Re: Sending good thoughts toJune

[Guest guest]

June, I am so sorry he is having to endure this, and it could very well

partly be from lack of proper care. I know this is hard on you. I would be off

the wall. Hope he gets better fast.

Imogene

In a message dated 10/5/2006 9:50:32 PM Central Daylight Time,

jchristensen1953@... writes:

Finally, late this morning, they decided he should go

to ER; called an ambulance to take him. When I got

there, he had just been put in a room, and no one from

the NH had accompanied him. I was floored.

After spending from 1:30 until 7, most of the time in

ER, they determined through blood work, urine

speciman, CT scan, and lung x-rays that he does have

another UTI, spots on the lungs that appear to be

pneumonia, and quite dehydrated. They are treating

with an antibiotic IV. They won't let him either

drink or eat until they determine his swallowing

abilities. He did have a swallow test when he was

there at the end of June, but they say it can change

with another illness. They also thought the

swallowing problem could be due to dehydration.

One of the male nurses/aides that attended him in ER

and did the catheter on him told me that he was not

being kept as clean there as he should be. He was

also concerned that they have not brushed his teeth.

The only time they get brushed is when I do it, and it

is quite difficult to do when he is sitting in a chair

in the middle of the day room or in the dining room.

His bed sore is clearing up but still there. This guy

said that any one of those things could cause sepis

poisoning and seemed quite concerned about the lack of

personal care he is NOT getting despite the fact that

every time I have brought this up, they say they will

do it. The hospital does not understand this

continuing battle with the NH regarding meds and

agreed that Ativan, Haldol, Oxycontin (sp) and

Fentanyl will not be used while he is in the hospital.

I did tell them the NH had been using Seroquel and

that if he had to have something, they probably would

be able to use it. I also asked that Lortab not be

used if possible and that possibly Trazedone, which is

not a narcotic, might be considered. They seemed a

little concerned about medicine reactions when talking

in the ER, possibly a reaction to some of the drugs???

The doctor was very nice and very concerned. He did

push me for a decision about DNR, which I had been

putting off. I don't like to play God, but they have

to know in case of pneumonia problems or possible

heart attack with no chance to make an immediate

decision. I finally agreed that they would do CPR and

try resusitation but that he would not be intubated or

any other mechanical means to be kept alive. He said

it is better to let them go " naturally " than to use

means to keep them alive and then have to discontinue

it later.

I am very upset with this NH, as I had told them last

week I could smell a strong urine smell whenever he

moved. When I suggested a urine test Monday night,

they said they would just start the Cipro, a broad

spectrum, and that would take care of any infection.

The hospital believes the pneumonia could be

aspiration because of his difficulty in eating and

swallowing the last few days. All of this has come on

since Monday night; Sunday night he ate well and acted

fine. If I had not insisted that he be seen today,

who knows what might have happened. When I opened

today's paper, the obit of a fairly new resident was

in it, and I found out she had died of pneumonia.

This is #9 that 0has died since he went in last

February.

Thank you, Sara, for asking.

--- Sara <_cheeps4u@..._ (mailto:cheeps4u@...) > wrote:

> " In _LBDcaregivers@LBDcaregiverLBD_ (mailto:LBDcaregivers )

, June Christensen

> <jchristensen1953@jch> wrote: He is worse; running a

> fever of over 100

> now, not eating because he's not swallowing. He's

> also coughing but

> not bringing up much of anything. If he isn't

> better by morning, I'm

> going to insist he goes to the hospital or they have

> someone come there. "

>

>

> June....I'm wonder how everything is going...worried

> about you guys. Sara

>

>

>

>

>

>

>

>

__________________________________________________

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[Guest guest]

Finally, late this morning, they decided he should go

to ER; called an ambulance to take him. When I got

there, he had just been put in a room, and no one from

the NH had accompanied him. I was floored.

After spending from 1:30 until 7, most of the time in

ER, they determined through blood work, urine

speciman, CT scan, and lung x-rays that he does have

another UTI, spots on the lungs that appear to be

pneumonia, and quite dehydrated. They are treating

with an antibiotic IV. They won't let him either

drink or eat until they determine his swallowing

abilities. He did have a swallow test when he was

there at the end of June, but they say it can change

with another illness. They also thought the

swallowing problem could be due to dehydration.

One of the male nurses/aides that attended him in ER

and did the catheter on him told me that he was not

being kept as clean there as he should be. He was

also concerned that they have not brushed his teeth.

The only time they get brushed is when I do it, and it

is quite difficult to do when he is sitting in a chair

in the middle of the day room or in the dining room.

His bed sore is clearing up but still there. This guy

said that any one of those things could cause sepis

poisoning and seemed quite concerned about the lack of

personal care he is NOT getting despite the fact that

every time I have brought this up, they say they will

do it. The hospital does not understand this

continuing battle with the NH regarding meds and

agreed that Ativan, Haldol, Oxycontin (sp) and

Fentanyl will not be used while he is in the hospital.

I did tell them the NH had been using Seroquel and

that if he had to have something, they probably would

be able to use it. I also asked that Lortab not be

used if possible and that possibly Trazedone, which is

not a narcotic, might be considered. They seemed a

little concerned about medicine reactions when talking

in the ER, possibly a reaction to some of the drugs???

The doctor was very nice and very concerned. He did

push me for a decision about DNR, which I had been

putting off. I don't like to play God, but they have

to know in case of pneumonia problems or possible

heart attack with no chance to make an immediate

decision. I finally agreed that they would do CPR and

try resusitation but that he would not be intubated or

any other mechanical means to be kept alive. He said

it is better to let them go " naturally " than to use

means to keep them alive and then have to discontinue

it later.

I am very upset with this NH, as I had told them last

week I could smell a strong urine smell whenever he

moved. When I suggested a urine test Monday night,

they said they would just start the Cipro, a broad

spectrum, and that would take care of any infection.

The hospital believes the pneumonia could be

aspiration because of his difficulty in eating and

swallowing the last few days. All of this has come on

since Monday night; Sunday night he ate well and acted

fine. If I had not insisted that he be seen today,

who knows what might have happened. When I opened

today's paper, the obit of a fairly new resident was

in it, and I found out she had died of pneumonia.

This is #9 that 0has died since he went in last

February.

Thank you, Sara, for asking.

--- Sara wrote:

> " In LBDcaregivers , June Christensen

> wrote: He is worse; running a

> fever of over 100

> now, not eating because he's not swallowing. He's

> also coughing but

> not bringing up much of anything. If he isn't

> better by morning, I'm

> going to insist he goes to the hospital or they have

> someone come there. "

>

>

> June....I'm wonder how everything is going...worried

> about you guys. Sara

>

>

>

>

>

>

>

>

__________________________________________________

[Guest guest]

Hi June,

Sounds like a stressful day for both of you. I'm glad you talked

with a doctor in the ER who seemed to know what is going on.

Hopefully the treatment will clear up your husband's issues soon.

It is totally frustrating to try to deal with the NH regarding

inadequate care.

I am wishing you strength in the days to come.

Take care,

Daughter of Bill, 91

In LBDcaregivers , June Christensen

wrote:

>

> Finally, late this morning, they decided he should go

> to ER; called an ambulance to take him. When I got

> there, he had just been put in a room, and no one from

> the NH had accompanied him. I was floored.

>

> After spending from 1:30 until 7, most of the time in

> ER, they determined through blood work, urine

> speciman, CT scan, and lung x-rays that he does have

> another UTI, spots on the lungs that appear to be

> pneumonia, and quite dehydrated. They are treating

> with an antibiotic IV. They won't let him either

> drink or eat until they determine his swallowing

> abilities. He did have a swallow test when he was

> there at the end of June, but they say it can change

> with another illness. They also thought the

> swallowing problem could be due to dehydration.

>

> One of the male nurses/aides that attended him in ER

> and did the catheter on him told me that he was not

> being kept as clean there as he should be. He was

> also concerned that they have not brushed his teeth.

> The only time they get brushed is when I do it, and it

> is quite difficult to do when he is sitting in a chair

> in the middle of the day room or in the dining room.

> His bed sore is clearing up but still there. This guy

> said that any one of those things could cause sepis

> poisoning and seemed quite concerned about the lack of

> personal care he is NOT getting despite the fact that

> every time I have brought this up, they say they will

> do it. The hospital does not understand this

> continuing battle with the NH regarding meds and

> agreed that Ativan, Haldol, Oxycontin (sp) and

> Fentanyl will not be used while he is in the hospital.

> I did tell them the NH had been using Seroquel and

> that if he had to have something, they probably would

> be able to use it. I also asked that Lortab not be

> used if possible and that possibly Trazedone, which is

> not a narcotic, might be considered. They seemed a

> little concerned about medicine reactions when talking

> in the ER, possibly a reaction to some of the drugs???

>

>

> The doctor was very nice and very concerned. He did

> push me for a decision about DNR, which I had been

> putting off. I don't like to play God, but they have

> to know in case of pneumonia problems or possible

> heart attack with no chance to make an immediate

> decision. I finally agreed that they would do CPR and

> try resusitation but that he would not be intubated or

> any other mechanical means to be kept alive. He said

> it is better to let them go " naturally " than to use

> means to keep them alive and then have to discontinue

> it later.

>

> I am very upset with this NH, as I had told them last

> week I could smell a strong urine smell whenever he

> moved. When I suggested a urine test Monday night,

> they said they would just start the Cipro, a broad

> spectrum, and that would take care of any infection.

> The hospital believes the pneumonia could be

> aspiration because of his difficulty in eating and

> swallowing the last few days. All of this has come on

> since Monday night; Sunday night he ate well and acted

> fine. If I had not insisted that he be seen today,

> who knows what might have happened. When I opened

> today's paper, the obit of a fairly new resident was

> in it, and I found out she had died of pneumonia.

> This is #9 that 0has died since he went in last

> February.

>

> Thank you, Sara, for asking.

>

>

> --- Sara wrote:

>

> > " In LBDcaregivers , June Christensen

> > <jchristensen1953@> wrote: He is worse; running a

> > fever of over 100

> > now, not eating because he's not swallowing. He's

> > also coughing but

> > not bringing up much of anything. If he isn't

> > better by morning, I'm

> > going to insist he goes to the hospital or they have

> > someone come there. "

> >

> >

> > June....I'm wonder how everything is going...worried

> > about you guys. Sara

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

[Guest guest]

June,

You and your husband are in my thoughts and prayers. Please have them be very

careful of Haladol. They put my mom on this and kept increasing it when she was

getting worse. It almost killed her until thankfully a good neurologist took

her off and started her on seraquel which is working great. Please take care of

yourself along the way and know that others our thinking of you and your

husband.

etta

June Christensen wrote:

Finally, late this morning, they decided he should go

to ER; called an ambulance to take him. When I got

there, he had just been put in a room, and no one from

the NH had accompanied him. I was floored.

After spending from 1:30 until 7, most of the time in

ER, they determined through blood work, urine

speciman, CT scan, and lung x-rays that he does have

another UTI, spots on the lungs that appear to be

pneumonia, and quite dehydrated. They are treating

with an antibiotic IV. They won't let him either

drink or eat until they determine his swallowing

abilities. He did have a swallow test when he was

there at the end of June, but they say it can change

with another illness. They also thought the

swallowing problem could be due to dehydration.

One of the male nurses/aides that attended him in ER

and did the catheter on him told me that he was not

being kept as clean there as he should be. He was

also concerned that they have not brushed his teeth.

The only time they get brushed is when I do it, and it

is quite difficult to do when he is sitting in a chair

in the middle of the day room or in the dining room.

His bed sore is clearing up but still there. This guy

said that any one of those things could cause sepis

poisoning and seemed quite concerned about the lack of

personal care he is NOT getting despite the fact that

every time I have brought this up, they say they will

do it. The hospital does not understand this

continuing battle with the NH regarding meds and

agreed that Ativan, Haldol, Oxycontin (sp) and

Fentanyl will not be used while he is in the hospital.

I did tell them the NH had been using Seroquel and

that if he had to have something, they probably would

be able to use it. I also asked that Lortab not be

used if possible and that possibly Trazedone, which is

not a narcotic, might be considered. They seemed a

little concerned about medicine reactions when talking

in the ER, possibly a reaction to some of the drugs???

The doctor was very nice and very concerned. He did

push me for a decision about DNR, which I had been

putting off. I don't like to play God, but they have

to know in case of pneumonia problems or possible

heart attack with no chance to make an immediate

decision. I finally agreed that they would do CPR and

try resusitation but that he would not be intubated or

any other mechanical means to be kept alive. He said

it is better to let them go " naturally " than to use

means to keep them alive and then have to discontinue

it later.

I am very upset with this NH, as I had told them last

week I could smell a strong urine smell whenever he

moved. When I suggested a urine test Monday night,

they said they would just start the Cipro, a broad

spectrum, and that would take care of any infection.

The hospital believes the pneumonia could be

aspiration because of his difficulty in eating and

swallowing the last few days. All of this has come on

since Monday night; Sunday night he ate well and acted

fine. If I had not insisted that he be seen today,

who knows what might have happened. When I opened

today's paper, the obit of a fairly new resident was

in it, and I found out she had died of pneumonia.

This is #9 that 0has died since he went in last

February.

Thank you, Sara, for asking.

--- Sara wrote:

> " In LBDcaregivers , June Christensen

> wrote: He is worse; running a

> fever of over 100

> now, not eating because he's not swallowing. He's

> also coughing but

> not bringing up much of anything. If he isn't

> better by morning, I'm

> going to insist he goes to the hospital or they have

> someone come there. "

>

>

> June....I'm wonder how everything is going...worried

> about you guys. Sara

>

>

>

>

>

>

>

>

__________________________________________________

[Guest guest]

Dear June

I will keep you and your husband in my thoughts and

prayers. It is a roller coaster ride. My mom has been

in since March, but I believe it to be a better NH

than the one you are describing. Can you look around

for a better one? I am not sure where you live. I am

sorry I have forgotten. I realize that in some states

the options are not all that great. I know it has to

do with Insurance etc... But I am relieved that you

have him in the hosp now. He can get the care that he

deserves. Thanks for letting us know.

Dena

Mother (83) In NH since March 2006. Currently on

Vicodin only. Removed from hospice recently.

--- June Christensen

wrote:

> Finally, late this morning, they decided he should

> go

> to ER; called an ambulance to take him. When I got

> there, he had just been put in a room, and no one

> from

> the NH had accompanied him. I was floored.

>

> After spending from 1:30 until 7, most of the time

> in

> ER, they determined through blood work, urine

> speciman, CT scan, and lung x-rays that he does have

> another UTI, spots on the lungs that appear to be

> pneumonia, and quite dehydrated. They are treating

> with an antibiotic IV. They won't let him either

> drink or eat until they determine his swallowing

> abilities. He did have a swallow test when he was

> there at the end of June, but they say it can change

> with another illness. They also thought the

> swallowing problem could be due to dehydration.

>

> One of the male nurses/aides that attended him in ER

> and did the catheter on him told me that he was not

> being kept as clean there as he should be. He was

> also concerned that they have not brushed his teeth.

>

> The only time they get brushed is when I do it, and

> it

> is quite difficult to do when he is sitting in a

> chair

> in the middle of the day room or in the dining room.

>

> His bed sore is clearing up but still there. This

> guy

> said that any one of those things could cause sepis

> poisoning and seemed quite concerned about the lack

> of

> personal care he is NOT getting despite the fact

> that

> every time I have brought this up, they say they

> will

> do it. The hospital does not understand this

> continuing battle with the NH regarding meds and

> agreed that Ativan, Haldol, Oxycontin (sp) and

> Fentanyl will not be used while he is in the

> hospital.

> I did tell them the NH had been using Seroquel and

> that if he had to have something, they probably

> would

> be able to use it. I also asked that Lortab not be

> used if possible and that possibly Trazedone, which

> is

> not a narcotic, might be considered. They seemed a

> little concerned about medicine reactions when

> talking

> in the ER, possibly a reaction to some of the

> drugs???

>

>

> The doctor was very nice and very concerned. He did

> push me for a decision about DNR, which I had been

> putting off. I don't like to play God, but they

> have

> to know in case of pneumonia problems or possible

> heart attack with no chance to make an immediate

> decision. I finally agreed that they would do CPR

> and

> try resusitation but that he would not be intubated

> or

> any other mechanical means to be kept alive. He

> said

> it is better to let them go " naturally " than to use

> means to keep them alive and then have to

> discontinue

> it later.

>

> I am very upset with this NH, as I had told them

> last

> week I could smell a strong urine smell whenever he

> moved. When I suggested a urine test Monday night,

> they said they would just start the Cipro, a broad

> spectrum, and that would take care of any infection.

>

> The hospital believes the pneumonia could be

> aspiration because of his difficulty in eating and

> swallowing the last few days. All of this has come

> on

> since Monday night; Sunday night he ate well and

> acted

> fine. If I had not insisted that he be seen today,

> who knows what might have happened. When I opened

> today's paper, the obit of a fairly new resident was

> in it, and I found out she had died of pneumonia.

> This is #9 that 0has died since he went in last

> February.

>

> Thank you, Sara, for asking.

>

>

> --- Sara wrote:

>

> > " In LBDcaregivers , June

> Christensen

> > wrote: He is worse; running

> a

> > fever of over 100

> > now, not eating because he's not swallowing. He's

> > also coughing but

> > not bringing up much of anything. If he isn't

> > better by morning, I'm

> > going to insist he goes to the hospital or they

> have

> > someone come there. "

> >

> >

> > June....I'm wonder how everything is

> going...worried

> > about you guys. Sara

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

[Guest guest]

June,

I am so sorry you sweet LO have to go through this and I know its so hard on

you. It does seem like much of his problems are due to lack of care in the NH.

Its just appalling that you spend so much time there with him and they can't

even do the necessary personal hyigene when you are not there. It makes me

wonder how other residents are being cared for who do not have the attention

from a family member. Sounds as if the nursing home needs to be investigated

although I know that most states have a backlog.

Please be assured that I am praying for God confort and healing during this

time. I am new to this list but you sound like a wonderful caring person and a

great advacate for your DH. Thank you so much for the update and I hope the

next one is much better.

Vallerie

[Guest guest]

June -- sending positive thoughts to you and your husband at this time.

Give them he** at the nursing home -- your husband deserves better

treatment!

[Guest guest]

Thank you. They agreed no Haldol, Ativan, Fentanyl,

or Oxycontin. I hope I can trust them and will unless

they do use any of those drugs. I don't like the

Seroquel, but I know they have to have something to

calm them so have given permission on that.

--- " J. K. Sheba " wrote:

> June,

> You and your husband are in my thoughts and

> prayers. Please have them be very careful of

> Haladol. They put my mom on this and kept

> increasing it when she was getting worse. It almost

> killed her until thankfully a good neurologist took

> her off and started her on seraquel which is working

> great. Please take care of yourself along the way

> and know that others our thinking of you and your

> husband.

> etta

>

> June Christensen wrote:

> Finally, late this morning, they decided

> he should go

> to ER; called an ambulance to take him. When I got

> there, he had just been put in a room, and no one

> from

> the NH had accompanied him. I was floored.

>

> After spending from 1:30 until 7, most of the time

> in

> ER, they determined through blood work, urine

> speciman, CT scan, and lung x-rays that he does have

> another UTI, spots on the lungs that appear to be

> pneumonia, and quite dehydrated. They are treating

> with an antibiotic IV. They won't let him either

> drink or eat until they determine his swallowing

> abilities. He did have a swallow test when he was

> there at the end of June, but they say it can change

> with another illness. They also thought the

> swallowing problem could be due to dehydration.

>

> One of the male nurses/aides that attended him in ER

> and did the catheter on him told me that he was not

> being kept as clean there as he should be. He was

> also concerned that they have not brushed his teeth.

>

> The only time they get brushed is when I do it, and

> it

> is quite difficult to do when he is sitting in a

> chair

> in the middle of the day room or in the dining room.

>

> His bed sore is clearing up but still there. This

> guy

> said that any one of those things could cause sepis

> poisoning and seemed quite concerned about the lack

> of

> personal care he is NOT getting despite the fact

> that

> every time I have brought this up, they say they

> will

> do it. The hospital does not understand this

> continuing battle with the NH regarding meds and

> agreed that Ativan, Haldol, Oxycontin (sp) and

> Fentanyl will not be used while he is in the

> hospital.

> I did tell them the NH had been using Seroquel and

> that if he had to have something, they probably

> would

> be able to use it. I also asked that Lortab not be

> used if possible and that possibly Trazedone, which

> is

> not a narcotic, might be considered. They seemed a

> little concerned about medicine reactions when

> talking

> in the ER, possibly a reaction to some of the

> drugs???

>

>

> The doctor was very nice and very concerned. He did

> push me for a decision about DNR, which I had been

> putting off. I don't like to play God, but they have

> to know in case of pneumonia problems or possible

> heart attack with no chance to make an immediate

> decision. I finally agreed that they would do CPR

> and

> try resusitation but that he would not be intubated

> or

> any other mechanical means to be kept alive. He said

> it is better to let them go " naturally " than to use

> means to keep them alive and then have to

> discontinue

> it later.

>

> I am very upset with this NH, as I had told them

> last

> week I could smell a strong urine smell whenever he

> moved. When I suggested a urine test Monday night,

> they said they would just start the Cipro, a broad

> spectrum, and that would take care of any infection.

>

> The hospital believes the pneumonia could be

> aspiration because of his difficulty in eating and

> swallowing the last few days. All of this has come

> on

> since Monday night; Sunday night he ate well and

> acted

> fine. If I had not insisted that he be seen today,

> who knows what might have happened. When I opened

> today's paper, the obit of a fairly new resident was

> in it, and I found out she had died of pneumonia.

> This is #9 that 0has died since he went in last

> February.

>

> Thank you, Sara, for asking.

>

> --- Sara wrote:

>

> > " In LBDcaregivers , June

> Christensen

> > wrote: He is worse; running

> a

> > fever of over 100

> > now, not eating because he's not swallowing. He's

> > also coughing but

> > not bringing up much of anything. If he isn't

> > better by morning, I'm

> > going to insist he goes to the hospital or they

> have

> > someone come there. "

> >

> >

> > June....I'm wonder how everything is

> going...worried

> > about you guys. Sara

> >

> >

> >

> >

> >

> >

> >

> >

>

> __________________________________________________

>

[Guest guest]

june,

i am speechless, #9 since feb to die of pneumonia seems to be very high number.

and aspiration pneumonia is something that we have to watch out for. dad had it

2x in the last 4 monhts of his life. Cipro is a very good bladder/uti

antibiotic. i have used it often for that!!!! i am concerned though that the

nursing home seems so complacent when it comes to cleaning the patients. that

is not healthy for any of the nh patients. i dont know if it is reasonable to

move him into anohter facility or if you just want to start and create friction

there. either way, something should be done or said to the nh administration.

if cleanliness is too difficult for the nh to keep up wiht you need to find the

number for the ombudsmen which is a mediator type person you talk with and they

investigate the nh and your complaints. if people arent kept as clean as

poosible, then they are more susceptible to infections and problems with

bedsores getting so severe due to the bacteria on the body. please stand your

ground, even if you cant move him you can at least motivate them to take better

care of all their patients. good luck and hugs,

sharon m

---- June Christensen wrote:

Finally, late this morning, they decided he should go

to ER; called an ambulance to take him. When I got

there, he had just been put in a room, and no one from

the NH had accompanied him. I was floored.

After spending from 1:30 until 7, most of the time in

ER, they determined through blood work, urine

speciman, CT scan, and lung x-rays that he does have

another UTI, spots on the lungs that appear to be

pneumonia, and quite dehydrated. They are treating

with an antibiotic IV. They won't let him either

drink or eat until they determine his swallowing

abilities. He did have a swallow test when he was

there at the end of June, but they say it can change

with another illness. They also thought the

swallowing problem could be due to dehydration.

One of the male nurses/aides that attended him in ER

and did the catheter on him told me that he was not

being kept as clean there as he should be. He was

also concerned that they have not brushed his teeth.

The only time they get brushed is when I do it, and it

is quite difficult to do when he is sitting in a chair

in the middle of the day room or in the dining room.

His bed sore is clearing up but still there. This guy

said that any one of those things could cause sepis

poisoning and seemed quite concerned about the lack of

personal care he is NOT getting despite the fact that

every time I have brought this up, they say they will

do it. The hospital does not understand this

continuing battle with the NH regarding meds and

agreed that Ativan, Haldol, Oxycontin (sp) and

Fentanyl will not be used while he is in the hospital.

I did tell them the NH had been using Seroquel and

that if he had to have something, they probably would

be able to use it. I also asked that Lortab not be

used if possible and that possibly Trazedone, which is

not a narcotic, might be considered. They seemed a

little concerned about medicine reactions when talking

in the ER, possibly a reaction to some of the drugs???

The doctor was very nice and very concerned. He did

push me for a decision about DNR, which I had been

putting off. I don't like to play God, but they have

to know in case of pneumonia problems or possible

heart attack with no chance to make an immediate

decision. I finally agreed that they would do CPR and

try resusitation but that he would not be intubated or

any other mechanical means to be kept alive. He said

it is better to let them go " naturally " than to use

means to keep them alive and then have to discontinue

it later.

I am very upset with this NH, as I had told them last

week I could smell a strong urine smell whenever he

moved. When I suggested a urine test Monday night,

they said they would just start the Cipro, a broad

spectrum, and that would take care of any infection.

The hospital believes the pneumonia could be

aspiration because of his difficulty in eating and

swallowing the last few days. All of this has come on

since Monday night; Sunday night he ate well and acted

fine. If I had not insisted that he be seen today,

who knows what might have happened. When I opened

today's paper, the obit of a fairly new resident was

in it, and I found out she had died of pneumonia.

This is #9 that 0has died since he went in last

February.

Thank you, Sara, for asking.

--- Sara wrote:

> " In LBDcaregivers , June Christensen

> wrote: He is worse; running a

> fever of over 100

> now, not eating because he's not swallowing. He's

> also coughing but

> not bringing up much of anything. If he isn't

> better by morning, I'm

> going to insist he goes to the hospital or they have

> someone come there. "

>

>

> June....I'm wonder how everything is going...worried

> about you guys. Sara

>

>

>

>

>

>

>

>

__________________________________________________

[Guest guest]

I don't know that all of them died from pneumonia;

just that they have died. And, of course, many of

them were very elderly, so it was to be expected.

--- LadySmilingAtU2@... wrote:

> june,

> i am speechless, #9 since feb to die of pneumonia

> seems to be very high number. and aspiration

> pneumonia is something that we have to watch out

> for. dad had it 2x in the last 4 monhts of his life.

> Cipro is a very good bladder/uti antibiotic. i

> have used it often for that!!!! i am concerned

> though that the nursing home seems so complacent

> when it comes to cleaning the patients. that is not

> healthy for any of the nh patients. i dont know if

> it is reasonable to move him into anohter facility

> or if you just want to start and create friction

> there. either way, something should be done or said

> to the nh administration. if cleanliness is too

> difficult for the nh to keep up wiht you need to

> find the number for the ombudsmen which is a

> mediator type person you talk with and they

> investigate the nh and your complaints. if people

> arent kept as clean as poosible, then they are more

> susceptible to infections and problems with bedsores

> getting so severe due to the bacteria on the body.

> please stand your ground, even if you cant move him

> you can at least motivate them to take better care

> of all their patients. good luck and hugs,

> sharon m

> ---- June Christensen

> wrote:

> Finally, late this morning, they decided he should

> go

> to ER; called an ambulance to take him. When I got

> there, he had just been put in a room, and no one

> from

> the NH had accompanied him. I was floored.

>

> After spending from 1:30 until 7, most of the time

> in

> ER, they determined through blood work, urine

> speciman, CT scan, and lung x-rays that he does have

> another UTI, spots on the lungs that appear to be

> pneumonia, and quite dehydrated. They are treating

> with an antibiotic IV. They won't let him either

> drink or eat until they determine his swallowing

> abilities. He did have a swallow test when he was

> there at the end of June, but they say it can change

> with another illness. They also thought the

> swallowing problem could be due to dehydration.

>

> One of the male nurses/aides that attended him in ER

> and did the catheter on him told me that he was not

> being kept as clean there as he should be. He was

> also concerned that they have not brushed his teeth.

>

> The only time they get brushed is when I do it, and

> it

> is quite difficult to do when he is sitting in a

> chair

> in the middle of the day room or in the dining room.

>

> His bed sore is clearing up but still there. This

> guy

> said that any one of those things could cause sepis

> poisoning and seemed quite concerned about the lack

> of

> personal care he is NOT getting despite the fact

> that

> every time I have brought this up, they say they

> will

> do it. The hospital does not understand this

> continuing battle with the NH regarding meds and

> agreed that Ativan, Haldol, Oxycontin (sp) and

> Fentanyl will not be used while he is in the

> hospital.

> I did tell them the NH had been using Seroquel and

> that if he had to have something, they probably

> would

> be able to use it. I also asked that Lortab not be

> used if possible and that possibly Trazedone, which

> is

> not a narcotic, might be considered. They seemed a

> little concerned about medicine reactions when

> talking

> in the ER, possibly a reaction to some of the

> drugs???

>

>

> The doctor was very nice and very concerned. He did

> push me for a decision about DNR, which I had been

> putting off. I don't like to play God, but they

> have

> to know in case of pneumonia problems or possible

> heart attack with no chance to make an immediate

> decision. I finally agreed that they would do CPR

> and

> try resusitation but that he would not be intubated

> or

> any other mechanical means to be kept alive. He

> said

> it is better to let them go " naturally " than to use

> means to keep them alive and then have to

> discontinue

> it later.

>

> I am very upset with this NH, as I had told them

> last

> week I could smell a strong urine smell whenever he

> moved. When I suggested a urine test Monday night,

> they said they would just start the Cipro, a broad

> spectrum, and that would take care of any infection.

>

> The hospital believes the pneumonia could be

> aspiration because of his difficulty in eating and

> swallowing the last few days. All of this has come

> on

> since Monday night; Sunday night he ate well and

> acted

> fine. If I had not insisted that he be seen today,

> who knows what might have happened. When I opened

> today's paper, the obit of a fairly new resident was

> in it, and I found out she had died of pneumonia.

> This is #9 that 0has died since he went in last

> February.

>

> Thank you, Sara, for asking.

>

>

> --- Sara wrote:

>

> > " In LBDcaregivers , June

> Christensen

> > wrote: He is worse; running

> a

> > fever of over 100

> > now, not eating because he's not swallowing. He's

> > also coughing but

> > not bringing up much of anything. If he isn't

> > better by morning, I'm

> > going to insist he goes to the hospital or they

> have

> > someone come there. "

> >

> >

> > June....I'm wonder how everything is

> going...worried

> > about you guys. Sara

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>