My very reason for going to nursing school, exactly a month after my
father passed away from the most heart renching diease, Alzhemier's. My
mother did a beautiful job of caring for him, as well as I would drive 3
hours from corpus christi to houston in the middle of night, for the fear
that we were loosing him. He did finnally went to heaven, 14 years ago.
Anyone that is afflected w/this horrible diease not only do they get my very
best I have to offer, but the family needs to have us too. My mother,
brother and I didn't have one health care professional at that time that
were either empathic or understood. The only book out at that time was the
36 hour day. It wasn't until Ronald Reagan and other big names were
diagnosised w/this, that Alzheimers, dementia was given the time of day. My
heart out to anyone living with the awareness that someone they love with
Alheimer's or any form of dementia.
Claudia
>From: "Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: Re: question for group
>Date: Fri, 6 Feb 2004 08:20:08 -0500
>
>Faye,
>Thanks for sharing this about your mother. My mother has
early Alzheimers as well, and my sister absolutely refuses to accept the
diagnosis, because Mama "can remember things when she wants
to." Mom got lost on the interstate going to my
sister's house (which is the house that I grew up in) because a new sign had
gone up on the interstate, confusing her as to which exit to take.
>
>I see the biggest deficits for her in the area of decision
making ability. She can certainly remember things, and knows who,
where and when she is. But when faced with an unfamiliar
situation, she is paralyzed, because she does not know what to do.
>
>I agree that decision making is at least as important as
orientation in determining whether someone is refusing or declining care
versus resisting care as a behavior.
>
>Holly
>Holly F. Sox, RN, RAC-C
>Clinical Editor
>
>www.careplans.com [EMAIL PROTECTED]
>
> ----- Original Message -----
> From: Faye Jones
> To: [EMAIL PROTECTED]
> Sent: Friday, February 06, 2004 8:28 AM
> Subject: RE: question for group
>
>
> Just my opinion. Just being alert and
oriented x 3 is insufficient evidence of the ability to make a sound
judgment or decision. Many dementia residents in the early and
sometimes into moderate stages with the assist of appropriate medication can
answer appropriately to questions r/t orientation and yet do not have the
ability to organize their day and/or make appropriate decisions about their
care and well being. We see it everyday here and I deal with it
in my personal life. My mom has Alzheimer's and is totally alert
and oriented most of the time, can relate her past right down to word for
word conversations but has to be supervised day to day or she would forget
meals, wear the same clothes day after day etc. I have to attend
all MD visits etc cause she can't manage her own health care
decisions. I use both orientation and decision making ability as
a basis to determine resistance vs informed refusal. To me the
ability to re fuse has in it the ability comprehend/process information
given and understand the negative outcomes involved.
>
>
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
> Sent: Thursday, February 05, 2004 9:00 PM
> To: [EMAIL PROTECTED]
> Subject: Re: question for group
>
>
>
> In a message dated 2/5/2004 7:34:34 AM Pacific
Standard Time, [EMAIL PROTECTED] writes:
>
> Now we are wondering how long we
would continue to mark that or is he resisting care (E4e)?
>
> Remember, if he is alert and oriented, he can't
be considered as "resisting care."
