Neverending MBRO memory thread

#2,526
#2,526
Also, the sister in texas, pretty much what we suspected. Her husband told her tonight to get out. Now she's stuck with her daughter, and nowhere to go.
 
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#2,527
#2,527
After screwing over everybody here. Let her coworkers give her money, her son go get her a loan to tag her car here, and she left without telling them Anything. Now she'll likely have to come back here somehow, and need a job, and a home.
 
#2,533
#2,533
Orangeredblooded said:
yes, h. I really don’t know what is going on with that. I had to work all weekend, because I had call in’s. Mom got the orders from the nursing home for that instead of home health. I asked her which hospice was called, because they can be predators in getting clients, warranted or not. I have to call tomorrow and see. 🤬🤬🤬🤬. Overwhelmed, some.
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One possibility: perhaps the hospice agency also offers palliative care. Hospice has a lot of very explicit requirements, including life expectancy, while palliative care means that the patient has one or more chronic illnesses which will probably prove fatal one day, but no one is expecting that to occur imminently, and palliative care is provided that will minimize the distressing aspects of the illness including aggressive (and in the end pointless) treatments and maximize quality of life. It’s a subtle difference, and many people (including me, lol) have a hard time explaining it.

Here is an attempt at an example: the patient has advanced coronary artery disease.
—Palliative care options might be an agreement to not perform open-heart surgery in an attempt to preserve remaining healthy heart tissue, turn off an existing defibrillator to avoid shocks for arrhythmia, continue any meds that help keep him/her comfortable (maybe diuretics to reduce any swelling), and discontinue meds meant to prevent disease progression (maybe cancel cholesterol meds).
—Hospice care options might be to discontinue all heart medicines, leaving only those that can help reduce pain and distress, like maybe nitrates for chest pain and morphine for “air hunger” once the patient is actively dying.

Those examples are completely off the top of my head and probably won’t withstand the bright light of day. But whatever his status is, this discussion should have been held with your mother AND with you present, both for your emotional support and because you have a medical background. It sounds like the physician who provided medical care at the nursing home made the change, because nurses don’t have the authority to order patient dispositions.

I just got home from getting my mom admitted to the hospital again, so I’m right back in the same ya-ya-ya. I hope you can get some sensible answers soon, and especially that they’re the right decision for your dad, your mom, and you.
 
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#2,543
#2,543
Then me and my girls walked another mile or so, but walked up to the cemetery
 
#2,547
#2,547
VolNExile said:
One possibility: perhaps the hospice agency also offers palliative care. Hospice has a lot of very explicit requirements, including life expectancy, while palliative care means that the patient has one or more chronic illnesses which will probably prove fatal one day, but no one is expecting that to occur imminently, and palliative care is provided that will minimize the distressing aspects of the illness including aggressive (and in the end pointless) treatments and maximize quality of life. It’s a subtle difference, and many people (including me, lol) have a hard time explaining it.

Here is an attempt at an example: the patient has advanced coronary artery disease.
—Palliative care options might be an agreement to not perform open-heart surgery in an attempt to preserve remaining healthy heart tissue, turn off an existing defibrillator to avoid shocks for arrhythmia, continue any meds that help keep him/her comfortable (maybe diuretics to reduce any swelling), and discontinue meds meant to prevent disease progression (maybe cancel cholesterol meds).
—Hospice care options might be to discontinue all heart medicines, leaving only those that can help reduce pain and distress, like maybe nitrates for chest pain and morphine for “air hunger” once the patient is actively dying.

Those examples are completely off the top of my head and probably won’t withstand the bright light of day. But whatever his status is, this discussion should have been held with your mother AND with you present, both for your emotional support and because you have a medical background. It sounds like the physician who provided medical care at the nursing home made the change, because nurses don’t have the authority to order patient dispositions.

I just got home from getting my mom admitted to the hospital again, so I’m right back in the same ya-ya-ya. I hope you can get some sensible answers soon, and especially that they’re the right decision for your dad, your mom, and you.
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Sorry you're going through this too VIE. You and ORB are both in my prayers.
 
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#2,550
#2,550
Gotta go to the oldest sisters house before my wife's treatment. She bought a chair, doesn't like it now, and giving it to my wife.
 
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