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Old People Deserve Better

  • Posted on September 25, 2011 at 9:35 am

A winning smile, a bubbly personality are all well and good, if you are selling cosmetics, or clothing, or even a car. It works if you are a waitress, or desk clerk at a Hotel, and it can HELP if you are a home support worker, but that is all it can do. 

Old people, are unique.  They have lived a bit, and yeah, they can be ornery, cranky even as they get older, but honestly that is from fear of the unknown. No matter how strong your faith in GOD is, the closer you are to those final days, the harder it is to believe.  So you wind up taking it out on those around you, it is human nature.

Yes Mom can be a handful, can make life exasperating even, and difficult, but you know what, she is entitled to. She is after all 94 and to be honest, I don’t see her making it to 95.  She is tired, of the pain, of the difficulties in just doing simple tasks like getting out of bed, of standing up to go to the bathroom.

She isn’t feeble, or stupid. She knows it is hard on those around her, but she keeps fighting, fearing when her last bit of independence goes, when she becomes bed ridden.  Even I, find myself thinking about that, and I am only 56 years old.  I see how it impacts me, and I know David won’t have the patience, or the strength to cope with what I am dealing with.  So yes, it weighs on a person’s mind a lot, so how must it feel to be 94, and in such a condition?

Sure, there are other old people who are in better shape, and most in worse shape, but the last thing they need, is unwarranted stress added to their already complicated life.  They have enough pain, enough tzuris ( Yiddish for troubles ) that additional burdens are just, well cruel.

Perhaps I have a different interpretation of what Home Support is about.  Maybe that is why I am so disgusted with Beacon Community Services, and the people who run it, along with VIHA ( Vancouver Island Health Authority ) who enable outfits like Beacon Community Services to not just exist, but actually thrive.

In about ten minutes from now, I have to take Mom to the bedroom, not for a change, but to redo what the worker that was here at 9am did, so that Mom is free from pain. So that she can sit and read her book, in comfort, and be clean too.

  • VIHA needs to stop giving contracts to private businesses, without having a proper check and balance system in place. They need to insure that those who are sent into people’s homes, are qualified in proper procedures on how to get an elderly patient up out of bed, and into a bathroom for a wash and dressing.  
  • VIHA needs to take charge, and to deny contracts, or revoke contracts, from firms who place profits above quality of service.

IF you want to be in Home Care, then you need to hire staff that is qualified to do the task assigned. That means actually knowing what you are supposed to do for a Patient, BEFORE YOU ARRIVE AT THEIR DOOR.

I do this 24/7 and perhaps I am too picky, as has been mentioned to me from BCS, but hey, guess what, this is my Mother.  She is 94 and is ENTITLED to be given some consideration.  She is ENTITLED to be cared for, with respect, and with competent care.

Home Support, to me, means that you come in, to HELP, to bolster the primary caregiver by giving them a chance to rest, to be free from doing their job, even if it is for a short FIFTY MINUTES.   That means you come PREPARED to do the tasks listed in the Care Plan. 

You DO NOT use the excuse that it is your first visit, so no, you haven’t read the care plan.  HELL, if it is a first time, that SHOULD BE THE FIRST THING YOU DO WHEN ASSIGNED A NEW PATIENT.

As a business, providing such care, it is YOUR OBLIGATION to hire qualified personnel, and to follow up and INSURE that they are doing the assigned tasks, and doing them PROPERLY.

OLD PEOPLE, cranky or ornery or whatever, DESERVES IT.

too bad VIHA and Christy Clark, along with Isabel McKenzie and Beacon Community Services, disagree with me on that.   Their one and only concern, is how much money they can pocket on the backs of OLD PEOPLE.

Parkinson’s Disease a Possibility

  • Posted on December 20, 2010 at 4:14 pm

And now it begins, or is it that it is just continuing?

Mom is having some difficulty in controlling her limbs. They simply don’t seem to respond to her mental commands, like they used to. It makes her hesitate in getting up, her ability to grasp the handles of her walker.  Or she’ll suddenly stop in mid stride, her leg shaking, but not moving forward.

It has happened a few times before this weekend, but has become more pronounced, more frequent over the weekend.

It is hard to watch, to see her struggle like that. I don’t know how I’d handle that, but she toughs it all out, uncomplaining, until this weekend. At last it broke through, where she mentioned it, meaning it was something she has been holding back. 

Mom is one of those, silent types. She rarely complains, so that when she does, you know it is serious.  And apparantely it is.  I  emailed our doctor Sunday, and he thinks it could be the onset of Parkinson’s Disease.  ( I believe that is what the actor, Michael Fox, suffers from )

Naturally that scares me, and in looking it up, well the fear didn’t exactly go away.  Thankfully the Doctor is coming to visit Mom today ( Monday ), to evaluate her better and see. Course it also makes life more complicated.

With the inability to walk safely, it means I have to watch closer, be more attentive, plus be behind her everytime she gets up. It means, trips out of the home, have to be shorter, if at all. One doesn’t want her walking on her own, then having a shaking spell, losing her balance, & falling.

Up goes the stress now, even though it isn’t a certainty.

Makes one think about how it will be, when they become old. I am not sure I want to, which sounds defeatist, but there is something to the whole  “quality of life” concept. I am not sure it is worth sticking around, if you are wracked by pain, are immobilized or can’t even control your own bodily actions, like having a bowel movement.

It Is About Patient Comfort

  • Posted on October 13, 2010 at 10:03 am
This entry is part 4 of 12 in the series Making A Difference

We had a review yesterday, of the care plan for Mom.  Tanya (an RN for Beacon Community Services) came to do it, and frankly, I was pleased.  To begin with, she came across as a professional, and was pleasent to us both, and more importantly, she knew how to talk to an old person.

Unlike the last visit by Beacon & VIHA representatives (sept 2009). Tanya knew not to use certain words, not to make Mom feel concerned.

The interesting point is though, the RN’s need to get out more, need to do more than just shuffle the papers, such as the Care Plan.  They need to meet all of their patients, to get in the home and understand what is being faced, by both the Workers & the Patients.

Relying on technology is okay, but is a tool, not the solution.  Yes, having things like Care Plans online, for worker access is a big help, but only if that plan is up to date. Plus, workers need to read them, not toss them aside.  And there comes the rub.  See, they expect US to inform them of changes, which I suppose is okay, but let’s face it, we have other things to occupy ourselves with.

There is NO input from workers, which really is a shame. They are the front line people, and their opinion needs to be heard, and taken into account.  It can better streamline the operation, if the office knows that Patient A needs 10 minutes more, while Patient B needs 15 minutes less. 

Changes in what is needed, is more likely to be noted, if workers are assigned to a Patient on a regular basis. IT CAN prevent serious issues, but only IF THEIR INPUT IS ACCEPTED.

Sure, they only have so many hours per day to do their job (the RN’s) but there are things such as email, telephone, that can help them reach out to their clients.  Does Beacon even know if I have an email account? 

Technology is great, IF YOU USE IT PROPERLY.   Something that perhaps should be standard, is regular email contact with Patients who have it.  Regular telephone contact for those who don’t.  It isn’t Rocket Science, though for the operators of Beacon Community Services & VIHA, it certainly seems like it is.

What Is There To Be Thankful For

  • Posted on October 10, 2010 at 9:55 am

It is the Canadian Thanksgiving weekend, and ya know, I wonder.  Just what is there to be thankful for?

I have a cold/flu for the last 2 weeks, every bone in my body aches, but I still have to get up at 7am and can’t head down to unwind until 10:30pm.

Dinner still has to be done, and the battle to make sure a 93 year old eats enough, is constant.

You may be sick, but you still have to be vigilant, to make sure that a 93 yr old takes all of her pills, not just the one’s she thinks she should. (Thanks to the buttinsky of a home support worker).

A wife who shows up and then disappears for most of the night, because he just can’t cope with the old person syndrome.  You know, the smells, the peculiarities, that old people seem to develop.

So what is there to be thankful for?

A routine that only changes when the health issues worsen?

A certainty that nothing you do, is going to prevent the final solution, the death of someone you love deeply.

A constant battle with Home Support Agencies that send workers who are, at best, there for the $20 an hour wage, not about making a difference in the lives of the people they come to help.  A so called ‘non profit’ agency that is really about only making money. A government whose sole purpose is to line their pockets, not serve the people who elect them.

Really, what is there to be thankful for?

For Life

Yeah, life sucks, I feel like shit, but bottom line is, I have a wife, who in his own way cares, and surprises me with his affection at times.  A mother who may be 93, but who is still able to recognize me, and talk to me. 

The ability to actually hold back the dark forces of greed, indifference, by being here for Mom, is something to be thankful for. It’s not easy, and yeah, when you are sick you still have to fight through it and do your job, because no one else will do it for you. And that does make you stronger, for when you are going to have to face your own demons, devils, called BEING ELDERLY.

Not much to be thankful for, or maybe a hell of a lot. I don’t know which it is, at times, but when it comes down to it, it is the life I have, and at least I am alive to experience it. I guess that too, is something to be thankful for.  The memories that can flood in, at just the right moment, that do, make this all worthwhile.

So Happy Thanksgiving, may it be one of many to come.

Swallowing Assessment

  • Posted on July 7, 2009 at 7:30 pm

Our Doctor had a swallowing assessment done for mom. It cost us $165.00 to have some lady show up, all fermished (yiddish for mixed up, confused) as she had lost her keys. Long and short of it, is she assessed mom for about an hour, then supposedly consulted with the Doctor.

Now that is well and good, but in all honesty, not really value for my money.

I mean the one page report was a bit, well, strange. Like telling me to not give her greens, like lettuce because she would choke on it. Something she’s never done. Also to take small sips of juice, or to put her pills, one at a time, in a spoonful of yogurt.

Okay, makes sense, if her swallowing was at a sub par. I mean it is too random to be just the food or how she eats it, that makes her choke. Frankly I think she simply forgets what is already in her mouth, and that is why she suddenly chokes.

stressI also think that stress, worrying, is another major cause. And when she’s calm, relaxed, she can gulp that juice down, with the best of us. Seriously, she really does gulp the juice, and yet, the choking spells are a bit less.

Only thing we’ve basically followed, has been cutting out the coffee. Now maybe that had some effect, but her choking is considerably less than before the assessment.

Kind of makes me wonder, just what was worth $110 an hour?  Frankly, who is worth that kind of money? And Government wonders why health care costs are so much? Geez, maybe they should look at the money they are paying for some of these tests, or assessments.

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