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

Gleanings of the Week Ending November 25, 2023

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.

20 Incredible Winners From the 2023 European Wildlife Photographer of the Year Contest – Lots of natural beauty…captured in photographs.

A known environmental hazard can change the epigenetics of cells – Formaldehyde. It is a widespread pollutant - formaldehyde enters our body mainly during our breathing and, because it dissolves well in an aqueous medium, it ends up reaching all the cells of our body. It is associated with an increased risk of developing cancer (nasopharyngeal tumors and leukemia), hepatic degeneration due to fatty liver (steatosis) and asthma.

How forest schools boost children's immune systems – It seems the benefits go well beyond immune systems.  Hopefully this type of school for 3 to 5 year old will increase in availability/popularity.

Circular Maya Structure Uncovered in Southern Mexico - Similar round structures have been found at the Maya sites of Edzná, Becán, Uxmal, and Chichen Itzá.

Health Care Workers Are Burning Out, CDC Says - The CDC researchers analyzed self-reported symptoms of more than 1,400 adults in 2018 and 2022 who were working in three areas: health care, other essential services and all other professions. Workers’ self-reported poor mental health days in the past 30 days was similar across all three groups in 2022, but health professionals saw the most significant jump, from 3.3 in 2018 to 4.5 in 2022. Reports of harassment at work also spiked among health care workers over the five-year period, going from 6.4 percent to 13.4 percent.

How To Bring Back the Prairie, a Tiny Bit at a Time – The use of “prairie strips” on farms in an effort to restore a portion of the Minnesota’s remnant prairie and to soak up polluted water.

These Ten Stunning Images Prove That Small Is Beautiful – From Nikon’s Small World Photomicrography Contest. My favorite was the cuckoo wasp.

Deforestation in Colombia Down 70 Percent So Far This Year - Since taking power last year, leftist President Gustavo Petro has enacted a slate of new policies aimed at protecting Colombian forests, including paying locals to conserve woodland. The recent gains in Colombia mirror similar advances in the Brazilian Amazon, where leftist President Luiz Inacio Lula da Silva has cracked down on forest clearing; deforestation is down 50 percent through the first nine months of this year. In 2021, more than 100 countries, from Brazil to Russia to Indonesia, set a goal to end deforestation by the end of this decade, but so far forest loss has declined too slowly to stay on pace for this target.

European wildcats avoided introduced domestic cats for 2,000 years – About 50 years ago in Scotland, however, that all changed. Perhaps as a result of dwindling wildcat populations and a lack of opportunity to mate with other wildcats, rates of interbreeding between wild and domestic cats rose rapidly.

Why grazing bison could be good for the planet - The shortgrass prairie makes up 27,413 sqare miles of remote land straddling the US/Canadian border to the east of the Rocky Mountains. This rare habitat is in ecological decline. Plains bison co-evolved with the short-grass prairie. In the 12,000 years since the end of the Pleistocene, they have proven themselves to be potent ecosystem engineers. An adult bison eats about 25lb (11kg) of grass a day. The grasses adapted to their foraging. Vegetation across the plains uses the nutrients in their dung. Birds pluck their fur from bushes to insulate their nests. Bison also shape the land literally. They roll in the dust and create indentations known as "wallows" that hold water after rainstorms. After the bison move on, insects flourish in these pools and become a feast for birds and small mammals. Pronghorn antelope survive by following their tracks through deep winter snows. Replacing cattle with bison greens floodplains…setting the stage for beavers.