Coronavirus, Covid 19 Discussion and How It Has Affected Your Daily Life Chat Thread

[BDutch]

When the OT came for an initial assessment, she asked M to sit up. M refused. The OT sat her up. Same for moving closer, standing, taking a step.

It seems much the same for the OTA and PT or PTA. I'm not sure how much they can "sit her up" after she refuses or whether it defeats the purpose of the rehab. At one point she was asked to lean forward and she leaned backward.

I also am not sure what, exactly, "refuses" is. She has sometimes refused to do things my sister asked of her. That was "I can't", or "not now", or "I want to go home." Or to stay with one of her other kids. Sometimes it was just turning her head away and not moving. Sometimes she would later do whatever it was if her son asked it instead of my sister; sometimes it seemed very clear that she really couldn't understand or couldn't do what was asked.

I feel sorry for M. I’m no expert but IMHO I think she hates being there. I ‘read’ that this home takes away her dignity. And this uncoöperative behaviour might be a way she expresses her feelings. A mental home probably makes it even worse.

 

[Ninjasquirrel]

When the OT came for an initial assessment, she asked M to sit up. M refused. The OT sat her up. Same for moving closer, standing, taking a step.

It seems much the same for the OTA and PT or PTA. I'm not sure how much they can "sit her up" after she refuses or whether it defeats the purpose of the rehab. At one point she was asked to lean forward and she leaned backward.

I also am not sure what, exactly, "refuses" is. She has sometimes refused to do things my sister asked of her. That was "I can't", or "not now", or "I want to go home." Or to stay with one of her other kids. Sometimes it was just turning her head away and not moving. Sometimes she would later do whatever it was if her son asked it instead of my sister; sometimes it seemed very clear that she really couldn't understand or couldn't do what was asked.

Sounds to me like a problem with staff frustration more than an issue with her. Usually when something is refused you just report it. Seems to me they want her moved to the Alzheimer's unit because they're better at handling that then rehab is

 

[sourland]

Getting our second Moderna booster today. Immunocompromised grand daughter has already received hers.

 

[Hayden Goseek]

On the subject of stubroness in older patients this is what I have observed.
As we are born, our world opens up from totally dependent to wild adventures in 20-50 years. Then as our world begins to close in because of physical and mental debility, we are less bold, but still trying to exert our old pride and independence of self.
Some keep mental and physical acuity to the end. Some become what I call "plesantly confused". And some just get resistive and stubborn.
Don't let this hide the fact that some facilities, staff and admin. are terrible. Just keep in mind that at best it is a difficult nasty, low pay job and Most are trying.
After a trying game of "Full Contact Medicine" (they often resemble a wrestling match) I smile and tell the always younger nurse or aide "That will be ME in 10 years."

 

[bruceha2000]

Getting our second Moderna booster today. Immunocompromised grand daughter has already received hers.

DW got hers about a week ago. 20+ years on immune suppressing drugs. She had Pfizer for the first 3 but there was none available this time so she got Moderna. Said her arm hurt that day and night but not after.

 

[sourland]

Getting our second Moderna booster today. Immunocompromised grand daughter has already received hers.

Absolutely minimal reaction to the booster. Not really a surprise as we had little reaction to the first 3 Moderna shots.

 

[aart]

DW got hers about a week ago. 20+ years on immune suppressing drugs. She had Pfizer for the first 3 but there was none available this time so she got Moderna. Said her arm hurt that day and night but not after.

Do they know how effective the vaccines are with her IS meds?

 

[Ninjasquirrel]

On the subject of stubroness in older patients this is what I have observed.
As we are born, our world opens up from totally dependent to wild adventures in 20-50 years. Then as our world begins to close in because of physical and mental debility, we are less bold, but still trying to exert our old pride and independence of self.
Some keep mental and physical acuity to the end. Some become what I call "plesantly confused". And some just get resistive and stubborn.
Don't let this hide the fact that some facilities, staff and admin. are terrible. Just keep in mind that at best it is a difficult nasty, low pay job and Most are trying.
After a trying game of "Full Contact Medicine" (they often resemble a wrestling match) I smile and tell the always younger nurse or aide "That will be ME in 10 years."

Very true. Before my hubby lost his grandfather he started to get dementia really badly. When his mother suggested a nursing facility to him he got violent and said he'd burn his house down with him in it before he'd leave. They ended up watching him at their house but he had a heart attack and ended up in the ICU. They were so frustrated with him at the hospital that they ordered restraints and tried to pawn him off on a mental health facility. The mental facility wouldn't take him because they refused to move him. He ended up dying in that hospital.

 

[bruceha2000]

Do they know how effective the vaccines are with her IS meds?

No. You would think there would be a program to test for antibody levels in immune compromised people. We are banking on us remaining on the "mask in public, physical distancing" process.

That said she rarely got sick before Covid descended upon the world so maybe the Humira just beats her system down enough to back the RA off from destroying things too much.

 

[h2oratt]

Absolutely minimal reaction to the booster. Not really a surprise as we had little reaction to the first 3 Moderna shots.

Are they recommending everyone keeps boosting every 6 months?