angel_bear
03-17-2005, 11:47 PM
FIL is still at home (miracle of miracles) although he SHOULDN'T BE .. and of course, MIL isn't taking her medication properly (surprise surprise). The Webster pack can't be brought in until we've got ALL her medications out of the house (fair enough .. stops her self medicating) .. so BIL is going to do that on Monday. The doctor has halved her dosages on her usual med's, because the theory is if she stays on the correct dosage, she should settle down (blood pressure wise) ......
theory ........
Anyway, of course, since FIL has been home the LONGEST since the beginning of December (!!) MIL is getting huffy that I'm helping. Now don't get me wrong, I've backed off ALOT, but he still calls and I still go, and he still needs stuff 'done' that she can or can't/won't do, so it falls to me.
Our doctor saw me today (more x-rays on this dang neck of mine today) and MADE me sit down and prioritise .. so I did:
• The 3 children are bickering constantly. Most people think this is normal, and it probably is, but NOT to this extent. Cameron NEEDS his own room. Tamea NEEDS her own room and soon or at least be away from Cameron. These two are too old to be sharing a room.
Option: Sending Cameron downstairs to sleep in the small room. Spreads the kids a bit more, but what happens when Doris get’s it into her head that it’s her room (which she does, she’s using BOTH bedrooms now, at any given moment/time)
• The girls are frightened of grandmother – she is unpredictable, and violent in her frustration. The girls have asked if we could have a ‘real’ home like ‘normal’ people.
Option: I can’t see one. Everybody is under the strain of walking ‘around’ Doris, and the issue is that we’re doing stuff for John.
• The Kids are demanding more parent time and involvement. We used to do stuff with them every weekend and have other activities. Now we are restricted because of dinner and illness. Kids bedtime is same as John’s bedtime, and if asked John would probably wait, but the kids are unpredictable.
Option: I can’t see one. We’re dropping everything for John and Doris. The kids no longer feel they have any priorities in our lives because we constantly put them on hold.
• We can’t make any kind of holiday plans.
Option: We make them and everybody else figures out how to get around it. At least John AND Doris go into Respite Care.
• John’s demands: Sometimes reasonable, sometimes unreasonable.
Reasonable is:
Medication – daily/weekly
Bandaging legs
Retrieving clothes
The odd cup of tea / food
Dinner 4 x week
Gentle back massage
Empty urine bottles as required
Unreasonable is:
Checking to see if the bed is flat.
Waking us up to get his spare oxygen hose (it was at hands reach)
Standing there while he breaths yet when leaving, getting called back to fill a request (water, butter menthol, phone, etc etc)
Waiting for us to get upstairs and then calling us again.
24/7 on call. Even duty nurses get time off.
Dinner 5+ times a week.
Not assisting in food costs. Our limited income has gone from paying for food for 5 to food for 7. We are still paying our own way with the telephone and electricity.
Expecting 3 kids to live in one bedroom and being OK with it.
Not encouraging Community health in to shower and expecting/demanding me cause I ‘do it right’. So do they, they’re trained.
Option: I can’t see any
RECOMMENDATION BY DOCTOR’S
John and Doris are properly assessed by ACAT as High Dependency. Names put down at Moran Aged Care Facility in Sherwood Road. That they gracefully accept the assistance of outsiders and stop putting unreasonable demands on the family. If need be, a family agreement be put in place, and a roster system be activated on visitations, expeditions, holidays etc etc. That way, no ONE thing is being placed on any ONE person.
That John and Doris realize that there is a time and place for home care and a need for assisted care. That nothing more can be done for them at home, and that their best option for a productive life would be in controlled circumstances.
That being in a High Care Facility does NOT mean you are ‘dumped’ or ‘abandoned’ but that it is the most logical medical choice for both people. That 24/7 nursing is available for both without any impact on other family members (eg: the grandchildren).
These facilities ENCOURAGE family involvement, and ENCOURAGE you to go out and about as long as you feel able. That under the controlled conditions, both John and Doris would flourish in their health and mental well-being.
Controlled conditions meaning: Air conditioning. Good flat walking surface areas. Lock-down gardens so no wandering/escaping, 24/7 nursing care. Personal Care assistance in an OH & S appropriate bathroom.
So ..I've sent this to the two BIL's for their opinion/comments ... and I've asked BIL if he could find some time for the 4 of us to sit down WITH FIL and work out a tactic that suits everybody.
**biting bullet, but not holding breath**
Hugs
Sally
theory ........
Anyway, of course, since FIL has been home the LONGEST since the beginning of December (!!) MIL is getting huffy that I'm helping. Now don't get me wrong, I've backed off ALOT, but he still calls and I still go, and he still needs stuff 'done' that she can or can't/won't do, so it falls to me.
Our doctor saw me today (more x-rays on this dang neck of mine today) and MADE me sit down and prioritise .. so I did:
• The 3 children are bickering constantly. Most people think this is normal, and it probably is, but NOT to this extent. Cameron NEEDS his own room. Tamea NEEDS her own room and soon or at least be away from Cameron. These two are too old to be sharing a room.
Option: Sending Cameron downstairs to sleep in the small room. Spreads the kids a bit more, but what happens when Doris get’s it into her head that it’s her room (which she does, she’s using BOTH bedrooms now, at any given moment/time)
• The girls are frightened of grandmother – she is unpredictable, and violent in her frustration. The girls have asked if we could have a ‘real’ home like ‘normal’ people.
Option: I can’t see one. Everybody is under the strain of walking ‘around’ Doris, and the issue is that we’re doing stuff for John.
• The Kids are demanding more parent time and involvement. We used to do stuff with them every weekend and have other activities. Now we are restricted because of dinner and illness. Kids bedtime is same as John’s bedtime, and if asked John would probably wait, but the kids are unpredictable.
Option: I can’t see one. We’re dropping everything for John and Doris. The kids no longer feel they have any priorities in our lives because we constantly put them on hold.
• We can’t make any kind of holiday plans.
Option: We make them and everybody else figures out how to get around it. At least John AND Doris go into Respite Care.
• John’s demands: Sometimes reasonable, sometimes unreasonable.
Reasonable is:
Medication – daily/weekly
Bandaging legs
Retrieving clothes
The odd cup of tea / food
Dinner 4 x week
Gentle back massage
Empty urine bottles as required
Unreasonable is:
Checking to see if the bed is flat.
Waking us up to get his spare oxygen hose (it was at hands reach)
Standing there while he breaths yet when leaving, getting called back to fill a request (water, butter menthol, phone, etc etc)
Waiting for us to get upstairs and then calling us again.
24/7 on call. Even duty nurses get time off.
Dinner 5+ times a week.
Not assisting in food costs. Our limited income has gone from paying for food for 5 to food for 7. We are still paying our own way with the telephone and electricity.
Expecting 3 kids to live in one bedroom and being OK with it.
Not encouraging Community health in to shower and expecting/demanding me cause I ‘do it right’. So do they, they’re trained.
Option: I can’t see any
RECOMMENDATION BY DOCTOR’S
John and Doris are properly assessed by ACAT as High Dependency. Names put down at Moran Aged Care Facility in Sherwood Road. That they gracefully accept the assistance of outsiders and stop putting unreasonable demands on the family. If need be, a family agreement be put in place, and a roster system be activated on visitations, expeditions, holidays etc etc. That way, no ONE thing is being placed on any ONE person.
That John and Doris realize that there is a time and place for home care and a need for assisted care. That nothing more can be done for them at home, and that their best option for a productive life would be in controlled circumstances.
That being in a High Care Facility does NOT mean you are ‘dumped’ or ‘abandoned’ but that it is the most logical medical choice for both people. That 24/7 nursing is available for both without any impact on other family members (eg: the grandchildren).
These facilities ENCOURAGE family involvement, and ENCOURAGE you to go out and about as long as you feel able. That under the controlled conditions, both John and Doris would flourish in their health and mental well-being.
Controlled conditions meaning: Air conditioning. Good flat walking surface areas. Lock-down gardens so no wandering/escaping, 24/7 nursing care. Personal Care assistance in an OH & S appropriate bathroom.
So ..I've sent this to the two BIL's for their opinion/comments ... and I've asked BIL if he could find some time for the 4 of us to sit down WITH FIL and work out a tactic that suits everybody.
**biting bullet, but not holding breath**
Hugs
Sally

