I seethed and I fumed as I trimmed and I shaped the bushes and as I pruned the tree branches back from the house and as I ruminated on our home health debacle. My shoulders ached from raising the twenty-foot-long pole high into the canopy. I had been so excited to observe Weston spend three hours patiently gathering Dad’s medical condition data, kindly listening to Dad describe his growing paralysis, and giving us tidbits of helpful advice (like elevating the recliners). I had been so excited to have a physical therapist and an occupational therapist come to coach Dad how to live safely in his home, how to become stronger even. Knowing Dad liked his yardwork, Weston said PT would show him how to work safely in the yard and how to keep his balance. But PT came and pushed him too hard to ride the stationary bicycle and pushed him too hard to circle the house behind his walker and for days he was nearly too weak to move and never took him outside to train him in yardwork techniques and balance exercises. PT’s second visit contained no therapy at all, only computer problems, and an abrupt announcement that she was no longer needed and would not be coming back. Dad was too genteel to report her rudeness and abrasiveness to Weston, partly because he did not want her coming back to boss and belittle. And OT came and reported that, indeed, a few grab bars would be helpful, which Dad had in the first place informed her. Case manager Weston came a second time, today, spent no productive time with Dad, offered no suggestions or course of action, stated PT would not be returning, said he (the home health supervisor) had no idea who Dad might call to have grab bars installed, instructed Dad to do whatever exercise he felt was right for him and to devise his own treatment and strengthening plan, offered to get out of Dad’s hair, and announced that home health’s role was finished. He would not be coming back. That was it. That was the beginning and the end of home health. They had done nothing. I elevated the recliners (giving them full credit for the idea). Mom will find someone to install the grab bars. Nothing at all. Except I’m sure they billed Medicare for every visit. Dad felt diminished, belittled, abandoned, and disheartened, as if the great Home Health had decided he were a lost cause, too decrepit and paralyzed, too close to knocking off for home health to do any good. The great Home Health left Dad with the advice to figure out his own course of treatment and strengthening and balance and activity, as if the sum of their meager efforts was, We can’t help you. Figure out how to help yourself, if you can. Maybe Weston thinks Dad does not need home health care, that I, Roger Baker, am the de facto home health care provider. In 295 installments, I have not used this forum to vent anger or sarcasm or skepticism, but to find strength and tenderness and hope in the details of a very challenging experience. But today I am beside myself with frustration and discouragement at the utter lack of home health or home help or home care and feel abandoned to stumble along do our best by ourselves. But we still watch in wonder the hummingbirds from our dinner table, see the sugar-water level dropping, refill the feeder, marvel at their tininess and beauty, and contemplate agog their brave twice-yearly over-ocean migrations to warmer lands during our winter, and to know that the world is a beautiful and good place to be, home health be damned.
Tag Archives: Occupational Therapy
Courage at Twilight: PT/OT
Weston sent Sarah and Suzie, a physical therapist and an occupational therapist, to see Dad a few days after the intake assessment. Sarah put him on the stationary bike and instructed him to ride until he was too tired to ride anymore, and to repeat the burnout every day. And she had him do what he will not do for me—amble around the house with his heavy-duty metallic blue walker, a stopwatch in her hand—and instructed him to practice every day because she would be timing him at every visit to see if he is improving. The day after Sarah’s “therapy,” Dad could not walk at all, and the therapy seemed obviously counterproductive to him. Suzie, who has a dozen hummingbird feeders at her house, looked over Dad’s house for ways we could make his life a bit easier. Dad’s most painful moments of the day, both physically and mentally, are standing up from his recliner. His pain is an 8 out 10 on the grimace scale, so severe that he avoids leaving his chair. She suggested we attach risers to the feet of his recliners so Dad does not have to rise from such a plush depth, but can slide out more easily to a standing position. What a simple idea, I thought. (Another Duh.) So, I brought home from Lowes some quality 2×3 lumber, cut it to size, drilled pilot holes, and attached two 26-inch lengths to the 26-inch two feet, then two more, adding a full three inches of height to the chair. He was quite excited to try his elevated chair, now much easier to stand up from. Of course, the increased height puts greater pressure on his hamstrings, so he must keep his feet elevated, which is better anyway for his edema. Dad came outside and watched me while I measured the lumber, and cut it with a crosscut saw, and drilled the pilot holes, with divots for the screw heads. Before he made it back into the house, the lumber risers were firmly anchored and his “new” chairs were ready. Such a simple aid for such a serious problem. And as we sat at the kitchen table eating our chicken rice almond casserole, two tiny spotted fawns wandered into the yard, stopping to nibble generously on Dad’s potentilla bushes. Both the mule deer and the potentilla are endemic to the nearby mountains, so go well together also in our yard. Each pull at the leaves tugged at me somewhat urgently me to shoo the fawns away, but Dad said, “Let them eat the whole bush. I don’t care. Don’t shoo them away. I like to see them, such darling creatures. I’m glad they are here. And I’m glad the hummingbirds come to the feeder.”