eXplanation #elderlyissues #atozchallenge

Woman with mustard pot

“Can you tell me?”

“What would you like to know?”

With Dementia we often will be asked the same questions every shift or 10 times every shift.

I find the more confused a client is the more they can loop around a similarity.

“When is my friend Felicia coming?”

“We called. She’s on her way?”

“You know I’d really appreciate if you would call Felicia to find out when she’s coming.”

“We just called her.”

“I would remember if we just called Felicia. Call her”

“Let’s wait a minute I think she’s on her way…”

For family members these loops can seem frustrating.

I try to redirect my client’s focus sometimes it works while other times it just makes a client more frustrated.

So for the explanations keep them simple. Sometimes those questions are asked as our family is trying to get a grip on the last edge of reality.

 

How do you deal with frustration during Co-Vid Days????

Image attribution: Pablo Picasso “The Woman with Mustard Pot” 1910

Searching #poetry #art #elderlyissues #atozchallenge

 

 

Boys Wading

 

so easy when we’re small

no words need be expressed

I’m wading in the mud

and now I am depressed

I lost my very thought

went through my fingertips

a momentary drop

there’s so much I have missed

 

Searching when we are young seems part of the mystery of learning.

The discovery is part of the looking.

As we age it seems we search more and the lengthy discovery crescendos in frustration

So how do we as caregivers dial frustration down?

Don’t find the word that was lost look for it with your family member.

If it’s an object secretly bring it closely to them so they can “find it”

“Oh there they are” reflects a lighter tone than “I have lost my mind with my glasses.”

My response: “I”m so glad you found them. It would have taken me the rest of the day.” I smile understanding the art of losing things.

This photo of this beautiful work by artist Winslow Homer reminds me why we do it. We do it together ….

 

Photo:  Winslow Homer “Boys Wading” 1873 Smithsonian

What do you do when you lose something???

 

 

 

 

 

Grief #atozchallenge #elderly #haiku #photography

spider lily

final song

head fell against the pillow

flowers wept

***

I don’t need to explain what grief is in a time when the flowers in so many gardens are weeping.

One of my patients, before she was put in isolation, told me that she thought about her husband every day.

“He was a good man. Always looking for ways to make me happy. It was unexpected- His heart just failed.”

I saw the tears in her eyes. They expressed gratitude as much as grief.

 

These times are hard. I wonder if my clients will survive this pandemic. When I said “goodbye” when the lock down started, I didn’t know what to expect. (I had to make a hard decision to call off until Covid is under control because I have a high-risk family member who I could not put at risk daily.)

The last quarantine I was part of I was locked in not out of the hospital.

I’m also missing Uganda very much. The weeping flower above is a spider lily from Uganda.

How about giraffes? They are so beautiful and graceful. The spots on that mama are one of a kind. I can watch these animals all day.

what’s your favorite animal to watch???

And thank you A to Z challenge for a day in the key of G

G also stands for grateful. Thank a healthcare worker. Here’ s blog of a pathologist doing his part for Co-Vid 

Fragile #Elderly #atozchallenge

 fragile skin

fall crackles beneath feet

blue eye question

 sky hidden behind clouds

arms reach for emptiness

wind blows yesterday

your toes wave at me

another good day

***

People may not know it but skin is a barrier to disease and in the elderly skin is a battle front.  Broken Skin breaks and tears like tissue paper. A little bump against a chair can cause a big bruise or even a tear which can then be a wound. When we are “young” and active a wound heals in days in the elderly that same wound can take weeks to months. The worst wound I saw when I was a wound care nurse was in a bed bound woman whose bed sore had become a tunnel. That tunnel was about 305 mm (approx 1 foot). Through daily care, hydration and diet we were shrinking that tunnel. Needless to say those wounds on your backside are painful.

One of my main goals (with the elderly) is always up and out of bed. If they are now bed bound they need to shift as often as possible. If they can do that themselves so much the better but everyone favors their left or right side so they need to shift. In the hospital we often have to position our patients that used to be every two hours.

If you have a family member who is now in bed, get that person moving. If they cannot use pillows to wedge them on one side then the other. Legs up (on a pillow) legs down. And please keep them clean. Uric acid in briefs and just from our skin breaks down skin.

Places where we become fragile are sacral area (its boney there) elbows, ankles.

If you read my post a few days ago I mentioned water. Water will actually help keep skin cells plumper. Elderly do  not drink alot of fluids because then they have to get up (and go).

I think my letter “W” will be for water. I have learned to have a great respect for that molecule.

My leaf photograph reminds me so much of the elderly clients I have had over the years. They are fragile but with a singular beauty.

Any good skin tips? Lotions or awesome soaps????

Hope you are enjoying the A to Z challenge and thanks for your visit.

 

Cheers for Z !!! #atozchallenge

 

I raise a glass of an elegant bouquet

It’s time to celebrate another great year

meeting excellent people

soujourners

bloggers

interesting folks

we may live in different worlds

but we all agree

that A to Z is the best way to spend the month of April

the zebra says “CHEERS”

 

 

The Sixth “V” #children #atozchallenge

He’s handsome

smart

dedicated

he looks forward

not to curses

forget the past

forge a new way

with the way maker

He’s the sixth V

He’s our son!!!

 

This is my son Denis who is an amazing young man. He is determined to be the first of his biological family to graduate from High School and then continue on to college. He is already a leader. We are proud that he calls us Mama and Papa.

We love you Denis and are soooo proud of you!

“N” is for new #atozchallenge #children

children played

mothers watched

siblings pumped water

all was well with the world

it’s a new setting

no more fists flying

soccer balls in the air

new relationships

on the horizon

 

This land is filled with anger and frustration. What a great day when children of all ages play instead of fight. My eyes watered when a big boy reached his hand to help a younger boy who had tripped kicking the ball.