Home care follow up

Today, I took my daughter to the town north of us for a medical scan appointment she had. After that, we went to the livestock supply store to pick up four 40 pound bags of kibble for the outside cats. My daughter hadn’t been to this store before, so she got to spend some time looking around before we headed out.

I had just started the truck to head out when my cell phone rang. Talk about perfect timing!

It was the home care coordinator, following up on the messages I’d left. The last one I left, I told her I was going to be out, and to call my cell phone.

The first thing to talk about was the med assist visit that didn’t happen, two mornings ago. Under normal circumstances, if a home care worker didn’t fulfill a med assist, a note would have been sent electronically to the case coordinator, letting her know why.

She never received any such notice. They only thing they have is a record saying the visit was not fulfilled. My mother was home, awake and waiting for the home care worker, so it’s not like someone knocked at the door and there was no answer. In fact, if that did happen, they would have contacted me about it so that a wellness check could be done.

They are still investigating, to find out what happened. This is the second time this has happened since my mother got out of the hospital, so in only a couple of weeks!

The other thing to talk about was my mother’s extra bubble packs being on her fridge. I know that, when my brother got the larger lock box, all the bubble packs were put into it. He’d even commented on how well they fit. So why were the unopened packs taken out, with only the active pack inside the box? None of us know.

I told her about my own evening med assist visits after being called because they were short staffed. I explained I’d made notes of what I’d done to include in the lock box for their records. She asked if the bubble packs were all in the lock box again and I explained that I was going to do that, but my mother started to get very angry and demanded the inactive pack be put on the fridge, so I did, but made sure it was pushed back far enough that my mother couldn’t reach it herself. I talked to her about my mother saying these would be her “emergency” pills, if no one showed up again, and about what I found when I got her old packs to take to the pharmacy, and brought the loose pills in an organizer I’d found. I explained to her about how my mother had through the pharmacy had changed her prescription in one medication because it looked different, when the only thing that changed was the supplier for that medication.

We also talked about my mother now having a folding, indoor walker on loan from the Senior’s Centre, to use instead of her cane, because of her fears of falling. We talked about her increased memory issues, some of which my mother recognizes, some she doesn’t, and my mother’s own concerns about her finding it harder to communicate.

I did remember to mention that my mother needs an assist for her feet to trim her toe nails. That is something that home care should be able to arrange though the system. If not, my SIL found the name of someone local that does foot care, assessments, nail trims, etc. that we could call.

The coordinator was quite concerned about my mother’s memory issues, as that has gotten noticeably worse, and there is the increase concern for her safety due to reduced mobility. She wanted to talk to my mother directly. So we booked a time for next week at my mother’s, and I will be there.

Then, as my daughter and I were driving home, my phone rang again. Not a number we recognized, but I figured it was probably home care about being short staffed again. My daughter answered and put it on speaker phone.

It was the home care scheduler, letting me know that they did not have someone to do my mother’s med assist tomorrow morning.

🫤

So I will have to do that. She was scheduled for 8:55am, so I will make sure to show up around that time. I’m doing the Costco run tomorrow anyhow, so I can just leave earlier and stop at my mom’s along the way.

Once we got home, I phoned my mother to fill her in. When I told her about the appointment next week, which will be at 10:30am, the first thing she said was, why isn’t it in the afternoon?

*sigh*

I told her, because that’s the time the case coordinator had available!

While we will be talking about the missed visit, which is still being investigated, I told my mother the coordinator will be asking all sorts of things, so this is the time to talk about her worst days. None of this “oh, I’ll be fine, I can manage” stuff! She wants to be in a nursing home, so she can’t be making light of the issues she’s having!

Then I told her about tomorrow morning, and how I am going to the city anyhow, so it’s not problem for me to stop along the way.

Her response?

Can’t you tell them how far way you are?

I told her, they know where live. I am the closest. This is how it works. If they are short staffed, they call me.

Can’t I just do my own medicines?

No.

I didn’t even try to explain about doctor’s orders again.

Then she started to say, when she missed her medications, she felt fine, so it wasn’t a problem. Basically, implying that if they can’t come in for the med assist, she can just skip her medications and it’s fine.

I reminded her, most of her medications are preventative. They’re there to keep her from having a problem, so she isn’t going to notice anything if she missed them once here, and once there. But if it happens too often, then it can cause problems. One of her medications, for example, is for stroke prevention. If she doesn’t take that medication, she isn’t going to feel a difference – until she has a stroke!

To which my mother started saying, do you remember that oval yellow pill? The one for stroke? Do you remember that pill?

I told her, I don’t remember exactly which is which, but I do remember the yellow oval pill.

My mother then started saying, the pill is different now. It’s smaller.

I reminded her of the last time she had issues with this, when the pharmacy changed suppliers and the colour was slightly different.

Oh, the colour is the same now…

I told her, that wasn’t the point. The point is that not all suppliers have exactly the same appearance, but the medication would be the same. So it would be just as strong? she asked. Yes, it would be the same prescription. That has not changed.

I’ve been looking through her bubble packs in the last couple of evenings. Aside from one new pill and one changed dosage, neither of which are oval yellow pills, her pills look exactly the same as always.

When I once again confirmed that I would stop at her place on my way to the city, she started going on about how I go to the city sooo often.

I reminder her, I go to the city twice to stock up, at the end of the month, when pay comes in. That’s it.

We’ve had this exact conversation several times now. To her, it just seems like I go to the city all the time, because she isn’t noticing that an entire month has gone by since the last time we talked and I mentioned I was going into the city.

We got some more snow that started while my daughter was getting her scan done, and we’re supposed to get more, off and on, through the night. It should be done during the wee hours of the morning. Not heavy snow, but I’ll definitely have to be careful about slippery highways tomorrow. Our expected high of the day is supposed to happen around 7am, and then it’s supposed to keep dropping for the next 22-24 hours, when we’re supposed to reach an overnight low of -25C/-13F on Saturday morning. We’re supposed to go from that to a high of -10C/14F on Saturday, and keep warming up to a high of 1C/34F on Sunday! Monday is supposed to be 3C/37F! After that, the highs are supposed to drop to below freezing again, but not by much.

Just a few more weeks, and it’ll officially be spring. We might even have most of the snow melted away by then!

Won’t that be nice!

The Re-Farmer

2 thoughts on “Home care follow up

  1. I really pray they can get your mother into an assisted care home soon. She doesn’t need to be living alone with inconsistent home health. I know it’s beyond your control. I can’t imagine how hard this is for you all trying to manage her care.

    Liked by 1 person

    • Thank you! I appreciate any prayers!

      The sad thing about trying to get her into a nursing home, as she wants is knowing that for any beds to open, it means someone has died. I don’t think my mother understands that. She seems to think of it like moving into an apartment.

      Liked by 1 person

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