Sunday, November 23, 2008

Planning for the Future

by Judy

Judy picked up Carl in North Manchester, and the two of them visited with Doreen today. After getting help with a kind family driving who helped Judy change a flat tire, she stopped at Timbercrest and helped to set up some new telephone and clock equipment for Carl. Then they surprised Doreen, who didn’t know they were coming.

The reports had been that Doreen was making great progress at the Rehab Hospital, and Judy felt that was accurate. Therapy sessions were done for the day, but Doreen was choosing TV channels and resting. The things that Judy noticed were that she smiled spontaneously more often than before, that she seemed more aware of what was happening and when, and she seemed to have a broader picture. Judy and Doreen worked on filling out a survey form related to Covington Manor (the place she was in for two months, lasting until two weeks ago), and Doreen seemed to be able to separate the experience there from the current experience and reflected very realistically on her reactions.

An exciting advancement is that the stomach tube has finally been removed! Doreen said that the doctor just “pulled it out.” She said there was some pain for about one minute, but then it was fine. So now she has two belly buttons, but the tube is gone!

One clarification involved the broken bone from the fall a couple of weeks ago. Apparently the broken bone was the bottom knuckle on the index finger of the right hand. The knuckle is still somewhat swollen and sore, but everyone hopes that the splint will be removed on Dec. 1 when she sees the orthopedist again. Doreen said that, if the splint is not taken away, she will ask if it can be taken off at least when she eats. That planning and suggestion is a great indication of Doreen taking charge of some of her care.

Crosswords are very important to Doreen at this point. She wants to do them as often as possible, and she continues to improve her abilities. She has been able to give answers to the puzzles at times throughout the last six months, but she is now able to remember recent clues and anticipate how the words may cross each other. And she still does it almost entirely in her head, because it is hard to her to see the grid and the clues. Her eyes are improving, though. She read most of a card that Judy brought, but after reading a couple of paragraphs, she seemed to lose her place or find it difficult to focus.

Doreen also continues to talk about going home and wanting to do things related to her old life, but that reflection is no longer as unrealistic and impractical as before. She no longer thinks she slept in people’s homes, that she will be going to the National Older Adults Conference when she has not yet slept anywhere besides a hospital or treatments center, or asking where she should get gas tomorrow so she can drive home. Now when she talks about going home, she says she would like to be in her home again for a little while, but she realizes it wouldn’t be like before. She wants to talk about Christmas plans, but she is planning for events at Timbercrest rather than Elgin or Camp Emmaus.

There was quite a bit of discussion about the progress she is making. There was clearly a smile when she heard about what others thought she had achieved, but she also talked about how she wished it were faster. She has come a long way, but she adds that she has a long way to go.


No comments: