The 21st Century Matriarch

My sisters and I thought we had time to learn about various options at a comfortable pace and then ramp up support for our parents in a targeted way over the next few months. We ordered two cameras to install in their home and made appointments to meet with two service providers for the next time I was in Carrollton – but that plan changed quickly when one of my parents entered the hospital.

I went to Carrollton early - entering 24-hour rotations with one of my sisters to support my parent in the hospital. My other two sisters and my daughter handled things at my parents’ house (it is traumatic for two elderly people married over 70 years to be separated for even short periods).

We learned a lot during the hospitalization about changes we need to make to avoid aspiration of liquid into the lungs (i.e. thickening of ALL liquids to honey consistency is now required). Previously some liquids had been thickened to a lesser amount (nectar) but water was unthickened….and now even that will have to be thickened. But – the reward is no coughing while (and after) eating or drinking!!!!

Small anomalies can make big impacts…low potassium and dehydration were two that our parent experienced. And the associated weakness/dizziness curtailed almost all physical activity for a little over 24 hours which required some slow increase of activity on the following days to get back to ‘normal’…and maybe that was a ‘new normal’ that was a little reduced from the prior normal.

Two cameras were installed and we used them along with virtual meetings to help our parents talk to each between physical visits. We decided a third camera would be worthwhile, so it was ordered.

We quickly established a contingency sleeping arrangement in case the hospitalized parent required more support at night immediately after coming home from the hospital. The room includes a twin bed with plenty of room for a caregiver to move around….and for extra equipment. We are anticipating that ambulation will need to be monitored/supported (i.e. a belt around our parent … a caregiver with a hand on it) during their recuperation until we are sure the fall risk is minimal.

As I write this, our parent is still in the hospital but due to go home within 24 hours. We hope we have ramped up our support plan sufficiently.

Stay tuned for the next installment of Ramping up Elder Care!

Previous posts: November 2023

My sisters and I realized earlier this month that we need to ramp up the support provided to my parents and the needs were quickly going to exceed what the 4 of us could provide. We had tweaked the situation over the past few years in significant ways: they no long drove themselves, their doctor/labs were mostly done in their home, one of us was with them every day providing at least one meal and their refrigerator/pantry was kept well stocked, there was always a pile of jigsaw puzzles, my dad carried a smartphone on his rambling walks so we could locate him (fortunately he never got lost), they both wore fall necklaces, and we set up a voice activated system for reminders/calls for help. They might not need someone with them 24/7…but we are seeing that it might not be that long before they do.

And so – a new adventure begins…

Our first action was to contact their doctor for a virtual meeting about ‘improving support to our parents.’ The doctor also brought a social worker to the meeting. We documented our observations…why we thought more was needed. It was a very productive meeting with some things we could do immediately (like adding some cameras to the home) and a list of services available in the community.

We started with the idea that we wanted to keep them in their own home with support from private care providers to supplement what we do but quickly realized that we should explore assisted living (particularly small, home-like facilities) as well.

Stay tuned for what we learn over the next month!