helplessness

Several times over the past year I have walked into my dad’s room at the  nursing home and found him in dire straits.  Some days it was that he was positioned poorly and leaning far over the side of his wheelchair, other times I would find him with food still left in his mouth from the previous meal.

On each of these occasions I would think to myself;  what if I hadn’t come.? would anyone have found him and helped him to become more comfortable?  One evening last week, I walked in to find that he had vomited or spit out what looked to be a glass of orange drink (a protein supplement they give him daily).  Dad’s shirt and pants were soaking wet.  I helped him out of his wet shirt and into a dry gown.

Yesterday afternoon I walked into his room and found him having difficulty breathing.  His throat and mouth were full of secretions.  He was skin was clammy and he was in obvious distress. My efforts to find a nurse were unsuccessful so I rushed back to his room and put his call light on.  Though a nursing assistant answered the light quickly it took a full 10 minutes before a licensed nurse arrived in the room.  A quick assessment showed that the oxygen level in dad’s blood was 81.  Optimal levels are 97-100.  He was started on oxygen and after about 20 minutes was able to clear his throat and mouth.  He was finally breathing easier and the gurgling sound was no longer present when he breathed in and out.

Again, I asked myself, what would have happened if I hadn’t come. Would he have suffocated to death?  I can’t bear the idea of it.  This morning I began to contemplate the idea of placing a nanny camera in his room.  I would love to be able to log onto my computer and see into dad’s room any time of day or night to insure that he is comfortable.  I do not know the legalities around this idea.  I would imagine that I would need permission from the nursing home to do such a thing.  Staff likely have a presumed right to privacy which a nanny cam would clearly violate.  I think that it is definitely worth investigating because my dad has a presumed right not to suffocate to death despite being surrounded by health care professional right outside his door.

A chest x-ray revealed signs of aspiration.  By evening he was running a temp and they had started him on an antibiotic.  As of today he is still needing oxygen to maintain a healthy blood oxygenation. Here we go again. Today I  brought up the topic of a hospice consult. I believe given his change in status that he would meet the criteria for hospice.  Hospice would provide additional services to him right at the nursing home.  Hospice nursing assistants would visit weekly and offer an extra bath and badly needed TLC.  The hospice nurse would work with the nursing homes nurse to insure that all of dad’s needs were being met.  Of greatest assurance to me would be the knowledge that extra sets of  eyes would be on dad during times when myself and my siblings can’t be there.

So tomorrow I will make the call and ask for a doctor’s order to begin the process.   We are planning to celebrate dad’s 89th birthday at my house on Saturday.  I am praying that he will be feeling well enough to come to the BBQ and drink a beer (nectar thick of course but still full flavored.)

Advertisements

3 thoughts on “helplessness

  1. After caring for my Mom for over 11 years in a nursing home, my sister for 3 years and my mother-in-law for a much shorter time, I can honestly say I think nursing homes do not know how to care for sick people. They take good care of people who are infirm and can’t stay in their own homes but who still have clear minds and can speak up for themselves. But heaven help someone who is ill. I’ll be interested to hear the results of your request for allowing you to put in a nanny cam in your Dad’s room. You will never be sorry that you are being so proactive. God love you and give you strength, Mary. Ruth

  2. I wouldn’t have asked, but would have gone the covert route. Turns out that the wireless ones can’t have their video remotely accessed which is the only way that it would have been useful to me. We are going to have to rely on more frequent visits. I have my evenings free in the summer so I can get there pretty easily after dinner. Thanks for commiserating with me. I know that this is a common scenario. As I told Sheila, I’m drinking the koolaid at the first signs of infirmity. I don’t want to be at the mercy of nursing home staff.

  3. The stories you tell about your dad make me angry. Don’t we owe those who have paved the way for us better than what we apparently are giving them at the end of their lives….?? I am not sure wherein the problem lies, but I am sure the elderly in this country deserve better. Maybe the better idea is to give the nursing home staff the koolaid…..

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s