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Being Old Isn’t Cheap

  • Posted on March 25, 2011 at 12:14 pm
This entry is part 10 of 12 in the series Making A Difference

There are days when I wonder how other’s manage.  I am talking about those who live on a fixed income, without outside sources of income. Mom is sort of lucky, because there is David and myself, who pull earn money, that can help supplement the money needed for her care. It isn’t a lot of extra, but is the best we can manage.

I suppose we could live in a cheaper house, but then again, the cost of moving is astronomical. Hell even single bedroom apartments cost a mint these days, never mind one that can house three people & a dog. Can’t move out to the sticks either, because Mom needs to be close to her Doctor, to a pharmacy, to the Hospital.

Kind of hard to not have cable for her to watch, or listen to. I have pared it down too, but still, we need the Internet so I can at least manage some work. Also, it is an ideal way to search for information on drugs she takes, on side effects.  Good way too, to keep informed of Government programs, etc.

I try to manage our food bill, by buying only what we need, and only if it is on sale. Problem is some things like Milk or Bread rarely go on sale.  Then too, how do you provide hot meals that are substantial, if you can’t buy fresh foods. Or fruits, veggies, for that matter. Nor can you exclude them, if you want her to stay healthy.

Hydro of course, is one item I can’t control. Laundry every single day, in hot water, isn’t cheap. Electric heaters can be off, as a chill for her could be deadly. So $300 a month for Hydro is something we have to live with. Course the added water bill is not really controllable either. She needs a shower or wash each day, laundry etc.  So no way to scrimp on those.

Our Doctor is a good one, but we need the pills he prescribes, so like that isn’t an option now is it? And they do cost a pretty penny, mainly due to the way the Campbell Government manages Pharmacare here in BC.  Will Christy Clark do better?  Somehow, I am not optimistic about that. Course the Pharmacy takes a nice whack too, over $12 per prescription.  Mom needs nine ( 9 ) each month, so that alone comes to $108.00 for the first six months of the year.

Thing is, it isn’t going to get any easier, as time goes on. I hate to think what it will cost when I am in my sixties or seventies. Looking at all that Mom has to go through, all that I have to deal with, I seriously am not looking forward to old age, or the burden it would put on David.  Death looks a lot more attractive, than fighting to stay alive.

People Mom’s age shouldn’t have to be worried about choosing between pills, depends, food, or shelter. The $50 sob that Stephen Harper offered in the budget is a slap in the face to Seniors barely existing today. How many can’t afford all of their medications? How many live in hovels, or at the mercy of uncaring relatives or institutions?

How many Seniors sit in soiled depends, because in Care Homes they are limited to how many extra depends a Patient can have, without paying extra. I mean some people pee & poop more than once or twice per day. Mom alone goes through 4 to 5 depends, and in some care facilities, that would be an added $2 to $3 per day.   In other words, $60 to $90 and after they pay for the care, that is about all they have left for their own needs.

So it isn’t an option, is it?  

$50 Mr Harper?  May you never have to rely on a public Care Facility or strangers, because you wouldn’t be able to handle it.

Keeping A List and Checking It Twice

  • Posted on February 19, 2011 at 10:55 am

Things happen, and there are days when the regular worker is not going to be able to attend.  For days like that, one needs to keep track of who is sent, and make notes about them, so that if they show up again, you have a reference.  One of the things I learned the hard way, as until recently, BCS was notorious for pulling our regular workers, and sending whoever was floating around that day.

Today & Tomorrow, we have substitutes schedule.

Let me say, that on Friday, BCS scheduler did contact us, to go through who was available to be sent for the weekend. I was informed that our regular worker had booked off, for family reasons.  So kudos to her (MaryAnne I think was the name) for taking the time to call, to inform me, and to work with me, in getting a qualified substitute.

 By keeping a list, of past substitutes, I could avoid having the ‘bad apples’ being sent, by error. 

In an ideal world, it shouldn’t matter, but we do not live in an ideal world. So in all honesty, if you are the primary caregiver, you need to keep track of who is sent, and whether or not they are competent to do the job.

I use an Excel worksheet, in my dedicated workbook for Health.  In that workbook, I keep track of Doctor visits, the bp readings, and other  notes involved in Mom’s health. Example, the medications she takes, how often she takes them, the dose amount etc.

I also use it to track the workers.

I include things like date, name, and then the details.  Do they have their ID visible, do they attempt to just walk in, or wait for me to put the dog away. How long do they spend in the home, have the read the careplan?  These are important things to note.

Also, can they speak English clearly, able to communicate distinctly?

You also need memo fields, to add remarks about how well they did the job, or didn’t.  You should set a rating scale too, so a quick glance will tell you, they are okay to have sent, or not.

Make sure the date & name are correct, and keep your criteria constant. If you make changes, additions, make a note when you changed it, for obvious reasons.

It would be nice to not have to do, but this is reality. Start it now, because I guarantee you, you are going to need it at some point, in your journey with BCS or any home support group.

Should also make note of when Nurses or other agents show up on any regular basis. Having the information, can save you a lot of grief when something goes wrong, and trust me, it will.

That is just how it is today.

Home Support Workers A Few Questions

  • Posted on October 3, 2010 at 8:18 am

Here is the scenario:

You have been to a 93 year olds a few times over the last 15 months. Most was when she was in a cast, which was 14 months ago, give or take a few weeks.

Question #1:

Do you assume nothing has changed?

Question #2:

Do you read the provided Care Plan PRIOR to beginning your duties, so you are assured of just what those duties are, for changes since your last visit?

Scenario Continued:

You are informed that the 93 year old Patient has a groin infection, a bad cold, and is considerably weaker than normal. Further, you are told she has prescription creams applied, which is done by the primary care giver, NOT HER.

Question #3:

Do you pester the Patient to find out which creams are to be used in the groin area?

Question #4:

When you are informed, by the Primary Care Giver, that the creams are by prescription, and are applied by them, do you then insist that whoever is applying the creams, are not putting enough of them on the infected area?

Question #5:

Do you make the Patient sit up, turn around, sit down, sit up and continue that for over 40 minutes?

Be interesting if any Home Support Worker, who reads this blog, replies.  See, to me it is pretty much Common Sense on the right procedure.  I mean, how can any worker KNOW if the creams being applied, are done in the right manner, if you don’t even know what the creams are?

If a person is elderly, weak to begin with,weaker from the ravages of both a persistent groin infection & a bad cold, why would you make them get up and sit down repeatedly, using what little strength they have, needlessly?

Keeping Track

  • Posted on July 30, 2010 at 3:19 pm

Going to have to find that bookmark, about the things to keep track of. It seems that as the days progress, there is more to remember, to keep track of.  And that isn’t about the normal stuff like blood pressure, what pills – when.  There are things to make note of, such as when a substitute worker shows up, or the schedule gets changed.

Things like knowing that you are about to be inundated with substitute workers, and having to keep track of their names, to rate them so you can, maybe, get a few decent one’s in a list for future vacation times.

Stuff like what meds did she take, why did they get changed, as well as the state of mind.

And that is the hard one, to try and keep some journal, some small notation about the loss of focus, the loss of even reality. Is it real, or is it simply being unable to properly explain herself?  Do the blank stares mean she isn’t focused, or does it mean she is simply remembering something, sort of like daydreaming?

I have come to realize, that looking after Mom isn’t rocket science, but it does take its toll, if one lets it. Easy to say, damn hard to do. It is about routine too, and keeping to a fairly regular schedule, which unfortunately many don’t seem to get.

Pharmacare Doesn’t Cover It

  • Posted on June 3, 2010 at 8:15 am

There are some interesting things about Pharmacare.  YES, it does make it easier to manage prescriptions, for the most part, but some of the things it won’t cover, don’t make much sense. Especially when you apply them to older people, like my Mom, who is now 93 years old.

Things like anti fungal medication for yeast infections.  Mom has one around her groin, has for some time now. Been using Lamosil, which works to a point, as its in cream form, mixed with another drug.  Pharmacare won’t cover it, as it is anti fungal.  Okay, cost of the cream is about $35, which is for about 2 weeks. 

I can live with that, but now the Doctor is suggesting we try the Pill form, but it is a bit more expensive.  Two week supply is about $150 and he figures it’ll take at least two weeks, but more than likely four weeks.  

NOW TO FIND A SPARE $300 TO PAY FOR THIS, ALL BECAUSE PHARMACARE DOESN’T THINK OLDER PEOPLE NEED HELP WITH ANTI FUNGAL MEDICATIONS.

I can understand trying Generic based drugs, don’t have a problem with paying a portion even, but come on, are there really that many Doctors who prescribe anti fungal drugs for the hell of it?  And let’s be honest, ANY INFECTION FOR SOMEONE 93 IS RISKY.

Ya know, its cheaper to pay for a drug, that can contain the infection, than having to pay for more serious medications, treatments, when the infection can’t be contained, due to a lack of financial resources.  Just doesn’t make sense, some of these rules.

So why is it that Pharmacare won’t cover these kind of medications?

Keeping Track

  • Posted on December 6, 2009 at 10:48 am

The older one gets, I think it becomes more important on keeping track of details, of doctor visits, nurse visits, test results, but man, it takes a lot of preparation to do. Even if you are computer savvy, it is difficult to anticipate what you need to track, and then HOW.

I’ve used Excel, and yet, it is cumbersome in a lot of ways.

The problem is, what do you store, how often do you record it? 

What to track

What to track

I wish there was an easy to follow template, but there isn’t, so guess I am going to have to actually spend some time, and think on this one. There are some good resources out there, one from a twitter I noticed, which I’ll have to go back and find.  That’s the downside to twitter, finding past tweets.

Things I know I need to include in my template

  • blood pressure readings
  • INR results
  • dates of Nurse visits
  • dates of Doctor visits
  • frequency of bowel movements
  • weight
  • innoculations
  • medications

Now the real problem is to record any outside details, such as things to watch for. A handy list of possible side effects would be good too, for easy checking, but then, that’s maybe going too far.  And yet, I don’t know, as a person ages, their reaction to things change. Side effects DO happen, and it’d be nice to know what they are, to double check.

Example, Dizziness.  Can be from a rapid drop in blood pressure, can be from the blood pressure medicine, or other meds. 

This certainly is a lot more complicated than I thought. Time to read more on Excel, to see what it can do, so I can better track things, including how to make it simpler to do. Time is not an ally.

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