Showing posts with label routine. Show all posts
Showing posts with label routine. Show all posts

Thursday, May 23, 2013

There’s Always Tomorrow

Newsflash:  Sometimes caregiving is fulfilling and sometimes it’s a pain in the you-know-what.

For someone who loves order and routine, I have learned am learning that these wide swings can be over the course of a month, week or day.   

Even moment to moment. 

Since moving Robert to our home, my husband and I have had challenges but we’ve had some really memorable moments with Robert too.  

It’s those moments of laughter and, for me anyway, routine that can sustain us through even long stretches of difficult times. 

These difficulties are not because Robert moved in with us because, as even a casual reader here knows, I had my difficulties when Robert lived in a care facility. 

Caregiving is caregiving no matter where your caree lives.

This past week presented challenges but it also had moments of pleasant surprise. I see glimpses of routine!  Some people may not like routine but I seek it at work and at home. It provides me something to count on and a sense of peace. As much as I love the word discombobulated, I loathe the feeling of it. 

I see Robert looking at Richard with respect and watching how he does things, seemingly making a mental note.  I see bad habits we’re trying to change in Robert go by the wayside.  I see progress with habits much more difficult to break. 

Knowing Robert is wearing clean clothes and is changed and kept clean as much as needed is a huge relief.  I see an improvement in Robert’s health (knock on wood).

I see light at the end of the tunnel. 

This is what a week on the way to “normal” and "routine" looks like:

Last Thursday

Robert’s GP suggested he see a pulmonary specialist since he’s been in the hospital twice in the past 11 months for pneumonia.  She wrote the referral and said to call in a few days to get the appointment.  I waited more than a week because I know how these things go.

My first call was to the clinic where I wanted the appointment and was told the referral was written for another clinic and to call them.

My second call was to that location but was told there was no referral and to call the central referral line.

My third call was to the central referral line.  They  told me they don't handle pulmonary referrals and to call office #2. After explaining I already did that, she took my number and said she will have office #2 call me back.

It’s been a week and I just today was able to get the appointment with the pulmonologist.  I gave up on my preferred location and am just happy I got an appointment. 

Thursday night:

Robert had a seizure and ended up on the floor (as much as we try to keep Robert seated or catch him when he falls, it’s not always possible – falls happen). He came out of the seizure with me, Richard, Taz and Oz on the floor with him. Instead of his usual confusion, he woke up giggling.  We must have been quite the sight! 

Saturday

Richard stayed with Robert while I went to a yoga class in the morning with my daughter.  It was a studio we hadn’t been to before and we fell in love with it!  I was relaxed and rejuvenated. 

The middle of the day was filled with the not so fun stuff: multiple seizures, falls, hubby and I not communicating well and Taz (aka Crazy Puppy) and Robert not communicating well.

The evening was much better and was spent on the patio with Robert and I watching hubby play ball with the dogs. There was ice cream and laughter involved which helped soothe the rough spots of the day.

Monday

While I was outside with the puppy working on a writing project (and trying to tire the little maniac), Robert was just inside watching Wheel of Fortune. Every time someone solved a puzzle, he said, "That's good she solved it." Or if they go bankrupt, he would declare, "That's too bad he went bankrupt." He loves to give a running commentary during game shows!

Tuesday

While making dinner, I glanced over and saw Robert's hand moving. I assumed he was having a seizure (he sometimes tugs at his clothes when having a seizure) but saw he was petting Oz! Granted, Oz is our 8-year old, CALM lab who had walked over near Robert but until now Robert hasn't initiated petting any of the dogs. This is progress!

Wednesday

A birthday dinner out was planned for Richard’s mom but she became sick in the afternoon and by evening needed to be taken to urgent care (she is back home now and on antibiotics).   The upside of the evening is my daughter was over and was able to tire out the dogs and keep them out of Robert’s hair!

Today

It was a hectic morning at work made even busier because I had to leave early to take Robert to a bone scan appointment.  Thankfully, Richard picked Robert up from Day Program which saved me from having to leave even earlier! Once they were home and Robert settled on one couch and Oz on the other. Robert looked over at Oz and, good-naturedly said, “Good afternoon, Oz.” 

I picked Robert up from home and took him to the appointment.  We were back in time to have pancakes for dinner! 

(We also just ended the evening with an earthquake! Luckily, there are no reports of damage but it was disconcerting to have the chair move beneath me. Robert and the dogs slept through it.)

There is definitely light at the end of the tunnel.  Early in the week a friend reminded me of a favorite quote:

"There's a great big beautiful tomorrow shining at the end of every day."

The beauty of this week is its normalcy (except that earthquake, of course) and the tiniest sliver of routine.  And the fact that there will be tomorrows full of routine and normal and pleasant surprises which will far outweigh the difficult days.  



Sunday, May 5, 2013

Discombobulated

I love the word “discombobulated.”

Only a moment of peace -
do not be deceived
Just hearing the word conveys its meaning: confusion.  The word bounces around your mouth as if in a state of confusion itself.  Whenever I say it out loud it takes so long to say that I have time to wonder if I’m going to pronounce it correctly.  I have a moment to wonder when I’m going to get to the end of the word (I wonder the same when I am actually in a state of confusion). 

Will it ever end?

I’ve been feeling discombobulated lately and even though I know the feeling will eventually pass, that I will once again enjoy the comfort of routine, I wonder when it will happen.  How soon will I be able to establish new routines that I’m comfortable with and can count on? 

Some people don’t mind chaos and not knowing what’s around the corner.  I prefer to know exactly what to expect, when to expect it, and if it’s a problem, how to solve it. 

Some people call that being a control freak; I call it comforting.

When I am feeling discombobulated, I can physically feel the chaos in my body.  My nerves bounce around in my stomach, head and chest and my temper is triggered more quickly.  My patience wanes and I find myself getting easily frustrated about thing that normally don’t bother me. 

It’s only been just over a month that Robert moved in and we are working on developing new routines.  He needs help getting clean and staying clean, medications need to be organized, ordered and dispensed.  We don’t have an extra bedroom for Robert so the sofa sleeper needs to be pulled out each night and put away each morning (and since he’s incontinent there’s a lot of laundry in between - even with him wearing briefs and using lots of pads).   

There are habits that Robert has picked up after years of living independently and then in a facility setting and not knowing any better and we’re working on changing some of these bad habits.  These are things we have worked on when he visited over the weekend but were difficult to get them to stick since he lived elsewhere during the week.

These are habits that are important for him to change so that he can be more accepted in a social setting (like learning not to blow his nose at the dinner table) or for health or safety reasons (like knowing to ask for help when he uses the bathroom). 

It’s actually not that much extra work but my mornings are now filled with getting Robert ready for the day and making sure the puppy gets his play time instead of reading the news or other blogs or writing.  Part of my day is also spent teaching the puppy to stay out of Robert’s personal space and teaching Robert that hitting a puppy out of frustration is not okay (no matter how many times he tries to lick the straw of his chocolate shake or share his lunch).  

Thankfully, Hubby helps with Robert’s morning routine and gets his breakfast ready and makes a lunch for him to take to Day Program and I use that time to get ready for work. 

Moving to our house from the Board & Care was a big adjustment for Robert and for the first week, he had several seizures. Robert doesn’t like change either.

The extra seizures started to subside but less than two weeks after moving in Robert was in the ICU with pneumonia and septic shock. 

Talk about feeling discombobulated!  Running from home to the hospital to work and back to the hospital again completely disrupted routines at home and work.  Even the dogs were discombobulated and had a few accidents in the house while we were away. 

Robert recovered and was home after a week but his motor and personal care skills took a hit.  The routines we had established in the short time he was here before being hospitalized had to be recreated.  Robert and the puppy had to get reacquainted with the rules of getting along.

My stress started to show and I was more than a little cranky.  Even Robert was showing signs of stress.  

The discombobulation (yes, I made that up) seemed to want to take up permanent residence. 

Quite discombobulating for a control freak comforting-routine-seeker like myself.

I know I have to have patience.  The routines will come.  I will again find time to read my favorite blogs and websites.  I will again have time to write without sacrificing sleep.  I even think the puppy and Robert will eventually get along (they may not be best buddies but I do believe a peace accord is possible!).

I do see hope on the horizon.  My head realizes it’s only been a month – and a month which included a week long hospital stay at that!  My heart is still feeling a bit discombobulated but here I am writing which feeds my heart and soul.  I’m finding time to watch favorite shows with my husband.  I’m enjoying my time with the puppy and, of course, our good/more laid-back lab.  I am refueled with visits from my daughter and the occasional shoe shopping excursion. 

My husband gave me a moment of clarity at dinner last night when he asked Robert what he liked about living here since he had been here for a month. 

Robert thought for a second and responded, “It’s comfortable.” 

Now it is possible Robert was just talking about the sofa sleeper but it’s also possible he’s telling us he’s no longer discombobulated.   That he is happy living with us. 

It might take me a little longer to get there but I’m reaching for “comfortable” too and have faith I will get there.