This blog was formerly dedicated in 2009 to my Dad who died of Alzheimer's in 2013. It's been three years now...and I find myself missing blogging...so I am re-inventing my blog... because, after all, life is about moving through, and going forward...

Tuesday, May 25, 2010

Dad's Care Conference for May 25-2010

Mom and I attended Dad's Care Conference today.  Mom in person, me, via telephone.

The DON read the list of Dad's medications.  He finished his antibiotics for the UI on 5-16-10 and finished the bacterim for the MRSA on 5-21-10.  At this particular time, Dad is off all blood thinners until further orders from Dad's doctor.

Dad has gained one pound and really LOVES ice cream.

Dad is on stool softners and laxitives for constipation. The nursing home is keeping Dad on the continued orders from his hospital admission notes. Dad takes a multi-vitamin with Iron, but the DON assured us it was not enough to cause any trouble.

Dad is anemic. Again, diagnosis from the hospital.  Did the brain bleed cause it?  The DON did not know and asked me to ask the doctor.  I will be sending an email to the doctor with my questions... I also want to know what else are they doing to monitor Dad's brain bleed?

Dad's hearing aid finally came, but they are not allowing Dad to wear it, for fear he will lose it.  They keep it locked on the nursing med cart and we can ask for it, let Dad wear it, and then return it to the cart.

They also ordered a third pair of eye glasses for Dad.  Dad has lost or given away his last two pairs, saying, "Someone needed them more than he did". We suggested getting one of those necklace things to hold the glasses around his neck.

I asked what they felt were the reasons Dad keeps getting the urinary tract infections.  The DON stated hygiene, for a possible reason.  I told her, Dad would NOT be at fault in that situation.  She also stated Dad did not drink enough water.  Again, would not the nursing home be responsible for that as well??

The nursing home staff offer water every two hours, but if Dad refuses, they move on and ask later.  They can't force him to drink. ( Every time my sister and I are there, he guzzles two cups of water for us.)

I know Dad will not ask, as he does not think of it, plus, he would think he is being a bother...
I asked if his prostate issues would contribute to the UI.  First the DON told me no, then when I explained to her that Dad's prior doctor (before he was admitted) explained to me that the enlarged prostate can put pressure on the kidneys or bladder making it more difficult to urinate, or to make him go more often.  I asked if Dad is not drinking enough water, wouldn't that complicate his problem?  The DON then agreed with me.

Overall, Dad is healing well and quickly from the cuts and abrasions from his fall.


With all Dad's medical issues, and this recent fall, we decided Mom and my second to the oldest brother K___, (who is the Executor) need to review the DNR paperwork.  We all agreed it is better to get that order straightened out now, rather than in the midst of an emotionally difficult situation. 

Hopefully, Dad's doctor will answer my email questions soon...

                                                     ***********************

I found out today I won a give away on Jenny Matlock's blog at http://jennymatlock.blogspot.com/.  I won a really cool french white, casserole dish with a cooling rack and handle.

I also found out I won a drawing at our former Realtor's office for a $50 gift certificate at Tuscany Grill, a nice Italian restaurant in Henderson, NV.

I feel so lucky!! :}

6 comments:

Mari said...

Sounds like you had a productive meeting.
I saw you won over at Jenny's blog. That casserole dish is beautiful - congrats!

Lily Robinson said...

Wow! You might want to run out and buy a lottery ticket!

I have learned well that we must be advocates for our parents health care. Sounds like you're really on top of things. Hope you are taking care of yourself as well.

That corgi :) said...

congrats on your winnings!! sounds like your dad's care conference went okay for the most part. I can imagine it is hard to try to get fluids down to someone who might not be interested at the time to drink. Wonder if having some type of water available at bedside or in his room would help?

betty

Wander to the Wayside said...

I had the same problem with my dad and water. He also would refuse to drink when offered, and would just forget that he needs to drink even though they kept a large insulated cup with a straw right next to the bed. I don't know what the answer would be.

And I hated these conferences. Sometimes I knew more about what was going on than they did! All they did was read what was on his chart, which many times I had already read or heard about! I had better conferences with the social worker.

f8hasit said...

It's taxing to keep track between doctors and nursing staff and care givers when dealing with nursing homes.

My mother wasn't coherant enough to give feedback when she was in one. We had to contantly monitor and me being 2 hours away...it was difficult to say the least. One week when I was there she had bruises all over her body. Then to find it was caused by internal bleeding.

Due to them mixing up the orders and giving her the wrong medications! I'm not big on lawyers and lawsuits...but this case warrants it.

Make sure to take care of YOURSELF through this. Sonetimes we forget. I know I did.

:-)

gayle said...

I am so glad you are on top of things for your dad. This blog was a great idea of yours!! Now you a record of everything that is happening!