Tag Archive | minimal assistance

Overcoming the bridge

Defeating the bridge! Three weeks ago when staying here I could not walk over the bridge without my husband helping me. With practice, lots of prayer, walking and exercise I have built strength and now I can get over the bridge on my own using my LifeGlider.

Regaining confidence

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Recently I decided that it was time to let my sewing machine go. Besides, it
has been just sitting there collecting dust for over three years. Before I had surgery, I was already experiencing diminished feeling in my legs and feet. I could no longer use the foot peddle, but I held out hope that someday  especially aftermy surgery I would be back to making things. Well, that dream disappeared that fateful day when I got out of bed and lost all feeling from the waist down. But in the back of my mind I was still hopeful, as I believe that God gives usgifts and He wants us to pursue them.

So, before I listed my almost new sewing machine for sale, I decided to give
sewing and using the foot peddle one more try. Besides, I had promised my 9 years old grandson I would make him a blanket. He had picked out a soft greenand tan camouflage material with a dark green edging about two months ago with the understanding that it may be a terribly slow process especially if I had to make it by hand. I had resigned myself to having to sew the blanket by hand, but this is what happened.

Not bad for not having used a sewing machine in a little more than 3yrs. Lots of conversations with God asking him for strength, steadiness, and the ability to finish. My grandson loves his new blanket!

Well, looks like I will be keeping my sewing machine and continue creating. Although I doubted myself,God was there to show me that He is there every step of the way . He has restored some of my confidence which had faded in the midst of my injury. God wants nothing more than to restore us and to give us happiness. We can choose to see all the negatives or we can let the past be the past and keep moving forward making new paths. We can always tell a better story.

Little improvements

Standing doing my hair without any assistive devices! My balance has improved thanks to doing yoga with an instructor 2x per week (5 weeks so far) and using my LifeGlider.

I did have a recent fall🤪. I was bending down to pick something up off the floor, I had undone the safety belt on my walker as it was restricting me,there was water on the floor and my legs slipped causing me to loose my footing and down I went. Not smart on my part. Just because my balance and proprioception have improved some does not mean I don’t have to continue to pay attention to what I am doing. I still have to remind myself of walking hill to toe, to pick up my feet, and not to lean forward. Old habits are hard to break!

I am still excited about all the progress I am making. I know I am not doing this alone. Thank you everyone for your continued prayers and your words of encouragement. I know God is with me and because of this anything is possible. His promise to be my side every step of the way helps to keep me moving forward even when there are set backs.

When exteded care is needed- how to choose

Your loved one needs more care

Your loved one is hospitalized for what everyone thought was routine. A hip or knee replacement, or a recent bought of pneumonia. Yet, in comes the Case Manager or Discharge Planner who states that the patient needs “more “care but at a lower level. This person also states that the patient must be moved today and that you (the family) must find a place to go or if you are lucky they have found a facility that is willing to accept.

What does this mean? Most important, the patient and the family have the right to ask for more information. It is important for everyone involved to have correct information about the extended care being proposed because it could be as little 1 week or it could be a month or longer.

Next, be aware that the patient has every right to make his/her needs known and has the right to choose where they want to go. If the patient does not have the capacity to make their own decisions then the family will have to make these choices for them. In all cases, the family has the right to ask for a list of all the facilities in the area especially for the facility that has accepted the patient. The family should take the time to tour. Please do not leave this decision to the hospital personnel.The hospital personnel is not allowed to make recommendations, however,they are allowed to give the family facilities to choose from. The right facility will make a difference in the patients recovery.

What kind of care is needed?

Usually, when it comes to extended care the case manager or discharge planner is referring to a Long Term Care Facility that offers rehabilitation services. There are times where a lower level of care such as an Assisted Living is more appropriate.

An Assisted Living Facility does not normally offer extensive rehabilitation services nor do they offer 24 hours nursing care. This type of facility is great for the patient who needs minimal assistant with ADLS (Activities for Daily Living) such as dressing, eating, and taking their own medications. Most of these patients need only reminders and are able to make all their needs known. There are specialized Assisted Living Facilities that have memory units for Alzheimer patients. Even patients at this stage can make most of their needs known and still do most things for themselves like brushing their teeth and feeding themselves.

If the patient needs “more” care, which may require things such as I.V. antibiotics, physical therapy, occupational therapy, and/or speech therapy then a Long Term Care Facility that offers rehabilitation is appropriate. These facilities are often referred to as Nursing Homes, Long Term Care Facilities, or 24 hour nursing facilities. These types of facilities assist the patients with all medication needs including pain management as well as with their ADLS. They help the patient recover and regain their strength.

Who can reside in a LTC (Long-term Care)

Long Term Care Facilities are no longer just for the elderly. Patients of different ages may reside in the same facility as long as everyone’s nursing needs are met. Nursing Homes may only take patients that they can provide adequate care for. Adequate care refers to providing all necessary nursing care that are ordered by the attending physician. This would include their medications, therapy, and assisting the patient their ADLS (i.e. going to the bathroom/getting dressed). It does not refer to their age.

The age of the patient can be as young as 21, but the facility must make sure that the patient is compatible with the other patient(s). For example, a 21-year-old cannot share a room with a 76-year-old (unless both patients can make their needs known and have chosen to be in the same room). Typically younger patients share a room with other young patients or reside/ in a private room. Also, the facility must ensure that there is age appropriate activities for everyone. For example, providing video games or movies, such as Fast and the Furious, for the younger patient is great, but these same items would not be age appropriate for the elder patient. Activities for all age groups must be provided.

Long Term Care facilities in California must follow Title 22 regulations as well as Federal regulations.