Thursday, August 9, 2007

Long Term Care Part I

We just finished up the fourth day of our long term care rotation. I've come to terms with the fact that this clinical rotation will be a simultaneously rewarding and challenging experiences.

My client is an elderly woman with advanced Alzheimer's. Her speech is often incoherent, which makes it difficult for her to verbally communicate her needs. She's totally dependent on others, meaning she cannot toilet, feed, or dress herself. We have to use what's called a Marissa lift to get her out of bed and into her wheelchair -- her feet virtually never touch the floor. I don't think I have ever seen anyone who is so vulnerable.

I was absolutely terrified on my first day as her co-caregiver. (Fortunately, I have a partner!) I'm sure that was nothing, however, compared to what it must have been like for her to be woken up at 0630 by two shy strangers who were both awkward and eager to help her start her morning. It was touch and go, but we eventually got her to the dining room.... an hour late.

By now, things have fallen into place. We've been trying to promote a sense of autonomy by offering her simple choices. It didn't seem to make much difference on the first day, but by now it's clear that she likes us and likes having options. Every once in awhile, when her speech is clear and lucid, we get a glimpse of her personality. And for some reason, I really make her laugh.

It's a good feeling! (Although sometimes I think she's laughing at me, rather than with me.)

1 comment:

zandra said...

oh Robin, that entry really touched me! You're such a sweet and caring person! But then again, I already knew that!

I'm like the little engine that could -- nursing school style.