http://www.thecheckoutline.org/advice/my-mother-in-law-with-dementia/ Advice for Dying and Death - When Sympathy Isnt Enough Fri, 18 May 2012 12:04:05 +0000 http://wordpress.org/?v=2.7 hourly 1 http://www.thecheckoutline.org/advice/my-mother-in-law-with-dementia/comment-page-1/#comment-13478 Judy Tue, 04 Aug 2009 18:31:36 +0000 http://www.thecheckoutline.org/?p=825#comment-13478 Thanks Jeanne -- I too was wondering what the hospice people were thinking (or not thinking...) when they allowed those terminal restlessness symptoms to go on for so long. The writer (not to mention the mother-in-law) need relief, and she needs it now! Thanks Jeanne — I too was wondering what the hospice people were thinking (or not thinking…) when they allowed those terminal restlessness symptoms to go on for so long. The writer (not to mention the mother-in-law) need relief, and she needs it now!

]]> http://www.thecheckoutline.org/advice/my-mother-in-law-with-dementia/comment-page-1/#comment-13473 Jeanne Frye, RN, CHPN Tue, 04 Aug 2009 16:24:49 +0000 http://www.thecheckoutline.org/?p=825#comment-13473 Judy, you were right on it with that answer. I question that the hospice is not being more proactive in this area...Staff need to be one step ahead, and this terminal restlessness is, in my mind a reason for true symptom managment up to utilizing continuous care or a general in patient level of care if needed. Continuous care allows the agency to supply care for eight hours (can be broken up if that works better, ie 4 hours in the am and 4 hours in the pm). General in patient allows transfer to an in patient facility (with liberal visiting hours) to work on the sypmtoms that are causing the crises.....sorry I went so long, but if hospice is on this case, they need to STEP IT UP! Thanks for letting me vent. Judy, you were right on it with that answer. I question that the hospice is not being more proactive in this area…Staff need to be one step ahead, and this terminal restlessness is, in my mind a reason for true symptom managment up to utilizing continuous care or a general in patient level of care if needed.
Continuous care allows the agency to supply care for eight hours (can be broken up if that works better, ie 4 hours in the am and 4 hours in the pm). General in patient allows transfer to an in patient facility (with liberal visiting hours) to work on the sypmtoms that are causing the crises…..sorry I went so long, but if hospice is on this case, they need to STEP IT UP! Thanks for letting me vent.

]]> http://www.thecheckoutline.org/advice/my-mother-in-law-with-dementia/comment-page-1/#comment-13460 Harold Tue, 04 Aug 2009 12:02:16 +0000 http://www.thecheckoutline.org/?p=825#comment-13460 There comes a point when even good Samaritans must face the fact they cannot do any more. It sounds to me like Suzanne is at that stage with her mother-in-law. Suzanne needs to have a calm conversation with her husband, have him face the situation and agree that the mother-in-law should be living in a facility. Regular visits, willingness to be called at a moment of crisis, but not having to cope with the current situation 24/7. There comes a point when even good Samaritans must face the fact they cannot do any more. It sounds to me like Suzanne is at that stage with her mother-in-law. Suzanne needs to have a calm conversation with her husband, have him face the situation and agree that the mother-in-law should be living in a facility. Regular visits, willingness to be called at a moment of crisis, but not having to cope with the current situation 24/7.

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