Friday night so-so ... 8pm H. retired for the night, this is earlier than usual. Up a couple of times, both times calling for Morris. It is currently 8:30am, she is still in bed. wake/sleep times have varied widely this week.
H.'s ability to stand and push the walker for the travel to-fro bedroom almost gone. Almost all stand/sit/lie movement is with assistance.
not much chance to observe food intake this week. what I did observe is that much of what is served is not eaten. Celery, carrots, morning toast pb+j are preferred ... sandwiches are not ...
When conversing with H., I find that although I must repeat things frequently, a proper conversation can be had. and, of course, sense of humor seems to be totally intact.
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Can't recall if Mom is still on sleep medication. She had been taking Ambien at one point.
If she's not, maybe she should so both she and the caregiver can get a full night's sleep. If she is, maybe Dr. Pugh could advise re: sleep patterns.
Jane - could you check and advise?
no Ambien/Ambien-like medication is being taken. Tylenol is an optional med listed with comment "helps with sleep" ... this has not been given in this week's dosings as it was not in the pre-filled med case. I'll check with Dan on what this means - are we trying to cut back on Tylenol-at-night for some reason? or just an oversight?
fyi ... writing this at 7am sunday, H. retired at 10:30pm,slept thru the night, is still sleeping.
it may be that a bed-time should be defined and, rather than wait for H. to decide when, she is put to bed at that time. This may help in getting a sleep-schedule established. I'll give that a try this week, beginning today after discussing with H.
I believe that Mom does not react well to Ambien and that it increases confusion and delerium. I believe that Dan will confirm this, i.e., that she was taken off of it because of this.
Also, in my experience with the Tylenol PM - she refused it once she knew it was an optional medication. On a few occasions, I could get to her take one only but I did not see any difference in her sleeping pattern based on her taking or not taking it.
When I was there over the weekend before Jane's arrival, I found her to be weaker than when I was there in July, needing much more assistance to get up and "get going" via the walker and about 75% usage of the walker to WALK. If she sat down, I just accepted it, but let her choose - not offering the sit down. I found that the middle of the night trips to the bathroom the most troubling as she could not get her balance for several minutes for the short walk.
I would tread lightly with the Ambien or any other sleep medication and would state that this is what they will do in a nursing home - give her medication to treat situations as opposed to medical conditions. If we are going down that route, we may be closer to nursing home consideration than we want to admit.
Sleep patterns seem to be "normal" to me,meaning normal for Mom. A tighter schedule might help. I don't mind the "regular" uptime at night. It gets bad when it's seems to be constant. I haven't experienced that for a few months.
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