Jhari's Blog

  • entries
    10
  • comments
    41
  • views
    14,308

Up and Down (as usual)


Jhari

1,470 views

Yep, the normal week,up and down and up again. Sunday night when I got to the home, mom was coming from the dining room in her W/C. When we got to her room, she said she had to go to the bathroom, so I put her on the toilet, only to find her pull-up was full of bm. So I changed her completely. She seemed surprised that she had gone, so I don't know what that's about. An hour later she had to go again and had another bm. I reported this to the nurse. Weekends are hard because there is not as much staff and hardly any activities. Plus usually on the weekends I only go for an hour or an hour and a half at night, instead of the 3+ hours I am there during the week. Monday was a hard day. My 2 grand-daughters went with me. Mom is always glad to see them, but when I saw the therapist, she said mom did not want to walk that morning and told her to get out. Told her she hated her. So while we were there, she walked a little bit, but only 1/3 as far as normal. I think she really did not feel well that day.

Tuesday was good, except when I got there her pull-up was saturated, plus her jeans were wet, so a total change. Oh, and I forgot to add on Monday it was the same thing when I got there. The therapist told me she had found mom on the toilet that morning and had put herself on. She had also gotten out of bed by herself. She had gotten 2 cards in the mail, one from her sister. I opened it for her, and she was saying something when she looked at the inside. When I looked she was reading it , saying each word perfectly. I opened the next card an d she did the same with that one. I said "Mom, you can read!" "I asked, "Do you know who this if from?" She said, "Jesus." Her sister's name is Joyce and there was a picture of Jesus on the front. I was telling her that my cousin's son and his wife were going to have a baby, and she said, perfectly, "It's funny Joyce never said a thing about that". When she does things like that, I am so happy I just want to cry.

So Tuesday was good, she walked to the dining room and also was on the stationary bike for 15 minutes.

Today was a pretty good day, too. When I got there, though, she was on the toilet and had transferred herself. She had the fall alarm clipped to her shirt, it hadn't activated. There was pee on the floor, the brakes weren't on and her pull-ups were saturated, her jeans were wet as were on of her socks and shoes. Again, a complete change. This time I talked with the DON. They need to put her on a schedule, especially before and after meals. She will not ask for help, this was the way it was even before the stroke. If she knows I'm coming, she'll wait for me to get there. So hopefully this will be resolved. I took her out for the morning activity. They were using tamborines and moraccas. Mom had 2 moraccas, shaking them and laughing right out loud or lol. We walked with her to the dining room before lunch and after lunch 15 minutes on the bike and 15 of the heat lamp on her neck and shoulder. So I was pleased with the way things went today.

You would think I would be used to the ups and downs by now, and every time there's a good day, I try to remind myself that the next might not be so good. But then when the bad day comes, it still makes me feel so sad and depleted. I guess I just need to remind myself more on the bad days, that a good one is just around the corner.

5 Comments


Recommended Comments

Jhari: I know this is hard for you in that you have to depend on staff to take care of Mom and you do have to shake them up every once in a while when routine falls apart. Good for you for doing it.

 

However, all of this is good news. I know you are concerned and should be for her safety, but just think of the cognitive recovery you saw this week. Other than the one BM she did not remember, she is recognizing when she has to go and has the recognition to get up and go to the BR. That is major honey - scary, yes, but major.

 

Find the recreation room or lounge and start giving her magazines. If she is reading, you push it. That is major in aphasia recovery. According to Bruce's Speech, it helps them find alternative wording when they get stuck. Like Bruce not saying book, but a tome of literature. She will probably have her own stroke vocabulary, words that family know even if they are wrong. You have already seen that, but push that reading and then when you visit, you talk about the article.

 

I agree with you about Monday. Two BMs and the fact that she did not know about one probably meant she was not feeling well - maybe stomach issues from something she ate, a bit of dehydration. I know you don't want her to refuse her therapy, but again she recognized that she was "off" that day, just couldn't find the words to say it. Gets frustrated even more and just quits.

 

Breaking this stuff down is exhausting to an already exhausted Caregiver. But I always go back to Bruce's core - who he is. That makes it easier for me to at least understand what just happened and probably why.

 

Good news and thank you for sharing. Debbie

Link to comment

When Bob was in rehab, I do not believe they checked him enough, and when they did, not thoroughly. One evening I delived 6 changes of clothes, fresh and clean. When I came back the next afternoon, they were all in the dirty bag. I was ready to kill. If you aren't going to check him till heh as ruined himself, don't bother to dress him! If you do change him and dress him, bother to make sure he is not on a wet pad, that will immediately ruin his clothes when he takes a nap. Like you said, the cut backs do not give those poor workers enough time and it is so hard to get things taken care of. It seems she is wearing the same undies until she feels them wet thru. I wonder if they could leave a stack by the toilet, and come get her used to going in every 3 hours and changing them while sitting on the toilet.

 

The BMs are hard to figure, I hope it was just an off day for her. Bob, has no control of bladder or bowels, but he does know when he is about to have one. I thank God we moved into our flat home for our elder years, because the bathroom is 2 steps from the tv room. It is the only reason we are USUALLY successful on the BMs. The bladder, we settle for me giving him the urinal when I change his guard, and he tries to make some urine in it. Sometimes successful, sometimes not.

 

Good eye on watching out and alerting the staff.

Link to comment

mom might have been plain out embarrassed about the BM ---- the changing or lack of by staff is sad - but hopefully taken care of--- could be as you said, a staffing issue / maybe someone familiar with mom has taken time off ?? my mom was a cna for years and knew her patients -- she knew to watch and pay attention her motto was "use your head or you WILL use your feet" i truley understand that now..... being in front of problems is sure easier than cleaning the mess behind them..... I forgot my moms words of wisdom -- use your head or you will use your feet--- love it !!! maybe will need do a blog about it

Link to comment

You call it ups and downs, I call it , "it takes time" 9 years and I don't have it all down yet!! Some days things are OK, then other days I can't get it all together again! My left side is weak but some days/nights my right side is the one hurting!!

 

We just have to remember our mind is disconnected from the part of us that's weak for good, they won't connect again!! Over time we will learn but still one day yes, one day no!!!

Link to comment
Guest hostwill

Posted

Definitely a big improvement in th Aphasia. Keep the faith! She's a survivor.

 

-Will

Link to comment
Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.