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The Long and Winding Road…

~ An Alzheimer's Journey and Beyond

The Long and Winding Road…

Category Archives: Pharma

Down in the Valley…

17 Saturday Nov 2012

Posted by Ann Napoletan in Falls, Mom, Pharma, Ruminations, Weight Loss

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I feel like I hit a low point today. Got to the house about 9:30a when the doc arrived, and Mom was sitting quietly in the recliner. She looked angry at the world, but she was calm. She did really well as the nurse took her vitals, and doc gave her the once over. I count that as a win. Things started out on a fairly positive note.

Talked to doc about care plan, and we were on the same page.

  1. Let the antibiotic do its thing; get rid of the UTI.
  2. Monitor blood pressures following 50% cut in diltiazem.
  3. If issues continue, stop diltiazem and possibly inderal.
  4. Switch back to lorazepam for prn.
  5. Pray like crazy.

Okay, number 5 was my personal addition, but it’s a must.

After doc left, Mom looked very drowsy, and I thought she was going to go to sleep, but instead, she slowly ramped up until I decided it was time for a lorazepam, which…. didn’t do a whole lot other than make her very unsteady on her feet – a very bad thing since all she wanted to do was walk. Would.not.sit.still. Couch, recliner, love seat, chair, back to recliner… sitting just wasn’t in the cards.

It struck me today how very thin she looks; she has definitely lost more weight. Today’s intake was just two Ensures, some ice cream, a glass of juice and a glass of water. Maybe it’s time to look into hospice again as much as the thought of it makes my hair stand on end… I don’t know. I think that’s the thing right now. I am feeling at the height of helplessness and frustration and quite simply don’t know what to do next.

But I digress…  So, did I mention how unsteady on her feet she was after the lorazepam? On one of our many walks from the front room to the living room, I felt her begin to wobble, but it was too late. I had my right arm around her back and did a decent job of breaking her fall; luckily she ended up on her butt with her back against the recliner. Annoyed, but thankfully not hurt. I did a number on my bad wrist and landed hard on my right knee. A few hours later, and after icing it, the swelling has gone down quite a bit. I’m sure I’ll live.

Even after that fall, I could not keep her in a chair. One thing is for sure, stubbornness is a trait I come by honestly. No two ways about it, the day got the best of me. Not long after the doctor left, my head was throbbing and it got progressively worse throughout the afternoon, as I felt like my insides were doing somersaults. For whatever reason, I was a big bag of nerves today.

Mom didn’t scream all that much, but she cried almost all day long – no tears, but head in hands sobbing, as if terribly distraught about something. Also lots of picking at her clothes, grabbing and fussing with the blanket, reaching out into the air, and futzing with imaginary things in her hands. Extremely unsettled.

Just about the time I thought I was headed off the deep end, she would snap out of it and smile for a split second or say ‘I love you,’ which tore me apart – again for some reason things were getting to me more than usual. When she reached up and started stroking my face, I lost it – for a few minutes, my emotions got the best of me.

Finally, about an hour after 3pm meds, she fell asleep…

I cancelled my plans for tonight, came home, took some Excedrin migraine, turned off all the lights and lit candles, got a fire going, propped and iced my knee and drifted in and out of a light sleep for awhile. When you open your eyes on a Saturday morning and realize immediately that you feel like burying your head under the covers for the next six months, you know it’s probably not going to be a great day.

I hope a good night’s rest will allow me to wake up tomorrow morning feeling much stronger and more resilient than I felt today…

 

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Better couple of days…

16 Friday Nov 2012

Posted by Ann Napoletan in Mom, Orthostatic Hypotension, Pharma

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Well, after the hellish Wednesday we had, the past two days have been a bit more settled. Jess took the picture below yesterday.

We’re still debating on meds… both psych and hyper/hypotension. I’m frustrated. One doc has his opinion, the other has a different one. Things are never simple or straightforward.

House doc will be there tomorrow, so I plan to talk to him then. I am hoping we see an improvement in the ortho bp’s. As for the neurologist, he’s supposed to call me tonight or tomorrow to discuss his latest orders.

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Never a Dull Moment

14 Wednesday Nov 2012

Posted by Ann Napoletan in Mom, Orthostatic Hypotension, Pharma

≈ 4 Comments

Well, in the interest of keeping us all on our toes, it was another eventful day at Eason House. That staff really deserves an award for the past couple of weeks.

After I blessed giving a dose of the prn (as needed) psych drug the doc prescribed this week, I sat on pins and needles waiting to hear something. Would it calm her down, knock her out, or do nothing at all?  A couple of hours later, I got a text indicating that it didn’t calm her down, certainly didn’t knock her out, and seemed to make her hallucinations even worse.

When I got to the house between 1:30 and 2, Mom was laying in bed, but her mental status was off the hook. I can’t even describe what it’s like to see her like that. Whatever is terrorizing her mind must be absolutely horrific. It’s so painful to watch. I talked to her and tried to get her to focus on my eyes as much as possible, and while there were moments of peace, and even an “I love you,” she remained mostly inconsolable for the next couple of hours. I just sat there rubbing her head and holding her hand… feeling as though I was starring in a really bad dream. The epitome of helplessness – I couldn’t do a damn thing to fix this.

Around 4pm, after evening meds, she finally began to settle a bit. We took her to her favorite chair where she immediately dozed off for 10 or 15 minutes. From there, she fell in and out of a fairly peaceful sleep. She drank a glass of juice and half an Ensure for me, and even let me feed her a few grapes. I left around 6:30, and she was sleeping peacefully.

I’m praying she sleeps tonight. In the past 48 hours, she’s had essentially no rest. She got up at 1am today/last night and didn’t calm down for the next 15 hours. I honestly don’t even know how she continues to function, let alone scream for hours and hours on end.

I did talk to the house doc today, and the labs came back – she does have a UTI on top of everything else, which obviously isn’t helping her mental state. Hopefully an antibiotic will take care of that. We also went ahead and d/c’d her Fosamax (osteoporosis) and Fexofenadine (allergy), and cut the Diltiazem (hypertension) in half. Doc will be at the house on Saturday, so we’ll see how the ortho bp’s look then.

I’m tired and expect I’ll be on pins and needles tonight, just waiting for the phone to ring. But, what I’m feeling can’t possibly come close to what she’s going through, so I can’t complain. I won’t lie, though, I really need the couple of days away we have planned for next week, so I’m praying we can return to some semblance of normal in the next seven days.

 

 

 

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