunteers to sit with her for a while so you can either go out or just get work done.
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So...second aid service started today with the aide start time at 8:45am. Three hours later and still...wait for it...no aide. The aid service has no idea where the aide is, they can't get in touch with her. I honestly hope nothing is seriously wrong with her...says the christian person in me. Going to go check on mom and then rest for 5 minutes.
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FF, you are clearly trying to do too much if your shoulder is still hurting so much. Do what you want your parents to do. hire someone to clean house. Take a cab to wherever you need to go. Tune SO off and don't go to work if boss keeps grumbling. maybe a good cry at your guest when he comes by to complain. You know 'the pain is so bad and I can't take a pill for another hour and a half" boo hoo, sniff sniff.
As far as the recliner is concerned GO AND BUY ONE like today. You really do need it and will probably never give it up. I let the cleaners change hubby's sheets and we are exploring how we can manage with a lot of frozen meals. Cooking is just too exhausting having to stand in the kitchen at the stove then cleaning up. So we will go round the grocery store and find some good quality meals that we like.
Some times you just have to do what you have to do. Isn't this the gentleman who just spent a month in Israel? bet he did not do his own chores there. How hard is it to just turn the dial on a washing machine. Go for it FF spend a few days at an undisclosed destination.
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Shilo8,
I hope you get an aide there soon.2 years ago,when we had a different Hospice nurse,she fell asleep at our table for an hour.You just never know......
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Every time I tell someone my elderly mother has moved in with me they say, "Oh, bless her heart." I guess they have this image of a sweet, little old lady who can't find her reading glasses instead of the narcissistic, lazy leach I'm dealing with. Makes me just want to scream, "Bless MY heart, dammit!"
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Thank you all for your comments and thoughts. Just going to take it day by day.

For the time being, I'm just going to operate on the assumption that she *will* be coming home and take this 20 days to get things done around the house that I didn't accomplish last time, because she ended up coming home 10 days into her stay. Not happening this time, unless by some miracle she manages to regain enough strength in 10 days and they NH releases her, but I'm going to push for her to stay the full 20 days this time. Going to lay out a plan of 1 room being done every 2-3 days - deep cleaning, de-cluttering, selling/donating unnecessary stuff (nothing sentimental or that my siblings might want), shredding old documents, etc. Also joined a neat reminder service called "Get Your S--T Together" that sets up 30-day challenges that help you get your "stuff" together in terms of important end-of-life documentation, etc. Living wills, advance directives, things like that - it was started by a woman who didn't have these things together when her husband was suddenly killed, and she was left floating in a sea of paperwork and unknown circumstances. Reading her story and thinking of Mom's circumstances makes me realize that as many times as I've said I'm going to get my own stuff together, I still haven't done it. Going to take some time while I'm not having to care for Mom to get this stuff done. I refuse to put my care into my childrens' hands, since one of them doesn't speak to me, another has her hands too full with her special needs kids (and drug/alcohol addicted husband) and the other is the only one that seems to have his head on straight - I want him to at least achieve his goals and not have to worry about my care. So I'm going to make sure I have *my* stuff together before that time comes, and at the same time, finish getting Mom's stuff together too.

Already sold the 2 twin bed frames that I had purchased for Mom over the past couple of years, since she now has a hospital bed to use. $50 in my pocket. (Good thing, since I'm dealing with a client that is not paying on time right now...her life is "so busy" and she'll "pay later"....that's not going to last long with me. No pay, no work!) The amount she owes me isn't huge, but right now, it looks like wagon wheels to me. I need it pretty badly at this point.

This week's goals:
Medicaid app done and submitted for Mom.
Documentation obtained on the few assets she has so I can turn those in with the app and send some of the to the attorney because they're involved in Mom's will.
Dad's old bedroom cleaned out and stuff sorted to sell/donate/trash
Living room and my desk cleaned up and organized
New grill put together (*still* haven't done that!)
Finish killing weeds & clearing them out of the driveway
Call about getting a load of crushed concrete or gravel for the driveway
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Quick whine if that is possible. Went to the pain clinic on Friday. Hubby with a long list of suggestions for the Dr most of which he politely shot down but he agreed to try a muscle relaxant and prescribed Zanoflex. Definitely contraindicated in my case but I took one Sat night and another Sun morning. Took me till 3pm to become really conscious inter spersed with violent diarrhea. Dr hubby said try just taking a half and see if that helps. well I hardly slept last night and in the early hours looked up at the ceiling and saw a huge black creature about a foot across with many legs and bright red twinkling lights all over it. Well I was either visited by an alien or the side effects were ramping up. Hubby asked if it disappeared when I closed my eyes and when I said yes he agreed it would be a good idea not to take any more. I really do appreciate his company and input on these Dr visits but at times he has too many ideas and hates my PCG. he does tend to hog the visits but thankfull left out the capsasm idea which I did try once and ran screaming to wash it off. He told me I have to keep putting it on for a week till it actually affects the painful nerves - not going to happen. Dr also said no to inversion therapy thank goodness I really did not want to stand on my head and pass out.
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oh my gosh, Veronica! What a horrible weekend you had. I hope you feel much better soon. (((hugs)))
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Well, this weekend I made another stop at the store where I found the pup and one of the employees told me the man who left her came in that morning. Long story short, he intended on abandoning her and he didn't want her and had not been looking for her. Also, the lady said he and his girlfriend were on drugs so probably not a great situation for the pup...ya think ??? anyway, was actually glad to know he didn't want her because his actions from the start indicated he was not a good home for her as it is irresponsible to just let one run loose in the first place, but to let her follow you to a busy place and then apparently not worry that she might get run over...nope..she's better off with me...

I figured my brother would have a fit when he saw I had brought yet another critter in the house but he fell in love with her too...I have a new routine figured out and am making it work...she has a shaded deck to sleep on and I have her on a thing where she won't get tangled and also she is right outside the door where Mama stays so I can keep an eye on both of them..ha

Brother pressure washed the deck and porch for me and it is so clean and fresh and feels so much better on my feet...so now looms before me the 4th of July...the only potential issue I have is whether to let my cousin come for the day...I know she's expecting it but that wll mean an entire day of waiting on her and so don't know if I'm up to it....jury is still out on that one...

Anyway, pretty good weekend over all....at least it was not so stinking hot...
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Shilo...one thing I find easy to use to move Mama up in the bed, or turn her when i am changing her, I have some of those waterproof pads in the extra large size..they are soft quilted cotton on one side and of course the waterproof bottom, so all the skin touches is the cool quilted cotton fabric...they are super easy to clean, provide extra protection for her and for you and are very durable and easy to grab hold of to make pulling Mama up easily in the bed...

Susan, praying your Mom continues to improve, and hope her appetite will come back...I know how frustrating that can be...Have you ever blended smooth peanut butter into an ensure? it makes a really great drink and has LOTS of protein...I hae made Mama those a lot and also add chocolate at time...like a Reeces shake...I add so any things to Mama's vanilla ensure that she never knows what is coming next..but she has been able to maintain her weight since being bedfast..of course if you have peanut allergies etc, you'd have to change what you blend accordingly, which goes without saying, but now I'm too lazy to delete it.. :)
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Veronica91, what happened? Pain clinic? Weird side effects from meds [hate it when that happens]. Back issue? How I wish things could be cured just by sitting outside in the sun.
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Susan, I don't have anything like your energy (you Superwoman, you!); but on one occasion when I did do myself a Grand To Do List like that and pinned it to the kitchen notice board I came back to it to find that it now read "17 - solve Gulf crisis."

Nice to remember that my ex-husband did make me laugh sometimes.
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Veronica, I hope you feel better soon! You don't need any aliens right now either!
Susan, You are going to feel good getting some of the stuff on the list done and I think all else will fall into place! On my lists I am glad if I can even get a few things done even if I don't tackle all of it. Anything accomplished is progress of some sort.
Mom is alert today but sleepy and the blood pressure has been running a bit low. Since she is bedridden and not walking about where she could pass out, the nurse is not too concerned.
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Well my list consists of 1. Make a list. Thats about it. I've been such a mess ever since we had the service for my Mom last Saturday. It made it so final. Now I have to accept she is gone and I'm having a real problem with that.

I bawled so much last night my eyes are still swollen and puffy. Maybe I was the alien you saw over your bed last night Veronica. I kind of resemble one today.

I hope I don't sound like a self pitying broken record. But it hasn't even been two months yet so I guess I should give myself some slack.
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felt guilty since I did not visit Dad Saturday or Sunday. We cut down three trees ones being about 30-40? Ft tall. we chip all the branches so we started on the first tree and have most of that down. exhausting work though.
Stopped in today. Dad insisted the back end of a truck he can see from the AL's "backyard field " was his despite me telling him that my sister has "borrowed" it and will bring back in August. so I took him for a ride to show him it was not his truck. Plus I had my sister text me a photo. Not sure how long he will remember that. I then took local gas station which sells soft serve ice cream and made a couple root beer floats which we took back and enjoyed (my poor waistline).
He did ask about mom again.
But late this afternoon I got an email from activities director asking what was in that drink as dad was real happy and lively during games this afternoon.
Maybe turned a corner with the anxiety.
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57twin, glad your Dad was feeling better and happy with that rootbeer float... it sounds really good...
There must be something in the air. Mom was laughing, really cracking up tonite and I asked what was so funny...she said humanity and all the preposterous things people do and think is important ...She had the news on. I guess if you step back and detach and access things in a detached manner it does appear that humans have been pretty ridiculous all through history....I was glad she found it all so humorous as I haven't heard her laugh like that in well over a year....
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Blimey, Katie. What news channel was she watching?!
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My whine of the day: my mom was admitted to Rehab center after being in hospital for two weeks for CDiff. She has no symptoms but doctor recommended it for the physical therapy for "a week"
Well first it was a major headache to find a facility that her insurance and I both agreed on and had a private room.once we got her in things seemed okay however there was some concern on my part because visitors had to wear a gown and gloves when visiting and she was not allowed to leave her room. These precautions were the same as the hospital but I did not see the staff following the same behavior. When I confronted several staff, they all gave me some "well it is really an individual choice. The most important thing is hand washing.
So she has been in NH for several weeks and all her therapy has been limited to her room. She remains symptom free and has been getting stronger. Two weeks ago they said that she would be able to go home soon because she was almost done with her antibiotics. They said once she was done they would take three stool samples to see if she was still positive.so I told my family she would be coming home soon. I spoke with PT and they said she was doing really well. I told them about the biggest obstacle which was the incline coming up to our house. They could not work on that because they were limited to working with her in the room.ell they decided they would come to her room early and take her down to the therapy room to work on the ramp. Mom is still getting stronger and we both want her to come home. They did one test which got tested in two ways. One was positive and one negative. The nurse said that it probably meant that it was colonized , but she could still go home. About 4 days later they did test number two but I have yet to hear what the results are. This was done early last week. The nurse, the PT all say that she could go home, we would just need to use careful cleaning procedures and get her back to the doctor if she started showing symptoms.
So last week, I contacted social services to find out when we could get her dismissed. The social service person told me that she is covered for Physical therapy at least until 7/8, so we would see what the PTthought at that point. I told her that I had been speaking g with the PT and they felt she could go home. Then she said that she needed to speak with nursing. She also said that her insurance company might have a different discharge date in mind. I told her that I had already spoken to nursing and they didn't know why she was still there. I told her that I wanted Mom home, Mom wanted to be home and that I wanted a meeting with everyone on Monday.she was a little hesitant but I reminded her that I had P.O.A. and was her medical surface, so we would be meeting.
Today came and no phone call. I called the Social Service person and left a message. I called my mom and asked if anyone had spoken to her about leaving and she said no. She said she had done her early morning therapy and then was doing more right then. Since the therapist was there I asked to speak to her. I asked if there was any meeting scheduled. She said no, she didn't know anything about it and volunteered to track the social service lady down. About a half hour later, I got a call. The social service lady told me that she had explained that my mother had until 7/8 until her therapy was done and she said that Mom said that she didn't mind staying the extra week or so. WHAT A LOAD OF CRAP! MY MOTHER ALSO HAD TOLD HER THAT IT WAS UP TO ME BUT SHE WAS FINE BEING THERE I knew this was a blatant lie because we have talked about how much she wants to get home to her dog and she misses seeing my granddaughter. Friday I told her that I would get her out as soon as I could regardless of what I had to do to make it happen and she was pleased. This place is not a bad place but she wants to be home and have company and do things together. I kept my cool and said that I wanted mom to come home tomorrow. The social service lady got pretty flustered and asked if she could have more time because there was paperwork that needed to be done. I asked her how much time she needed and she asked for two or three days. I gave her two. After getting off the phone with her, I called mom back and she completely denied saying she wouldn't mind staying. This woman is just a bean counter who knows she can get more money at a private room with therapy rate and didn't want to let that go until the insurance didn't want to pay any more. Arrrggggg!
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Oooo Sharadale, your post hasn't done my blood pressure any good - and it's not even my mother! Feel for you. Left hand not knowing what right hand is doing is one thing, but in your mother's situation there are meddling hands left, right and centre - must be infuriating.

Why in heaven's name social work training doesn't include an entire module on "Communication Skills, or, Don't Ask Leading Questions Moron!" I cannot understand. If you ask a reasonably good-natured senior 'if it would be better for you to stay for a few more days would that be okay?' she will likely reply that she'd rather not, but yes. On account of it won't actually kill her and she doesn't want to be contrary.

But I suspect you're right - that she already knew what answer she wanted to hear. Grrrrrrrrrr gnash.
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Ditto CM I have battles royal with Social Service on a regular basis - they now loathe me but hey that's cool the feeling is mutual
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Sharadale, these nursing homes get a lot of money from people coming in for rehab. They will try to keep them as long as medicare pays. It is common that they need a few days for paperwork for discharge, though I cannot imagine why it takes that long. After rehab my Mom became a self pay resident because she went on hospice and even then it took a few days for the discharge though we had to pay for those days...
Communication seems to be worse than ever and now we have all these devices to communicate and people can't seem to do it! I hope you can get your Mom home where she will be happier soon. I agree with CM that classes on communication skills should be a prerequisite for social workers....or anyone dealing with people!
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Or, it may be that the NH SW is asking your mom and your mom, being an agreeable person, may actually be saying "oh that's fine, I'll stay a few days more". We certainly ran into this with my mom.
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Sharadale I will only address the infection control precautions. The staff nursing and otherwise do not have any discretion when a patient is under infection control precautions. Everyone in every facility must follow them whether they pop in to say "hello" deliver a meal, clean the floor, change a light bulb, give the patient a bath, take vitals just any reason to enter the room. The minimum is gown and glove and depending on the type of infection up to Ebola additional equipment. On leaving the the person must dispose of the protective equipment in the proper recepticle in the room. Wash the hands in the room and again either wash or use sanitizer after leaving the room. A patient who requires infection precautions must be kept in a single room or housed with another patient of the same sex who is suffering from a similar infection. Everything used for the patient must not be used on other patients, such as B/P cuffs, which will be disposed of following patient recovery. These rules are very strict and must be followed. I do not know if a hospital or nursing home can charge extra if the patient needs a single room. the patient is considered infectious till proved otherwise. They can of course be discharged home while still infectious but family members SHOULD be instructed on how to protect themselves. Won't go into how to do that now.
After two weeks confined to a hospital room a patient especially if elderly will be very weak and expect it to take many weeks or months to recover. PT in the room is helpful but can not replace plain walking around the halls or gardens. A long course of antibiotics will also slow recovery because of their negative effect on the digestive system. Reluctance to eat will also slow recovery because weight and strength will be lost. Hospitals and nursing homes do not make mega bucks from Medicare so they try and get medicare patients out as soon as possible so the bed can be filled by someone having with better insurance. The hospital bills mega bucks but Medicare reduces the amount they believe the services are worth and pays 80% of that, then the patient or their secondary insurance pays the rest plus the patient has to pay any predetermined co-pays which are a set amount. Medicaid is different and pays much better and I have no experience with that.
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freqflyer: When I visited my relatives in Southern California, we would take small day trips and when we'd stop for breaks, my aunt would say "let's go to this hotel" - they have great bathrooms! I guess you could say I was a little shocked - we weren't staying there I told her, but she said, "just act like you're a tourist staying here - they won't know" -- anyway, we went into one and they had gold faucets - not chrome mind you. I also think that the best hotels have the best faucets! Thanks for sharing your story.
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Bless all your hearts...so much going on I don't even know what to say...just know I'm in the background waving my caregiver flag for all of you. On a grouchier note, I had a brief "respite" from the enormous diarrhea apocolypse but that lasted all of a half a day..this morning it was back with a vengeance...God forgive me I know this is something she absolutely cannot help...but I am so freaking tired, I am limping, my shoulder hurts, I have a migraine and woke up to Mount St. Helens......when I feel good this is hard at best, when I am in pain and feeling this way I just want to run down the hill out into the roadway in front of a fast moving vehicle..except that now that they have rerouted traffic we don't get any really fast moving traffic and so I would have to run another two miles to get to the main highway now and I will never make it that far...so I may as well sit here and shut up...Respite is coming...I am not going to have a choice...If I don't get a break from this I am going to break.....I am ready to do a full gainer over the back deck....I'm sorry..this is a selfish whine...I just had to get it out of my system.... ugh...
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