Archive for April, 2009:
Family Caregivers Workshop
We are in the midst of planning a workshop for family caregivers. The location has been reserved and deposits paid. The date is August 15.
So far I have two speakers committed: one is the program director at an adult day center and the other is a registered nurse at an adult day center.
To insure that the workshop is relevant and what family caregivers need, I would appreciate your feedback. We are looking at a four hour workshop, from 10 AM until 2 PM. What do you think of the following format:
- four speakers, 35-40 minutes each
- 10 minutes for questions after each speaker
- last 30 minutes for open sharing
- workshop fee, $30 per person
Also, what topics would you suggest? If you were to attend a workshop for family caregivers, what are your three most pressing issues that you would want addressed?
We are excited about this workshop. I look forward to hearing your suggestions. Also, if you are in the Atlanta area on August 15th, I’d like to see you at the workshop. More specifics later.
UPDATE: Register here
Update on Gladys’ Dementia and Other Issues
Dementia
I took Gladys to see the doctor on Monday. Other than her dementia and severe arthritis, her overall health is pretty good; but as I suspected, because of the dementia she is declining. I talked with the doctor and he ruled out her meds and explained it is just the nature of the dementia.
I explained how over the past two weeks her memory is a lot worse, night time incontinence has become daily instead of occasional and her increased difficulty with simple tasks. I asked him why the changes were so sudden. His reply was that though the changes seemed sudden to me, that they were probably gradual because at first she was able to compensate but has gotten to the point where she can’t compensate any longer.
So we move on to what needs to be done.
The Doctor’s Staff
A few months ago I mentioned that I was not happy with the staff at the doctor’s office. They were not good at making appointments they said they would make for referrals. I had to call back several times to check on prescriptions and other issues. They would tell me they were working on it and I didn’t hear from them until I called to follow-up. In essence, their follow-up was atrocious.
Anyway, during Gladys’ last appointment in February, I had a talk with the doctor and told him how I was frustrated with his staff. I also told him that I thought they were inefficient and incompetent. When he told me that the nurse would make an appointment with a dermatologist for the mystery rash on Gladys’ leg, I said “Give me the number, I’ll make the appointment myself. If I wait for your staff, the rash will be gone or evolved into something else.”
What I did not tell him was that I was going to look for another doctor for Gladys. I probably didn’t need to tell him because I’ve been told that when I am perturbed or annoyed that is shows all over my face. When we went to the office on Monday, the entire staff (with the exception of two people) had been replaced. The two people who remain are the only ones I thought were competent. Obviously, I was not the only person who had complained.
The moral of this story is speak up and let doctors know when you have a problem with them or their staff.
Entering a New Phase in Dementia
I think Gladys is entering into another phase of dementia. For the past two weeks she has been regressing fairly rapidly. Her movement is much slower, she doesn’t understand some things that she understood just a few weeks ago. Her memory is shorter and she may ask me the same question three or four times within five minutes. During the night she used to have accidents once in a while. Now it’s every night. This wasn’t a gradual change it was an overnight change.
When I became Gladys’ caregiver I expected some gradual cognitive and dexterity related change. I know that dementia doesn’t get better, it gets worse over time. But I expected to see gradual changes, not sudden change. These changes seem too sudden. Maybe her medicine needs to be adjusted, maybe that’s wishful thinking. I don’t know. We have a doctor’s appointment tomorrow. Hopefully he can explain what’s going on.
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