Road Trip to Dallas in March 2025

I left home before 6 AM and, because of the shift to daylight savings time, it was very dark for the first hour of the trip. It had been very windy the day before and cold overnight…with snow flurries. Fortunately, it was too windy and not cold enough for any accumulation. I made my usual first stop at a Loves just west of Joplin, before entering Oklahoma. I have made the trek so many times that I am very familiar with the places I like to stop. The next stop is at the Loves when I get off the turnpike at Big Cabin to go south on US 69/75. I buy a protein drink for breakfast. Stop three is at a QT in Muskogee where I buy gas this time. I stop at the Loves in Atoka for a cookie and then the Anna TX Whataburger for lunch…and then I am at the assisted living residence to visit with by dad.

I find him awake and in his rocking chair in his room. We do a round of physical therapy, and he seems resigned to doing the exercises. I notice when he stands up from the rocker that he seems stronger than he did in February after he’d had a short illness. The PT seems to be helping. We walked a bit outdoors…not around the block completely but about half the distance and he didn’t seem exhausted afterwards like he did back in January. I noticed that the redbuds are beginning to bloom, and the evergreen shrubs are getting new leaves. Afterward we disassemble a completed puzzle and put it in its box….started a new one – almost completing the frame before he complained that he can’t see well enough to continue. It had been about 2 hours since I arrived…about the max that he can enjoy at this point.

When I get to the hotel – there is no one at the front desk so I use that as a prompt to walk around outside for about 10 minutes; the afternoon temperature was in the upper 60s and the sun was shining. It was a pleasant afternoon. I took a few pictures of river rocks in one bed… some fiber curves of a yucca, and some mistletoe in a tree. There were drifts of leaves in areas of the parking lot where cars don’t park frequently….and a cedar branch that got painted red when the ‘no parking’ curbs were re-painted.

I focused on my own physical therapy for part of the evening! The food for my dinner that I brought from home worked well – I was glad I didn’t have to go anywhere else once I got to the hotel. I was still feeling the impact of the walk with my dad – must have been enough of some kind of pollen that caused my sinuses to drain (runny nose and sneezes) that continued until the early morning hours.

The next morning, I was up at my usual time and having the hotel breakfast shortly after 6:30 AM when they opened. I headed to the assisted living residence by about 7:20. It was the morning rush in the Dallas suburbs. The route is a main thoroughfare with lights but there was more honking of horns than I remembered from previous trips. My focus shifted to my dad for the hour and half I was with him.

Someone had opened the blinds on his window, and he was noticing the sun shining on the neighboring house’s chimney and then roof. I remembered to water the outdoor raised beds that my sister has planted; it was too cool outdoors to take my dad with me. After I returned, he was ready to work on the puzzle. We finished the frame and made some progress on the interior. He complained that he couldn’t see well enough about the time the staff started serving breakfast and I left. I took pictures of the rocks around the circular driveway of the assisted living residence…mostly sandstone, I think.

I had noticed on the drive down, that my stress level while driving seemed high so I decided to try keeping my thoughts more concentrated on the present rather than planning for events and activities coming up in the next few weeks. I noticed more things along the way:

  • License plates – Maine and Wisconsin were two further afield ones. Most were Texas, Oklahoma, and then, once I was close to home, Missouri. The Cherokee and Choctaw license plates were the most numerous tribal plates.

  • The cars that seemed to be trying to go faster than anyone else – darting from lane to lane on the highway – had Texas plates until I got into Missouri. Then it was Missouri drivers going way over the speed limit (more than 10 mph faster). They tended to get on the bumper of the car not going fast enough in front of them too.

  • There are some trees I recognize going down the road. Sycamores are easy to spot in winter and they haven’t leafed out yet…so they are still distinctive. The Bradford/Callery pears and redbuds are blooming right now so they are easy to ID. The Callery pears (escaped Branford pears) are more frequently seen near towns…where Bradford Pears were planted, birds ate the seeds and then carried them nearby. Sometimes they are half the trees in abandoned fields…along with eastern redcedars. The redcedars are native but they are more numerous now than they were historically because they thrive in damaged soil without periodic fires to control their numbers. The native redbuds are blooming…full bloom in Texas and buds transitioning to bloom in Missouri.

  • There are the always some roadkill that I notice. The most frequent this trip was skunks, but I saw a few racoons as well.

  • There are train tracks along US 69 in Oklahoma. Most were moving. When they were moving in the same direction I was traveling, I could tell that I was going faster than the train!

  • The wind was picking up dust in some places. It wasn’t always visible, but I could hear it when it hit my car. There was more trash along the sides of the road…caught in fences and trees or it would have just continued moving. My eyes felt itchy for much of the drive.

  • As I go closer to home, I noticed several cars that were packed with belongings – the rear window filled with what looked like clothes. I wondered if it was college student going back to school after spring break – with a lot of clean clothes!

When I got home, I checked the ‘stress’ metric that is recorded by my Garmin Lily…and it was lower than it had been on the previous day while I was driving! So – focusing on the ‘present’ is helpful!

Sustaining Elder Care – February 2025

I took three days for my monthly trip to Dallas rather than the usual two. A weather forecast for snow prompted the decision…since it would be impossible to leave early in the morning. There were two appointments I wanted to keep – one to signing tax forms for my dad and the other to complete the set up at his bank so I could sign for him if needed. It turned out that the drive down was not bad. The highways were clear; the first rest stop still has some snow/ice remnants but even that had melted way by the time I was mid-way through Oklahoma.

I got to Dallas early enough to see my dad on my that first day…and two more times before I left to come home. During my recent visits, I’ve noticed my father’s further decline each month – both physical and mental. He rarely can complete a sentence now and tends to look at his feet when he stands up and walks (hunched over) with the walker. The cold weather keeps him from taking walks outside most of the time and the impact on his physical fitness is noticeable. It felt right to see him for the extra day.

He had another round of Covid since my last visit; he appears to have come through OK although he had a few rough days when he was quarantined to his room, and he became concerned that the house was too quiet (thinking he was alone in the assisted living residence). One of my sisters arrived (masked and gloved) at the perfect time to reassure him. And now the house is back to normal with residents out in the shared big room more frequently…and a television on there.

We had a rough time starting a new puzzle on the second afternoon but then did very well the next morning – completing the frame and forging ahead. Dad seemed more adept at finding pieces that fit. Perhaps he is always more alert mentally in the morning. I’ll need to consider that going forward.

I drove home on the third day and it was unexpectedly harder than I thought….foggy and rainy the whole way. The temperature was high enough that I wasn’t worried about ice, but the sheets of water thrown up by the big trucks on the highway along with the wind made for a stressful drive. The 7 hours on the road was exhausting. I was relieved to be home again.

Sustaining Elder Care – January 2025

Bad weather in Dallas caused my sisters to be unable to visit my dad for several days; it was a milestone for us. We were all glad that the assisted living staff had anticipated the travel challenges and adjusted so that they were never short-staffed. The residents could simply enjoy the snow (and ice) through the windows…without disruption of their usual routines.

This time of year, we are always a little concerned about winter ailments – colds, flu, etc. When we visit, we mask if we think we have been exposed to anything…and stay away if we are sick ourselves. Dad was not feeling well one morning – which always puts us on high alert - but seemed to bounce back later in the day; the vaccinations and his immune system seem to be helping him stay healthy.

The 300-piece puzzles are still something we do with him…and walking…and just sitting with him. He has never been a very talkative person and now he often seems to just want to sit in silence, enjoying the companionship of a visitor but not needing to talk.

Gleanings of the Week Ending December 28, 2024

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

5 New Year’s Resolutions for Your Garden – All 5 are good ideas! I am on my second year of ‘turn an area of turf grass into a native garden.’ If the native trees/shrugs I planted last fall survive…it won’t be hard at all to reduce some turf in 2025. I haven’t used pesticides since we moved to Missouri and we already use electric or hand-powered tools. We have a bird bath. I am not at 70% native plants – yet. That one could be hard although I am going making some progress; I will eliminate a Japanese barberry and forsythia in the spring to make way for more native plantings.

Best of 2024 – Square Meter Prairie Photos – Macro photographs from The Prairie Ecologist.

Scientists Unlock the Secrets of Crocodile Skin and Its Irregular, Mystifying Patterns – Research that discovered that the uniqueness of crocodiles’ head scales is driven from mechanical processes, such as growth rate and skin stiffness, rather than gene expression.

The Case of The Missing Cinders from Yellowstone's Cinder Pool - What happened to the cinders that used to float atop Cinder Pool in the One Hundred Spring Plain area of Norris Geyser Basin? Cinder Pool was one of the few known cinder-producing pools in the world. Using historical water chemistry data, the pH (4.1 ± 0.2) of Cinder Pool was fairly constant from 1947 to 2015, and the sulfate concentration was relatively low (80 ± 20 mg/L). Cinders were last observed in 2018. By April 2019, the pool was lacking cinders and had become significantly more acidic, with the pH dropping to 2.6 and the sulfate concentration increasing to 350 mg/L. Cinders were no longer being generated, and the appearance of the pool changed drastically. Dynamic Yellowstone!

Animals That Turn White in Winter Face a Climate Challenge – There are some snowshoe hares that stay brown during winter…and they may be surviving better in areas that are now getting less snow in the winter. Animals that are adapted to winter by turning white…might find the adaptation a hazard if there is no snow!

Natural disasters killed thousands around the world, caused billions in damage in 2024 - In the United States alone, there have been at least 24 weather-related disasters that caused more than $1 billion in damages each according to the National Oceanic and Atmospheric Administration. Since 1980, the annual average number of events is 8.5. When counting the most recent five years alone -- 2019 through 2023 -- that average increases to 20.4 events per year. The cost of climate change is increasing around the world…impacting everyone.

The global divide between longer life and good health - Life expectancy, or lifespan, increased from 79.2 to 80.7 years in women and from 74.1 to 76.3 years in men between 2000 and 2019, according to WHO estimates. However, the number of years those people were living in good health did not correspondingly increase. The average global gap in lifespan versus healthspan was 9.6 years in 2019, the last year of available statistics. That represents a 13% increase since 2000.

Scientists Just Dissected the World’s Rarest Whale in New Zealand - Only seven spade-toothed whales have ever been identified, and the species has never been seen alive. When a 16-foot, 3,000-pound carcass washed ashore on the South Island of New Zealand in July; it was in remarkably good condition and appeared in a region of New Zealand that allowed researchers to perform the first-ever dissection of the species. The research and dissection process was under the guidance of both scientists and members of local Māori tribes on the South Island. Some discoveries: vestigial teeth, 9 stomach chambers, and head trauma was cause of death.

Interior Department Signed 69 Tribal Co-Stewardship Agreements In 2024 - The agreements cover a range of ways designed to bring tribes into management of public lands. That includes efforts by Interior to expand bison habitat and entering into bison co-management agreements with tribal leaders, shifting historic preservation responsibilities from federal agencies to tribal agencies, carefully weighing the impact of federal agency action on sacred sites, and expanding and reforming self-governance as part of the Practical Reforms and Other Goals to Reinforce the Effectiveness of Self-Governance and Self Determination for Indian Tribes (PROGRESS) Act.

Study likely to change standard of care for deadly strokes - Endovascular therapy, or EVT, -- a minimally invasive surgery performed inside the blood vessels -- is 2 ½ times more likely than standard medical management to achieve a positive outcome after vertebrobasilar stroke that affects the back of the brain, including the brain stem.

Elder Care – December 2024

There is always a flurry of activity during the holidays. My sisters and I are striving to make the activities we do with my dad enjoyable for him – rather than confusing/traumatic which can happen when a person does not understand the world as well as they did previously.

My sisters decorated his room for fall/Thanksgiving. I’m not sure how much he noticed because he didn’t comment about them. But they were decorations from his home before before he moved to assisted living. We all felt that continuing with the decorations was better than stopping the tradition.

He seemed to enjoy a Thanksgiving feast at my sister’s home. Another sister brought him from the assisted living place, there were only 4 other people for the feast, the meal was simpler than our Thanksgiving meals from the past (fewer choices), and he was back ‘home’ in about 3 hours.  I celebrated that the thoughtful accommodations seemed to work!

Now his room has been decorated from Christmas and a version of the display that was on the mantle of his home in previous years in on the mantle at the assisted living home where all the residents can enjoy it. Even if he doesn’t remember it from before – I hope that he enjoys the beauty of it now.

There are some rooms that have become available at the assisted living home; my sisters and I briefly talked about whether we want to move him to a different room – either slightly bigger or with a window with a better view; we decided it was not a good idea. It would be hard for him to adjust to the move …remembering where his new room was located would be challenging for him. He seems to feel secure and comfortable where he is now and knows where his room is from the shared areas of the house.

I’ll see him after Christmas this month!

Thanksgiving

I am thinking of Thanksgiving ahead of time – planning a quite holiday with family with activities planned before and after:

  • The holiday light display is open for Friends of the Garden the Monday before Thanksgiving…so we will enjoy our first walk through of the season unless the weather is wet. I missed seeing them at all in 2023 because I was in Dallas for the later part of the year.

  • I am not a black Friday shopper…but enjoy being outdoors (maybe working off some of the calories from the day before). Our November has been relatively mild…good hiking weather.

There is also plenty in my life to be thankful for right now:

  • My dad is comfortable at his assisted living home; my sisters and I are able to visit him frequently.

  • I have finished my Missouri Master Naturalist training, and the volunteering opportunities seem to be coming along as I expected. There is much to learn and do even during the winter.

  • The Identifying Woody Plants class at Missouri State is about over…and I thoroughly enjoyed the field trips – learned a lot about great outdoor places close to where I live.

  • Our home is snug – ready for winter…the sprinkler system winterized and the heating system checked.

  • Both cars are performing well. Both have been used for road trips recently. My husband and I both appreciate the driver’s aids on modern cars when we make longer drives.

  • The fall has been prolonged by the milder temperatures. The color might have been muted from less rain in the summer, but the length of the display made up for that.

  • Internet Archive is back online. I missed it a lot while it was down and realize how much I savor browsing through its digitized old books; many of them are not available otherwise.

Life is good….

Sustaining Elder Care – November 2024

I have two book/puzzle sorting days at my community library before I go off to Dallas again…I am hoping to find some more 300-piece puzzles to take for my Dad. I think he is probably running a bit low and maybe my sister is bringing some older ones back that he hasn’t done recently. We don’t have as many 300-piece as we do 500…and those 500-piece ones are getting too hard for him.

The past month has been more stressful in terms of elder care than I anticipated. There is a disagreement between us daughters about whether he is having pain when he eats and he needs his food ground up. Observations of him eating are not consistent. We have asked the dentist he saw last to make an assessment….since to make the change in mealtime routine for the assisted living staff will require a doctor’s order.  On the plus side – I don’t think my dad is aware of the turmoil. Most of the interaction among my sisters and I is via text; I’ve stopped looking at the messages about an hour before bedtime to try to reduce the impact on my sleep. It’s also caused me to start thinking more about what I want my relationship with my sisters to be separate from our shared interest in our father’s well-being.

Book sorting for Friends of the Library

There were not a lot of books on the table to sort when I volunteered this week…and there weren’t any 300-piece puzzles on the shelves (I can buy them for $2 each to take to my Dad when there are).

The shelves that we use for sorting were full for hardback fiction, softback fiction, history, and non-fiction. I boxed books and managed to mostly clear the table while I did.

Just as I was beginning to think I would finish early, a librarian brought in a cart of donated books! There was enough hardback fiction to fill a box – no trip to the shelves for them. And the rest I sorted onto shelves. And the big bonus: there was a 300-piece puzzle that will go to Dallas next time I make the trek!

Dallas and Back – October

I made my monthly trek to Dallas and back late last week. It was a cold morning as I left Missouri…getting away well before 6 and my nav system routing be around a nighttime road closure before I even made it to the highway! It was almost sunrise by the time I made my first rest stop. The color in the sky changed even in the short time I was in the building getting a protein shake for breakfast.

The color was mostly faded when I stopped the second time although it was still within the hour after sunrise.

The drive was uneventful although it seems like there is more active construction on some parts of my route than a month ago. Perhaps they are trying to reach a milestone before winter weather or maybe previous work had been hampered by very high temperatures in southern Oklahoma and Texas.

I visited with my dad and then headed to the hotel to relax…recover from getting up a little earlier than usual and driving for almost 7 hours.

The next morning, I was up and ready for a breakfast at the hotel at 6:30 then arrived to visit my dad shortly after 8 AM. We took a walk around the block. The weather was coolish (he wore a quilted vest over his long-sleeved shirt) and the sun was bright. Some of the houses had fall/Halloween decorations. The bald cypress trees I had noticed last time I walked with him were beginning to lose their needles. They will be ‘bald’ soon!

I was on the road heading home shortly after 10. The drive between the assisted living residence in Dallas and the border between Texas and Oklahoma is the most stressful part of the route – the speed limit is 70 mph for most of the way and people are trying to go that fast and beyond even when the traffic is too heavy to allow that safely.

I got home by about 5:30 and my husband informed me that we might be about to see the aurora after it got dark. We went out about 8…and there it was…faint but definitely some color in the Missouri sky!

Sustaining Eldercare – October 2024

A big worry in any group living situation with older people – something contagious going around - seemed to be happening in late September. Dad developed upper respiratory congestion and was not feeling well at all; the medication his doctor prescribed made his balance even more precarious but appeared to help him otherwise. No one else in the assisted living residence had it so it might have been a seasonal allergy flare up. He is the only resident that goes outdoors on a regular basis – for his walks around the block and to help water plants around the patio. He is back to normal at this point and the family is very relieved.

We are continuing to enjoy jigsaw puzzles with him. There are some clues that don’t work for him anymore – like tiny writing on a puzzle piece; his eyesight is not good enough to read the words.

One of my sisters took a closer look at his toothbrush and electric shaver recently. The toothbrush needs to be replaced, and the electric shaver looked as if it hadn’t been cleaned for a long time. Since both of those things are items we need to provide for him, we should have been monitoring them more closely. We are good about the things we do for him daily (like putting out clothes for the next day) but probably need a list of things we check periodically (like the toothbrush and electric shaver)! The other toiletries – like toothpaste and lotion and soap – were already on our radar and there are extras of those things already available under the sink of his bathroom.

He has been living in the assisted living residence for 10 months now. My sisters and I are still tweaking how we best support him…some is just to be expected since we want to be responsive as his needs change, but other tweaks are discoveries for us of things we should have been doing proactively all along (like checking the toothbrush and the electric razor).

Road trip to Texas – September 2024

I made a 2-day road trip to Texas to visit my father. It was the usual 7 hours on the road each direction. It was dark when I left my house. The moon was close to the horizon and looking very large. I should have stopped for a picture when a few clouds drifted over part of it – missed the opportunity. More clouds and fog blinked out the moon before I got to my first rest stop and gave the day an eerie start. I was more than halfway to Texas before the temperature was in the mid70s, but Dallas was in the 90s when I got to my dad’s assisted living home. We finished a puzzle and watered plants around the back patio, but it was too hot to take him for a walk around the block.

I had forgotten that there was a partial lunar eclipse…didn’t venture out of my hotel room. My husband sent a picture the next morning that he took from our front yard.

The next morning I visited my father right after breakfast…a great time for a walk. He is moving more slowly but walks often enough that other walkers in the neighborhood recognize him! There is a lot of home maintenance/improvement going on in the neighborhood. One family had enclosed more of their yard and made rock gardens in the parts that are too shady for much to grow; a small branch had fallen from the tree and was leaning on one of the larger rocks….photo-op.

There was an interesting leaf in the middle of the street…..not the usual fall foliage. It might have been from a Bradford Pear. My dad was so focused on walking that he didn’t seem interested in the leaf, but I took it back to his room as a memento to share with his next visitor.

Getting out of Dallas was a bit challenging. There seemed to be more-than-the-usual stalled cars/trucks (in traffic lanes on US 75 rather than off to the side) and there was some construction. I made a stop to relax a bit close to the border with Oklahoma…and am glad that the rest of the drive back to Missouri was uneventful.

Sustaining Elder Care – September 2024

The past month has been challenging with one sister still traveling and another exposed to COVID (disrupting her visits to my dad). We have still sustained our goal for someone in the family to see him every day.

He is changing a bit too…often wanting to go to bed much earlier than usual. That compresses the time for us to have a good visit with him. Sometimes he will get up when one of us arrives and work on the puzzle or go for a walk if it is still light outside. It helps that the weather is not quite as hot as it was in August.

I found 9 puzzles at a used book/puzzle sale done by the Springfield MO libraries and my sister that it traveling has purchased puzzles at some of the places she visited. One of the ones I found might be kept until closer to Christmas rather than leaving it for him to do now.

The staff at his assisted living home has encouraged us to proactively reduce the clutter in his room so his day-to-day activities are less confusing to him. We’ve cleared surfaces by putting some things in enclosed storage areas and reduced the numbers of linens (he had more than double what he needed!). We took away shoes and clothes that he doesn’t wear any more. We tried to transition him from jeans to pull-on type pants and discovered that he wants to stay with the jeans!

His medical team which makes house calls for his checkups has done bloodwork, and he is in good health. But he is over 90 and some days he feels better than others.

One of my sisters is looking for ways to use his television screen to provide visually interesting slideshows; he is not interested in watching television shows or the news anymore. Hopefully we can do some experimenting over the next month to see if we can develop another activity he can enjoy.

Sustaining Elder Care – August 2024

One of my sisters is taking an extended road trip this month, so the 3 of us still around are adjusting so that one of use sees my dad every day. The real crunch will come later this month when another sister will be out of town for a week. It’s a good thing the assisted living home seems relatively calm at this point and dad is getting morning walks, puzzle time, and eating as well as usual.

He likes puzzles with fewer pieces now (up to 500…rarely one with 1000 if there are a lot of clues in the puzzle and the pieces are not too small). I had one puzzle that I took during my first visit this month and there will be an opportunity to buy used puzzles before I go later in the month. We are also starting through some of the puzzles he did months ago; his memory is such that he doesn’t remember them from before…they are a good challenge all over again.

His doctor has taken him off all the supplements he had been taking for years because they were causing him digestive problems. It was more difficult for him to swallow them now too. He gets the equivalent of a multivitamin as a liquid (purchased in powder form and taken mixed with water); he is feeling much better after the change.

Another change that is occurring – he appears to have developed ingrown toenails for the first time in his life. Fortunately, the assisted living has a podiatrist that comes periodically. We are scurrying to buy some open toed shoes for the day after the ingrown toenails are resolved.

The plants one of my sisters planted around the back porch area of the house had required daily watering – which we were all doing as part of our visit with dad – but the house sprinkler system has been fixed and we only need to water on days that it doesn’t run now.

We are beginning to feel that we have a routine that works for us and my dad (and the staff at the assisted living home) although we are very conscious that the routine will need to be tweaked as his needs change.

Sustaining Elder Care – July 2024

A full month had passed since my visit to my father in June and I noticed that his situation seemed calmer this month although the staff at the assisted living home were stressed with acclimating 2 new residents and the further decline of another. It took them longer to answer the front doorbell on both of my visits, but on both days my dad’s room was clean, he was dressed in clean clothes, and he had just finished a meal.

Since I arrive in the afternoon, it was too hot for a walk outdoors. One of the staff members stopped by to tell me she had taken him in the morning just after breakfast. We finished a puzzle in the great room (he was very pleased since the easy parts had been done the day before and the remaining pieces were mostly the same color). Afterward we went into the back yard, and he sat in the shade while I watered the plants that my sister managed to transfer from his former home; they need to be watered daily in the hot Dallas summer; my mother’s miniature rose bush is blooming profusely. I put out his clothes for the next day. It seems 2 to 2.5 hours is the ideal duration for visits with him. When I left, he was going to take a nap.

The next morning, I got bitten by something (ants?) as I waited for a staff member to let me into the house (fortunately the welts disappeared quickly once I used my After Bite stick). The staff were evidently overwhelmed with helping another resident (or two); they left the door a little ajar so I could immediately take Dad for a walk. The temperature was still pleasant, and I was surprised at the pace Dad set; it is clear that he is walking regularly and had built up his stamina. We made it around the block in good time – but enough that whatever was keeping the staff busy had resolved by the time we got back. I encouraged my dad to drink some water and we started a new puzzle. It turned out to be harder than we anticipated, and we only got about 2/3 of the border done before we decided to take a break to water plants in the backyard. And he was worn out from those activities…ready for a nap before lunch!

My dad is visited by me or my sisters almost every day. We all put out clothes for him to wear the next day and (right now) water plants. If the weather permits, we take him for a walk. We work on a puzzle with him. There has been at least one instance where he has requested that a puzzle be framed for his wall – and participated in the process to get it ready for the frame. He seems to be settling into a comfortable pattern.

The newest challenge has been him getting cold and putting on a jacket when he is in his room. Evidently the thermostat for his part of the house is in the kitchen and when there is a lot of cooking happening there it gets hot enough to cause the air conditioner to come on. His room gets about 5 degrees cooler than the kitchen! The staff is aware of the issue and is monitor. We are also reminding him that it is warmer in the community room where the puzzle table and large recliners are located…but he seems to prefer the jacket and his room at least some of the time!

Previous Elder Care posts

Sustaining Elder Care – June 2024

A lot had happened over the past month.

A resident of the assisted living home came down with a respiratory infection but was getting better; then another one became sick and spent a few days in the hospital before returning. My dad didn’t get sick at all. The episode caused an uptick in anxiety for my sisters and I for a few days.  

One of my sisters was going to cut his toenails and discovered two small wounds on his leg. He didn’t remember how he’d gotten them and there was no incident reported by the staff. Fortunately, they were not infected and appeared to be healing.

With the staff turnover, we have realized that his medications are not being given as consistently as we assumed. One of my sisters reviewed the meds with a staff member and discovered that the supply of some supplements had be depleted and no one had told us more needed to be purchased! Most of what he takes are supplements, but now we are concerned about whether he has been getting his few prescription drugs reliably since his ophthalmologist discovered he had a small stroke near one of his optic nerves and can only see light and colors in that eye now; we will always wonder whether the assisted living staffers were giving him the eye drops prescribed to lower the pressure in his eyes.  

My dad complained of his front teeth hurting; we have known for some time that his lower teeth were loose and that there was not enough bone or other teeth to do any kind of restoration. The decision had been made to cut up his food and train him to avoid using those front teeth. But that was before they started hurting. My sister that handles most of his medical appointments contacted the doctor that comes to the assisted living home for most of his medical needs and discovered that they there is a dentist in their practice! Within a few days, the dentist came, got updated x-rays, and pulled two lower teeth! Both were not in much bone and were relatively easy to pull. Now the staff really will have to pay more attention and cut up his food consistently; even though the requirement has been in their document for him since January, they seem to lapse into serving him food that he can’t eat with the teeth he has (or rather doesn’t have).

The only doctor he leaves the assisted living home to see is a dermatologist; a small skin cancer was removed this month. The visits are quite tiring for him…being in the car, waiting for the doctor…the procedure itself is very short. My sisters and I anticipate a time when he won’t be able to withstand that kind of medical appointment.

He is still doing puzzles – enjoying the shared project with anyone visiting him. He is joyous every time one is finished.

The flower beds at the assisted living home contain some of the plants from his previous home…planted by one of my sisters. They are doing well however, she is frustrated that one of the beds that she hasn’t work on, is full of Virginia Creeper; she is too allergic to do anything that bed.

The weather in Dallas has gotten hot enough that walking in the afternoon with Dad might not be a good idea. We all try to take him for neighborhood walks whenever the weather is cool enough. The walks will probably be more and more skewed to the mornings.

Dad seems to be adjusting to the upheavals well enough. He is more resilient that any of us anticipated.

Previous Elder Care posts

Sustaining Elder Care – May 2024

Since my last ‘sustaining elder care’ post, I have been to Dallas twice and am acknowledging that maybe my plan to drive down once a month is not going to work. Two times a month is becoming my more realistic plan.

Now that the days are longer, I can visit in the afternoon on the day I drive down and again in the morning before I drive back to Missouri. My dad is the only morning person in his assisted living group home so visiting him in the morning is prime one-on-one time. He frequently has a ‘first breakfast’ before anyone else is awake (about the time I arrive) and then eats again with everyone else. Between the two light meals we can take a walk around the block or maybe further if his stamina increases; in the summer, the morning walk might be his only walk of the day.

One of the challenges right now is that my dad tends to lose track of his reading glasses (he needs them to work on puzzles). My sister has brought a supply but hopefully some of them will show up again. While we were working on the puzzle during my morning visit, he did it without glasses! He seemed to enjoy the challenge of working from the shape of the piece entirely – and he was successful plenty of times.

I bought 10 more puzzles at the $3/bag day at my Missouri library’s used books (and puzzles) sale. What a bargain! One of them was a duplicate but it still was a good deal! We started the beach and lighthouse puzzle in the upper left corner of the picture below during my first visit in May.

There has been some upheaval at the assisted living home – the lead staff member being reassigned to another home and some leadership being rotated in from other homes – the company searching for a permanent replacement. There is also a new resident in a room near my dad’s. So far, he seems to be unperturbed by the changes, but my sisters and I are thinking more about what our plan would be if something went very wrong at the home where he is.

Previous Elder Care posts

Then and Now – Family

In the 1960s, I was growing up in a large extended family. My mother had 8 siblings and my father, an only child, was close to his cousins. Most of our traveling was to visit family. By the time I was in elementary school, my parents had a second car, and my mother took us to her parents’ home for a week or so during the summer to see the aunt and uncles…continuously growing number of cousins. I remember my grandfather’s construction projects that included a covered patio/carport with a very long table and bench overlooking a large elm where he’d fashioned a table and benches to fit neatly around its large trunk. We ate every meal aside from breakfast outdoors! There was also a large barbeque pit with a huge grill and an oven built into the chimney. He built a fountain of natural stone near the garden…the swimming pool was a little further away. Prior to the swimming pool being built, he often found a river suitable for swimming for all the aunts and cousins….and he would do some fishing. I enjoyed one-on-one time with my maternal grandmother at her work (she owned/ran the mill); I remember her writing letters to one of her daughters that lived far away over a few days before deciding it was long enough and sending it off.

 My paternal grandparents moved to live near us in the late 50s, so I saw them very frequently – lots of good food, gardening, crocheting, sewing, dominoes and checkers. We saw my dad’s extended family at gatherings held at his paternal aunt’s house. I remember my great aunt had hollyhocks beside her porch. We visited his maternal aunts (and grandmother) that lived in the same town. I associate my great-grandmother with chocolate covered graham crackers and her daughters with plants (my grandmother had a number of plants that she received originally from her sisters).

The food was always plentiful and included veggies from the garden. The paternal side of the family also cooked Czech desserts (kolaches!).

Now the family is significantly smaller. I have 3 sisters and am the only one that lives further away; only 1 of my sisters has children so the number of cousins is small. My husband had 2 sisters, but they are already gone as is his extended family. My sisters and I are transitioning from a relationship that has be very focused on caring for our parents over the past few years – not yet settled into a new normal without our mother. I am not close to my cousins although I have been seeing 3 of them more frequently at funerals recently…realizing that we have in common our adjustment to life after long-lived parents die.

I drive from my home in Missouri to visit my dad near Dallas once or twice a month in his assisted living home. My daughter goes with me sometimes. One sister visits him almost daily. The other two visit once or twice a week when they are town. I try to see at least one of them when I visit Dad. Two of them have visited us in Missouri. We text each other frequently – mostly keeping each other informed about what is happening with Dad. There are infrequent emails, phone calls, or zoom meeting. I enjoy my access to a frequently updated cloud folder of great nephew pictures. The way we keep in touch when we are not together has changed significantly since the 1960s!

Food had changed as well. We seem to all have foods we are avoiding now (and the problematic foods are not the same!)…and desserts are not something we want as frequently. We tend to go to a restaurant for special occasions more often then eating at home.

Previous Then and Now posts

Sustaining Elder Care – April 2024

2-day trips to Dallas have become the norm for me. I leave early from home, visit my dad immediately after I get to Dallas in the early afternoon and take care of any other business thereafter…then stay in a hotel overnight and drive home the next day. Now that the days are getting longer, perhaps I might visit him a second time in the morning before I head home although the assisted living group home is not ‘early.’ I probably would not want to arrive for a visit before 10 AM.

Dad still enjoys going out to eat and we are exploring more places nearby.

The warmer weather is great for walks. We have discovered that he does better with a four-wheeled walker than the two-wheeled one. The rough pavement makes it very hard to use the two-wheeled one. His balance is much improved holding onto the four-wheeled walker and he walks at a pace that is more like the way he walked prior to using a walker.

He has decided that 500 pieces puzzles are usually too hard…and he wants bigger pieces. I got 10 puzzles for $20 at the library’s used books (and puzzles) sale; knowing what they have is one of the benefits of volunteering for setup. Most of the puzzles I got have 300 pieces and I am hopefull my dad and others at the group home will enjoy putting them together. I picked ones with bright colors too – although that wasn’t a requirement from my dad.

One of my sisters and her husband took my dad to her home to see the eclipse on the 8th. Unfortunately, he didn’t understand what was happening and kept asking where he was. It was a learning experience for our family – we will continue to enjoy taking him out to lunch occasionally but be very careful not to overwhelm him with more complex events away from his assisted living home.

I had thought I would be able to get down to one visit per month…but so far that hasn’t happened.

Previous Elder Care posts

Birthdays

The birthdays in my family are almost all in March, April, and May! So – I’m thinking about the way we have celebrated birthdays over the years. The age range for the group of 8 is 2-93 years!

Food has always played a big role in birthday celebrations. Sometimes there was cake – bakery (I remember a few in the 1960s where the cake was in the form of an elaborate dress around a Barbie doll), homemade, or ice cream (strawberry or mint chocolate chip being the most popular flavors). Recently there hasn’t been cake for most adult birthdays since we’re all reducing sugar in our diets. But we do enjoy a meal at a restaurant…or take out…or a special home cooked meal. When I was growing up, my paternal grandmother was the one that prepared most special meals which always included her Czech pastries: buns with raisin centers, kolaches and cinnamon rolls.

If we can’t be at the celebration in person, we at least acknowledge the birthday. These days I send texts …previously we sent emails…and further back there were cards. Since all the people with spring birthdays live in the Dallas area, most of the family manages to participate in the celebration….except for my family who live in Missouri.

As we’ve gotten older, there are less presents exchanged…it’s the time spent together that is the primary component. We tend to get things for each other in a more ad hoc way and try to avoid presents that will simply be ‘stuff’ that accumulates through the years.

The oldest of us (my dad) enjoys a good meal so there will be one on his birthday…but he enjoys the outings to a restaurant so much that we are doing it more frequently. My sisters and I are all keen to discover what he likes…and provide it! We don’t need the excuse of a birthday or other celebration… we are simply in the mode of savoring that he is still with us!

Sustaining Elder Care – March 2024

A recap: My sisters and I started our journey ramping up elder care back in November. At first we thought we were being proactive in our conversation about ‘next steps’ with my parents’ doctor….but, less than a week later, my mother was critically ill and in the hospital. I spent the next 7 weeks in Texas. My mother managed to recover enough to come home before Thanksgiving even though she needed a lot of support at home. We hired caregivers to assist her at night through December and moved my parents to an assisted living group home just before the new year. As we worked to get them settled into the assisted living routine, we started a surge of effort to get their house cleared and on the market; the sale was finalized at the end of February. Both parents responded favorably to assisted living and decided they wanted to go out to eat occasionally rather than having special meals via take out as we had done for them at their house. In mid-February, they became sick with COVID…my dad first; he got Paxlovid and was recovering. My mother tested positive a few days later; her doctor adjusted her meds and she got Paxlovid; at first her case seemed even less symptomatic than my dad’s; the staff at the group home thought her breathing was wheezy one afternoon (even though my mother did not think she was having breathing problems) and sent her to the hospital via ambulance; she died 2 hours later.

The last few weeks have been busy ones. We reconfigured my dad’s living space from two rooms down to one and are in the process adjusting the assets my mom and dad accumulated to support his long-term care. As I write this, I realize that we have already settled into a ‘sustaining’ rather than ‘ramping up’ mind set. It isn’t that we won’t evolve what we do based on my dad’s needs…but we have a framework that will stay the same: the assisted living group home…daily visits from family….out to eat several times a month…walking in the neighborhood when the weather is good. Right now, he is still adjusting to not having mom around all the time; she was there for him for over 71 years. We are grateful to the staff of the assisted living for their increased attention. He still has times when he looks lonely…but he is talking more than he did when mom was around to talk for him.

Going forward, my trips to Texas will be quick ones – drive down and visit with dad in the afternoon before I head to my hotel, drive home the next day. Sometimes I will visit with dad in the morning before I drive back. I have done 2 of these trips so far in March. My sisters are there more frequently because they live closer than I do – one is there almost every day, another comes 2-3 times per week, another once or twice a week. Along with taking him out to eat, we put out his clothes for the next day, work on a puzzle with him, accompany him on a walk, help him find something that he lost (his wallet with his id and he glasses tend to go missing).

My sisters and I have had conversations about how much we have accomplished in the past few months – having to adjust very rapidly. We are not exactly relaxed at this point, but the stress level is dramatically lower!

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