The past week has been slightly uneventful...Mom did mention that her foot was bothering her again. When I looked at it I found another blister, this one the size of a large mushroom...maybe as wide as a half dollar. We put a clean white sock on it and her pressure tube-sock. I am hoping that it will reabsorb or drain on its own. Then I will need to keep it dry and clean until the wound heals.
I don't understand the new blister. Her other foot is just fine, not even an abrasion. She must be using that foot to turn over in bed, or get herself up from sitting. The good news is that she feels the sore. (if you can call that good news) Meaning that she still has feeling in her feet. She dreamt that she had it amputated, bit by bit. Usually that happens with diabetes complications like gangrene, which she doesn't have.
She does have a new UTI and yesterday her Urologist gave her an antibiotic. If her foot gets infected, this will help on both problems.
She will stay close to her room all day today so it is not so far to walk to the bathroom.
Tuesday, February 5, 2013
Wednesday, January 30, 2013
Cornea Stitch
Sorry to be so late...I meant to get to this Monday.
Mom had been having some terrible discomfort in her right eye, the one where the cornea had been replaced years ago. We used Visine drops and compresses, but nothing took the pain away permanently. I made an appointment with her eye Doctor, but first I would need a referral from Dr. Adey. She was willing to FAX the form over to them as it was somewhat of an emergency. When Sue came on Wednesday she and Tom took Mom in. Dr. Jacobson discovered that one of the stitches holding her new cornea in place had come undone and should be re-set. They needed two people to do the procedure. They did need to numb the eye & area to do it, and now we have some special drops. She is doing much better.
We have increased the home-health-aide visits to three times a week. We try to keep the same aide, (Terry) because Mom really is comfortable with her. However, Terry is not always available on Wednesdays so today we are trying someone new called Penny. In the past Mom has had annoying experiences with some aides and wants to keep with Terry as much as possible. First we thought that we would stay with her regardless of the days she could come, but that wasn't a viable schedule as it confuses Mom when things are not consistent. It will be better to keep with the same days always, instead of the same aide. Terry will come every time she can, and Penny will come on the off days. This will work.
Although it is not a crisis, when Janet and Sue switch days (which they often do) it takes a few moments for Mom to adjust. They don't tell me that they are doing it (which is fine) as I am not to be involved in that program. They get a laugh about it, pretending to be each other.
Mom had been having some terrible discomfort in her right eye, the one where the cornea had been replaced years ago. We used Visine drops and compresses, but nothing took the pain away permanently. I made an appointment with her eye Doctor, but first I would need a referral from Dr. Adey. She was willing to FAX the form over to them as it was somewhat of an emergency. When Sue came on Wednesday she and Tom took Mom in. Dr. Jacobson discovered that one of the stitches holding her new cornea in place had come undone and should be re-set. They needed two people to do the procedure. They did need to numb the eye & area to do it, and now we have some special drops. She is doing much better.
We have increased the home-health-aide visits to three times a week. We try to keep the same aide, (Terry) because Mom really is comfortable with her. However, Terry is not always available on Wednesdays so today we are trying someone new called Penny. In the past Mom has had annoying experiences with some aides and wants to keep with Terry as much as possible. First we thought that we would stay with her regardless of the days she could come, but that wasn't a viable schedule as it confuses Mom when things are not consistent. It will be better to keep with the same days always, instead of the same aide. Terry will come every time she can, and Penny will come on the off days. This will work.
Although it is not a crisis, when Janet and Sue switch days (which they often do) it takes a few moments for Mom to adjust. They don't tell me that they are doing it (which is fine) as I am not to be involved in that program. They get a laugh about it, pretending to be each other.
Monday, January 21, 2013
Post Birthday Party Blues
I guess I'm going to be posting on Monday's instead of Sunday's after all. There is more to tell after her hospice visit, and I actually have more time. So check on Monday nights.
Yesterday after meeting we went to Tom & Sue's for a Hemet birthday party for Helena. Mom had had a really good night's sleep the night before and we actually made it to Sunday School...a first in months. Since Brenda and Helena we here for the long weekend (MLK) she decided to host a family party here for her town-bound folks. Brenda was very very worried because she and Helena had just finished with a bad cold and she thought it was maybe too soon, too risky to expose Gramma. Since the party was outside in the sunshine and breeze, Mom thought she would be fine. Besides, there was birthday cake to eat.
Tim and Edie Brown were still here, so they were invited too. Sue made her wonderful spaghetti, and there was salad and garlic bread and tree-ripened green olives from Corning, Ca. yummy. Mom had liberty with the menu, except maybe too much Parmesan, I thought. No after affects, though.
At 3:00 she announced that she wanted to go home. I was a little surprised as it's usually me that is anxious about the right departure time. She went straight to bed and slept for six hours. I stayed home from Gospel because I didn't want her to wake up and be alone. She is often confused about the time if she wakes up in the dark. She woke at 9:00pm and was hungry and in pain. We took care of both, ( english muffin and hot tea) and had her sit up in her chair for a few hours. At midnight she went back to bed with her night time pills and sleep aid pill and slept until 7:30 this morning.
I guess EVENT days are going to be like this. go go go, and then collapse.
Her nurse this morning was concerned about some new 'cracklings' deep in her lungs...usually a sign of agitated congestive heart failure. No signs of a cold. YAY. All else was good. We had been keeping her blood sugar readings low especially, and her blood pressure low too, so she could have cake and salt and noodles and olives. She was one happy camper!
Monday, January 14, 2013
Today isn't such a good day
I'll try to catch you up on the last few weeks. Mom did terrifically well at Burbank. She behaved herself with the food and got enough rest. We had our Special Supper in the hotel restaurant with Shawn Palmer this year. In the past Anita James has joined us, also Tori Counsel. Mom had Crabcakes, which she says are the best she has ever had. The price seems to go up and up, but to me it is a once in-a-year treat, so we don't mind. (too much)
On Saturday afternoon (1/5, last week) I was washing dishes when I heard something odd, and then found her on the floor of her bedroom. Apparently she had tried to get dressed warmer (putting on her sweatpants) by sitting on the arm of her rocker/recliner. She lost her balance, fell down, and rolled over to the dresser. She remembers hitting her head, and her glasses jabbed her eyebrow.
Frightened, I called Hospice. They asked if we needed assistance. I thought yes, Mom thought not. I could get a neighbor to help lift her. I called Becky and she stayed on the phone as Mom insisted she could get up & Becky is of the school-of-thought to let her. I relented. She slowly got up to her knees and then crawled over to the offending chair. She wrestled her way up to the seat, and then on to the seat, and collasped. Hospice called back and I talked to them awhile, and told them not to send the team, she wasn't cut, broken, or loopy. My second concern was really the thought process that created the fall. Why would she think that was a valid idea?
I am always suspicious of this getting-herself-up procedure, I am so reluctant to let her get up on her own even if she can... she could get up halfway and fall again and really hurt herself, or she could fall on top of me and hurt both of us. It's not that simple. Bill called later in the evening and she was very sweet, but not entirely honest, telling him that it was just a simple slip and she was fine. hmmm.
All week long has been a struggle! She made it to meeting on Sunday OK, and to Gospel. Then the week went downhill from there. Tuesday, Sue was concerned about her slowness, Wednesday, Janet was more concerned about her poor concentration and focus. Thursday, Kelly brought lunch because Becky was home with sick Barry. Friday, Becky noticed the shakiness and the weepies.
Also Terry, her home health aide was very concerned. She'd actually called me at work that Friday afternoon to suggest that we step up her visits to three times a week instead of two. I needed to convince Mom that Terry was there to help her bathe and dress, and that it was not a race. Terry had told me before that Mom seems to always be in a worrisome hurry, as if Terry needs to be finished ASAP, so she can get to other patients. She is actually allotted two hours for travel and care for each patient. Mom was convinced. It will be a good help.
Sometimes at night Mom will wake with a start. Once she got up at four in the morning and rolled her walker down the hall to ask me why I was still awake...as I'm lying in bed looking at her. I guess she saw the night-light on in my bathroom. She often will hug me long and so tight at bedtime, and tell me she loves me.
Saturday night I went in to her room at 9:45 to get her ready for bed. She was sound asleep in front of her TV. I woke her and she jumped out of her skin...looked at the clock and scolded me: "We are going to be so late! Why did you let me sleep so long, and why did you let me sleep in my chair!!!???" It took some doing, but I assured her that weren't leaving for at least 11 hours, it was still Saturday night, I hadn't give her her sleeping pill yet, and she could still go to bed.
But on Sunday she was so tired and still quite sore. She didn't want to get up, or eat, or get dressed. This is a first. Usually she is so ready when it's time to get up. She spent the day in bed. Daniel was in town so he popped over for a long visit between Breaking of Bread and lunch. ( he'd driven off before I could give him keys, or tell him the lay of the land...so he tapped on her bedroom window to have her get up out of bed and let him in....grrr) Sue brought her lunch from the buffet when she was done eating herself and spent the early afternoon there. I came home @ three and Mom was sleeping again. I stayed with her until Gospel, then came home and sat with her through a British comedy & then a mystery, then put her back to bed.
Today she had her weekly session with her visiting nurse and her extra visit with Terry. The nurse was straight-forward and told us that Mom was on one of two trajectories. Either this decline was a residual symptom from the fall; that she could be sore and achy for weeks, including the emotional damage of the mistake, or she could be on another plane entirely, that being, and this was more serious, evidence of her CHF worsening. I can only leave this with the Lord, as He knows all, and cares for her more than I do. He has given me such divine patience now, and a most evident grace. I have told Mom, "If the Lord calls you home, He wants you with Him now, and you should go."
I also put back another chair in her room. I had taken it out for more space. Live & learn!
On Saturday afternoon (1/5, last week) I was washing dishes when I heard something odd, and then found her on the floor of her bedroom. Apparently she had tried to get dressed warmer (putting on her sweatpants) by sitting on the arm of her rocker/recliner. She lost her balance, fell down, and rolled over to the dresser. She remembers hitting her head, and her glasses jabbed her eyebrow.
Frightened, I called Hospice. They asked if we needed assistance. I thought yes, Mom thought not. I could get a neighbor to help lift her. I called Becky and she stayed on the phone as Mom insisted she could get up & Becky is of the school-of-thought to let her. I relented. She slowly got up to her knees and then crawled over to the offending chair. She wrestled her way up to the seat, and then on to the seat, and collasped. Hospice called back and I talked to them awhile, and told them not to send the team, she wasn't cut, broken, or loopy. My second concern was really the thought process that created the fall. Why would she think that was a valid idea?
I am always suspicious of this getting-herself-up procedure, I am so reluctant to let her get up on her own even if she can... she could get up halfway and fall again and really hurt herself, or she could fall on top of me and hurt both of us. It's not that simple. Bill called later in the evening and she was very sweet, but not entirely honest, telling him that it was just a simple slip and she was fine. hmmm.
All week long has been a struggle! She made it to meeting on Sunday OK, and to Gospel. Then the week went downhill from there. Tuesday, Sue was concerned about her slowness, Wednesday, Janet was more concerned about her poor concentration and focus. Thursday, Kelly brought lunch because Becky was home with sick Barry. Friday, Becky noticed the shakiness and the weepies.
Also Terry, her home health aide was very concerned. She'd actually called me at work that Friday afternoon to suggest that we step up her visits to three times a week instead of two. I needed to convince Mom that Terry was there to help her bathe and dress, and that it was not a race. Terry had told me before that Mom seems to always be in a worrisome hurry, as if Terry needs to be finished ASAP, so she can get to other patients. She is actually allotted two hours for travel and care for each patient. Mom was convinced. It will be a good help.
Sometimes at night Mom will wake with a start. Once she got up at four in the morning and rolled her walker down the hall to ask me why I was still awake...as I'm lying in bed looking at her. I guess she saw the night-light on in my bathroom. She often will hug me long and so tight at bedtime, and tell me she loves me.
Saturday night I went in to her room at 9:45 to get her ready for bed. She was sound asleep in front of her TV. I woke her and she jumped out of her skin...looked at the clock and scolded me: "We are going to be so late! Why did you let me sleep so long, and why did you let me sleep in my chair!!!???" It took some doing, but I assured her that weren't leaving for at least 11 hours, it was still Saturday night, I hadn't give her her sleeping pill yet, and she could still go to bed.
But on Sunday she was so tired and still quite sore. She didn't want to get up, or eat, or get dressed. This is a first. Usually she is so ready when it's time to get up. She spent the day in bed. Daniel was in town so he popped over for a long visit between Breaking of Bread and lunch. ( he'd driven off before I could give him keys, or tell him the lay of the land...so he tapped on her bedroom window to have her get up out of bed and let him in....grrr) Sue brought her lunch from the buffet when she was done eating herself and spent the early afternoon there. I came home @ three and Mom was sleeping again. I stayed with her until Gospel, then came home and sat with her through a British comedy & then a mystery, then put her back to bed.
Today she had her weekly session with her visiting nurse and her extra visit with Terry. The nurse was straight-forward and told us that Mom was on one of two trajectories. Either this decline was a residual symptom from the fall; that she could be sore and achy for weeks, including the emotional damage of the mistake, or she could be on another plane entirely, that being, and this was more serious, evidence of her CHF worsening. I can only leave this with the Lord, as He knows all, and cares for her more than I do. He has given me such divine patience now, and a most evident grace. I have told Mom, "If the Lord calls you home, He wants you with Him now, and you should go."
I also put back another chair in her room. I had taken it out for more space. Live & learn!
Monday, December 17, 2012
Foot Epiloge
Sorry for the delay in posting...I was waiting until I had taken her to the podiatrist this morning, and gotten a diagnosis. She has what is called a foot ulcer that developed from a bedsore. It's possibly infected, so it is a good thing we came in now rather than later. They gave her a very nice boot to wear, all filled with padding and with a hole for the sore to cradle into. Aside from staying off of it, antibiotics, daily cleaning and bandaging, that's it.
She is concerned about what Conference Dresses go with her new boot. I suggested that we just keep a blanket on her lap. That way we can hide the container of hand sanitizer! I am most concerned about infections and any potential virus' coming her way from all the hugs and kisses next weekend. What a thing to be afraid of: Love.
We stopped for breakfast at Seven Hills and got there just under the wire @ 11:00. The cook turned away a party of nine because they were five minutes after. Imagine that! There goes money walking out the door.
Yesterday we had a most wonderful time. So many visitors from the North were here. Many were spending the week in the desert before Conference, so Bill & Becky decided to host a burrito lunch and got everybody involved. I think there were about 75 altogether. Brocks made the meats: pulled pork, and beef, and we all contributed the bits and pieces. They bought a large Tres Leche cake from the local Mexican market, I made flan (that was gluten free) Sue made nacho sauce, etc!
Besides all the Klassens: Ron & Tammy + Barry, Andy & Tracy + kids, Sharon Read & husband, there were Cheryl Brimlow, Daniel & Maureen Vison, Mel Rogers + kids, Mark and Jana Porter + kids, Steve & Beth Hall + kids, and some more, I think. Rose was still there even though they had gotten the sad news about her Dad. She and Doug will leave soon for Illinois. Someone commented on the great loss his death was, how he was such a pillar, a real heart for the brethren south-of-the-border, a father in the faith. Doug said that, as true as this was, he was still just, simply, her Dad. He will be missed.
She is concerned about what Conference Dresses go with her new boot. I suggested that we just keep a blanket on her lap. That way we can hide the container of hand sanitizer! I am most concerned about infections and any potential virus' coming her way from all the hugs and kisses next weekend. What a thing to be afraid of: Love.
We stopped for breakfast at Seven Hills and got there just under the wire @ 11:00. The cook turned away a party of nine because they were five minutes after. Imagine that! There goes money walking out the door.
Yesterday we had a most wonderful time. So many visitors from the North were here. Many were spending the week in the desert before Conference, so Bill & Becky decided to host a burrito lunch and got everybody involved. I think there were about 75 altogether. Brocks made the meats: pulled pork, and beef, and we all contributed the bits and pieces. They bought a large Tres Leche cake from the local Mexican market, I made flan (that was gluten free) Sue made nacho sauce, etc!
Besides all the Klassens: Ron & Tammy + Barry, Andy & Tracy + kids, Sharon Read & husband, there were Cheryl Brimlow, Daniel & Maureen Vison, Mel Rogers + kids, Mark and Jana Porter + kids, Steve & Beth Hall + kids, and some more, I think. Rose was still there even though they had gotten the sad news about her Dad. She and Doug will leave soon for Illinois. Someone commented on the great loss his death was, how he was such a pillar, a real heart for the brethren south-of-the-border, a father in the faith. Doug said that, as true as this was, he was still just, simply, her Dad. He will be missed.
Sunday, December 9, 2012
One Foot In Front Of The Other
We finally are getting somewhere with Mom's sore left foot. Several months ago she mentioned some heel pain...and I looked at her foot and saw what looked sorta like a bruise and sorta like a blister, then I went on-line to see what I could see. Aside from the standard issue info about warts, bed sores, and bruises, there wasn't much. Now, we need to be very careful with Mom's feet as diabetics lose feeling in their feet and then can't tell if something is wrong. If we should let things go too far she could have real trouble.
Making a long drawn out story short, after several weeks of trying to let Hospice deal with the situation, we decided to go our own route. They had said it was something they could do for Mom if we wanted, and we were willing to let them. So I cancelled the two appointments I had made with the Doctors only to find out that the Hospice Visiting Podiatrist charges $40.00. Mom has a zero co-pay with all doctors appointments, and she was liking the idea of getting out of the house anyway.
I called Dr. Adey and made another appointment and Becky took her in on Friday. The Doctor called it an ulcer and gave us a prescription for some salve, and a referral to a Podiatrist. Sadly, the Podiatrists in that particular office are switching off taking their Christmas Holidays right now and so appointments are hard to come by. We were able to get one for next Monday. I asked for her to be put on any waiting list, so they did.
P.S. Her arm is so much better! She is using it more and although it still causes her considerable pain, she is on the mend. We should be able to decrease the pain medicine this week. She was out to fellowship day today and stayed for the afternoon meeting. She was a bit shaky this morning, and short of breath, but is so much better now.
Making a long drawn out story short, after several weeks of trying to let Hospice deal with the situation, we decided to go our own route. They had said it was something they could do for Mom if we wanted, and we were willing to let them. So I cancelled the two appointments I had made with the Doctors only to find out that the Hospice Visiting Podiatrist charges $40.00. Mom has a zero co-pay with all doctors appointments, and she was liking the idea of getting out of the house anyway.
I called Dr. Adey and made another appointment and Becky took her in on Friday. The Doctor called it an ulcer and gave us a prescription for some salve, and a referral to a Podiatrist. Sadly, the Podiatrists in that particular office are switching off taking their Christmas Holidays right now and so appointments are hard to come by. We were able to get one for next Monday. I asked for her to be put on any waiting list, so they did.
P.S. Her arm is so much better! She is using it more and although it still causes her considerable pain, she is on the mend. We should be able to decrease the pain medicine this week. She was out to fellowship day today and stayed for the afternoon meeting. She was a bit shaky this morning, and short of breath, but is so much better now.
Sunday, December 2, 2012
Our Own Parade
Every year on the first Saturday in December the City of Hemet has a Christmas Parade. It’s always a really big parade with around fifty floats, entries, and marching bands and thousands of spectators lining the street. (Ken Fournier & Co. faithfully pass out stacks of gospel tracts. Once, when attending the parade years ago, he handed me one and I said no thanks, I liked the fellowship I was attending, thank you. )
Since the staging area for the long journey down Florida Ave. begins on Palm Ave., the police dept needs to barricade all adjacent roads, including the block of Acacia Ave. between Palm and Lyon: my street. Most years I’ve forgotten all about it until I am sitting at work wondering where all my clients are. I usually go to work before the barricades are up, so it doesn‘t sink in. This year I was deliberating whether to go into work at all. I could get stuff done, I think. No pesky interruptions. So I did.
About an hour after I get there, Mom calls me to ask how things are going….”Oh, so-so,” I say, “It’s quiet, but that’s good. Some clients have called and some have made appointments.” I yap on about this and that and then finally ask her how she is doing. “Well, I am sitting on the kitchen floor where I fell about 30 minutes ago. I spilled some maple syrup and I was trying to wipe it up, when I fell.” ACK! She doesn’t sound too distressed, but I drive home as fast as I can. Sure enough, splat on the floor, holding her clip-on phone and in pain. Making sure that I am as calm as I possibly can, I get our neighbor to come help me lift her back to her walker, wheel her to her recliner, gave her some liquid morphine and then I called hospice. I wanted just to be sure that nothing was damaged or broken. The nurse came and checked her out and did some arm maneuvers and determined that Mom has seriously injured her right arm. Possibly broken her upper arm. She had limited lower arm rotation, very limited grip, and deep soreness all around the elbow area. There was no obvious signs of a fracture, but something was definitely damaged. Since she still had some use of the arm and the trip to the ER for X-rays would not be worth the trauma, and that all they could do was put it in a sling with an ice pack and give her pain medicine, the nurse suggested that we do that at home; immobilize the arm and increase her regular pain medicine, adding the morphine. The nurse would come back tomorrow (Sunday). We can always go to the hospital later, if we wanted.
I got up and got dressed for meeting. Mom had slept in her recliner. The nurse came at 10:30 L The arm was still sore, but her grip was better. She was retaining fluid in her legs, her lungs are not entirely clear, her blood sugar was up to 218, and she was really groggy. No fever or high blood pressure. The nurse stayed for more than hour. No meeting for me. When I asked for some guidelines about when it was safe to leave her home alone now, she said the rule of thumb is if she can get herself out of the house if it was on fire. Oh.
The rest of the day was very quiet. Sue and Tom came and brought lunch. Mom slept. I made her a turkey sandwich for supper. She slept some more. At 7:00 she asked to be put to bed. I helped her lie down but told her it was early for her bedtime pills just yet. Now she is asleep again. I very much felt your prayers for me today. The Lord was with us in a very real way. I felt an unusual calmness, and peacefulness amid all the turmoil.
Her regular nurse come tomorrow. We will decide then what to do next
Since the staging area for the long journey down Florida Ave. begins on Palm Ave., the police dept needs to barricade all adjacent roads, including the block of Acacia Ave. between Palm and Lyon: my street. Most years I’ve forgotten all about it until I am sitting at work wondering where all my clients are. I usually go to work before the barricades are up, so it doesn‘t sink in. This year I was deliberating whether to go into work at all. I could get stuff done, I think. No pesky interruptions. So I did.
About an hour after I get there, Mom calls me to ask how things are going….”Oh, so-so,” I say, “It’s quiet, but that’s good. Some clients have called and some have made appointments.” I yap on about this and that and then finally ask her how she is doing. “Well, I am sitting on the kitchen floor where I fell about 30 minutes ago. I spilled some maple syrup and I was trying to wipe it up, when I fell.” ACK! She doesn’t sound too distressed, but I drive home as fast as I can. Sure enough, splat on the floor, holding her clip-on phone and in pain. Making sure that I am as calm as I possibly can, I get our neighbor to come help me lift her back to her walker, wheel her to her recliner, gave her some liquid morphine and then I called hospice. I wanted just to be sure that nothing was damaged or broken. The nurse came and checked her out and did some arm maneuvers and determined that Mom has seriously injured her right arm. Possibly broken her upper arm. She had limited lower arm rotation, very limited grip, and deep soreness all around the elbow area. There was no obvious signs of a fracture, but something was definitely damaged. Since she still had some use of the arm and the trip to the ER for X-rays would not be worth the trauma, and that all they could do was put it in a sling with an ice pack and give her pain medicine, the nurse suggested that we do that at home; immobilize the arm and increase her regular pain medicine, adding the morphine. The nurse would come back tomorrow (Sunday). We can always go to the hospital later, if we wanted.
I got up and got dressed for meeting. Mom had slept in her recliner. The nurse came at 10:30 L The arm was still sore, but her grip was better. She was retaining fluid in her legs, her lungs are not entirely clear, her blood sugar was up to 218, and she was really groggy. No fever or high blood pressure. The nurse stayed for more than hour. No meeting for me. When I asked for some guidelines about when it was safe to leave her home alone now, she said the rule of thumb is if she can get herself out of the house if it was on fire. Oh.
The rest of the day was very quiet. Sue and Tom came and brought lunch. Mom slept. I made her a turkey sandwich for supper. She slept some more. At 7:00 she asked to be put to bed. I helped her lie down but told her it was early for her bedtime pills just yet. Now she is asleep again. I very much felt your prayers for me today. The Lord was with us in a very real way. I felt an unusual calmness, and peacefulness amid all the turmoil.
Her regular nurse come tomorrow. We will decide then what to do next
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