Sunday, February 19, 2012

First day home -- lesson learned

I brought John home late Friday afternoon. As you can see in the photo, flowers from his FedEx team welcomed him.  The condo was filled with their fragrance.

Panic struck a few hours later when he couldn't get his Celebrex (anti inflammation) drug prescription filled because of insurance company pre-authorization rules.  John had visions of his staples popping out at any minute.  I tried to calm him with  ice packs while he waited to hear from the on call doc.  At 3AM I was standing in the local 24 hour CVS picking out the best version of Aleve that would have to fill in for the Celebrex until Tuesday when the doc could talk with the insurance company.  By morning, the swelling was under control, but we were both at "wits end". 

We figured out the drug schedule (I did a nice spreadsheet). It took an hour for us to figure out what was supposed to be taken, when.  Our brains are still "on" so we can only imagine how difficult it is for really old people to figure it. 

The home health care nurse came to check John out.  She was pleased with his progress and his ability to move around.  Told him to keep at it, took his vitals and checked his drugs.  He passed her inspection with Flying Colors.

Here's was we have learned:
  • Care giver should not sleep with the patient if you want a caregiver with enough energy to give care the next day.
  • Patient should always open a request with "Please, could you" or "When you have time" and not be cryptic with "order like" tone or language.  This will ensure that the patient lives through the recovery period.
  • Care giver should remember that the pain is not your fault.  Chronic pain makes even the nicest dude loose his sense of humor.  The world feels like its caving in on the patient. 
  • Patient becomes very self-centered despite himself.  Conversations center on prune juice, Colase and other remedies for the side affects of those "oxi" drugs.  Care giver should smile and endure it for about one hour then shove the New York Times at patient. 
  • Patient should not race while using the walker. 
As the day ended, more flowers arrived to cheer John on. Our thanks to Sandy and Al for good thoughts coming our way.

No comments: