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Medical Forum / Diseases and Disorders / Alzheimer's / August 2006

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Dad is finally ready

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Doug - 30 Aug 2006 06:29 GMT
My mom has had alzheimers for a few years now and my dad has been one of
those stubborn "I can do it myself" husbands who to date has refused any
significant help. But she recently took a turn for the worse. Now she can't
even stand up on her own, and can barely do so with assistance. She has
become quite frail and I'm afraid of hurting her now when I help lift her up
out of the chair. She can still sustain short conversations, but becomes
extremely frightened and angry if you try to handle her in any way. This
makes it almost impossible for him to keep her clean.

Fortunately he finally agrees that he can't take care of her and is ready
for her to move out to a home. We went to look at a few alzheimer's units
and found one he likes; it accepts Medi-cal and although he has just
recently applied and hasn't been formally approved everything looks to be in
order. But the home requires a physical as part of the admissions paperwork,
and we don't know how to get that done -- her regular Dr. won't see her on a
moment's notice, and even if he would getting her there would be very
difficult. It's looking like the whole thing might take a couple of weeks or
more.

Any ideas or suggestions on how to expedite everything? She needs to be
somewhere asap.

--Doug
Dennis P. Harris - 30 Aug 2006 09:29 GMT
> Any ideas or suggestions on how to expedite everything? She needs to be
> somewhere asap.

Call her doctor's office and tell them that she needs to be moved
into care ASAP, and the only thing holding it up is an exam.  Ask
them to let you know whenever they have a cancellation or can
squeeze her in, and offer to bring her in ahead of time for any
blood draws or other lab work required.  offer to go by and pick
up any required urine cup, etc.  emphasize that ***your father's
health depends on this happening quickly***, as well as hers.

good luck.
Doug - 30 Aug 2006 14:51 GMT
Thanks...any suggestions on how to transport her to & from the appointment?

>> Any ideas or suggestions on how to expedite everything? She needs to be
>> somewhere asap.
[quoted text clipped - 8 lines]
>
> good luck.
Evelyn Ruut - 30 Aug 2006 15:12 GMT
> Thanks...any suggestions on how to transport her to & from the
> appointment?

Dennis has given you good advice.

It is unfortunate that when you need assistance the very most, it is the
most difficult to get through all the red tape.  We discovered that when we
decided it was time to place my mother in law, and to complicate matters we
couldn't get her to give us a urine sample, and when we finally got it, it
turned out that she had a urinary tract infection which required treatment
before they would accept her.
Our doctor prescribed medication and we hung on another week until the urine
sample came up clean, then we were finally able to place her in the local
nursing home.

Just a few thoughts......Is there an ambulance service in your area that can
transport a person who can't walk?   Can you rent a wheelchair for a day or
two?   Can you manage her yourself if you have a wheelchair?  Do you have
any doctors in your area who will examine her at home?

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

Doug - 30 Aug 2006 16:41 GMT
It turns out the home will accept a medical history form if a recent
physical isn't available, so I took a copy of this form to the doctor this
morning. They said it would be five days to fill it out, but after my
pleading said they would try to get to it sooner. I also scheduled an
appointment for her just in case, but the earliest they could do is
September 11.

We could get her into a wheelchair, but getting her out of the wheelchair
and into a car would be a problem. So we'd need an ambulance or van or
something where we could just roll the chair in and leave her in it for the
ride.

Thanks for the advice,

--Doug

We had thought about an ambulance, and

>> Thanks...any suggestions on how to transport her to & from the
>> appointment?
[quoted text clipped - 15 lines]
> day or two?   Can you manage her yourself if you have a wheelchair?  Do
> you have any doctors in your area who will examine her at home?
Evelyn Ruut - 30 Aug 2006 19:51 GMT
Hi Doug,

You might try calling the various ambulance services around to see if there
is one that you can just wheel her in and out.   Some of those vans come
equipped with a wheelchair lift, like an elevator.   If you need to get a
urine sample, here's what we did.   There was no way we could get her to
understand or cooperate to get a urine sample, so we got creative.   We put
a big plastic bag under the toilet seat and over the bowl.  When we got her
sat down, naturally it went into the big plastic bag.   We then were able to
drain it from the bag into a container.

Good Luck!
Signature


Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

> It turns out the home will accept a medical history form if a recent
> physical isn't available, so I took a copy of this form to the doctor this
[quoted text clipped - 33 lines]
>> day or two?   Can you manage her yourself if you have a wheelchair?  Do
>> you have any doctors in your area who will examine her at home?
Dennis P. Harris - 31 Aug 2006 03:18 GMT
> We could get her into a wheelchair, but getting her out of the wheelchair
> and into a car would be a problem. So we'd need an ambulance or van or
> something where we could just roll the chair in and leave her in it for the
> ride.

most communities that have public transportation have
para-transit --- wheelchair-accessible vans that provide
transportation for the elderly and handicapped.  

you local alzheimers' association, senior center, or office for
the aging (every state has at least one) should be able to tell
you if such a service is available in your area.  it usually
requires making an appointment in advance, and you need to plan
to get there early in case the van shows up late.
Doug - 31 Aug 2006 04:20 GMT
Thanks to everyone, these are all excellent suggestions.

>> We could get her into a wheelchair, but getting her out of the wheelchair
>> and into a car would be a problem. So we'd need an ambulance or van or
[quoted text clipped - 11 lines]
> requires making an appointment in advance, and you need to plan
> to get there early in case the van shows up late.
Deborah - 31 Aug 2006 03:50 GMT
No helpful ideas, Doug. But, I do wish you and your parents the very best,
whatever happens.

I know this "fight" far too well...

Best of luck, Doug, to all your family,
Deborah
 
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