Wednesday, March 31, 2010
Wednesday Update
Barb and I got to the rehab centre around 9 this morning. Dad was being evaluated by a speech therapist, who identifies any issues with eating and swallowing. Dad does have a little difficulty still, so he is on a chopped food diet for now, and an eating assistant will be with him for meals to prompt him, or help with feeding and drinking if needed. She mentioned that Dad's CT scan had shown some evidence of 'hematoma' or bleeding. We hadn't read the report yet, but the doctors had never mentioned this. Later the rehab doctor came by and we discusssed Dad's conditions in more detail. He said it is possible that the fall could have caused some temporary brain issues that are affecting Dad's speech and coordination, though it could also still be the after effects of surgery and anesthesia. (FYI - the scan report also mentioned evidence of chronic small bleeds, not unusual in the elderly). Dr. Sheedy went over medications with us, and also the expected course of therapy. Generally, patients with hip surgery take 2 weeks in the rehab centre. Dad's morning medications came around 10:15. He takes pills with a little applesauce, one at a time. There are a couple of medications that were ordered from the hospital, but mainly just the ones he has been taking before. The doctor agreed that he will not get any sedating medications unless we are called. He will get tylenol twice a day to manage pain. If this is deemed not sufficient, they will call us. After the meds and finishing off a dish of applesauce, Dad went to sleep. When the PT came for evaluation at around 11:15, it was difficult to get him to wake up. Nonetheless, we did get him to sit at the edge of the bed and even stand up. He had had another bowel movement as well. The PT felt that Dad was too sleepy for more work, so he was put back to bed. The CNA came to help clean him up. Barb and I left around noon. I will be returning to Vancouver tonight. Barb will visit again tomorrow, as well as Friday morning. We decided to see if Haydee might be able to come by a few times while Barb is in Costa Rica (for a week starting Saturday). While his care is fine, when he is awake he does like to have company and interaction. The staffing at the nursing centre does not allow the caregivers to spend much time with anyone. I plan to be in touch with the centre on the phone daily to get a report of progress and can continue to post any news. Please let us know if you have any specific questions to ask the doctor or therapists.
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Also, Dad showed even more progress in his alertness this morning before the meds and the nap around 11:15, though he was speaking softly and a bit slurred. However, he was smiling a lot, and made a point of "thanking" the speech therapist for her care, grabbing her arm to tell her. He was also very affectionate with Justine and I, and we were holding his hand. At one point he asked Justine to hold him, which she did and he appeared quite peaceful and content in her arms (and brought me to tears). Tried to get my camera out for a photo but my battery had died!
He was also trying to move around more than he had previously, shifting his body, and actually saying he wanted to get up out of the bed, and motioning to move, though he couldn't get far. Justine kept reminding him that he needed help to get out and not to try on his own. Note that they have him on a "bed alarm" as well.
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