Sustaining Elder Care – November 2024

I have two book/puzzle sorting days at my community library before I go off to Dallas again…I am hoping to find some more 300-piece puzzles to take for my Dad. I think he is probably running a bit low and maybe my sister is bringing some older ones back that he hasn’t done recently. We don’t have as many 300-piece as we do 500…and those 500-piece ones are getting too hard for him.

The past month has been more stressful in terms of elder care than I anticipated. There is a disagreement between us daughters about whether he is having pain when he eats and he needs his food ground up. Observations of him eating are not consistent. We have asked the dentist he saw last to make an assessment….since to make the change in mealtime routine for the assisted living staff will require a doctor’s order.  On the plus side – I don’t think my dad is aware of the turmoil. Most of the interaction among my sisters and I is via text; I’ve stopped looking at the messages about an hour before bedtime to try to reduce the impact on my sleep. It’s also caused me to start thinking more about what I want my relationship with my sisters to be separate from our shared interest in our father’s well-being.

Sustaining Eldercare – October 2024

A big worry in any group living situation with older people – something contagious going around - seemed to be happening in late September. Dad developed upper respiratory congestion and was not feeling well at all; the medication his doctor prescribed made his balance even more precarious but appeared to help him otherwise. No one else in the assisted living residence had it so it might have been a seasonal allergy flare up. He is the only resident that goes outdoors on a regular basis – for his walks around the block and to help water plants around the patio. He is back to normal at this point and the family is very relieved.

We are continuing to enjoy jigsaw puzzles with him. There are some clues that don’t work for him anymore – like tiny writing on a puzzle piece; his eyesight is not good enough to read the words.

One of my sisters took a closer look at his toothbrush and electric shaver recently. The toothbrush needs to be replaced, and the electric shaver looked as if it hadn’t been cleaned for a long time. Since both of those things are items we need to provide for him, we should have been monitoring them more closely. We are good about the things we do for him daily (like putting out clothes for the next day) but probably need a list of things we check periodically (like the toothbrush and electric shaver)! The other toiletries – like toothpaste and lotion and soap – were already on our radar and there are extras of those things already available under the sink of his bathroom.

He has been living in the assisted living residence for 10 months now. My sisters and I are still tweaking how we best support him…some is just to be expected since we want to be responsive as his needs change, but other tweaks are discoveries for us of things we should have been doing proactively all along (like checking the toothbrush and the electric razor).

Ten Little Celebrations – September 2024

It seemed liked the heat of summer lingered into September this year…but we are already savoring a few cooler days and looking forward to fall foliage. There was plenty to celebrate this month:

Places to visit

Butterflies at Botanical Garden of the Ozarks (in Fayetteville). Celebrated finally seeing some of the larger butterflies although it was in Arkansas rather than at home.

A few hours at the Lovett Pinetum. The place is not a park…requires some coordination to visit. I visited as part of my Identifying Woody Plants class (Missouri State University) and celebrated the evergreens…but also the native plants that are growing in the unmanaged areas. There is also a lovely spring feed pond and then stream.

Japanese festival at the Springfield Botanical Gardens. Celebrating big drums and the Mizumoto Japanese Stroll Garden full of people enjoying the fall day. We got ice matcha tea just before the booth was scheduled to close!

La Petite Prairie field trip. Celebrating the experience of walking through a prairie with grass almost as tall as me for the first time….and not getting bitten by anything (maybe because of my permethrin treated gaiters and hat…long sleeves and jeans).

Family ties

Finding puzzles for Dad. Finally…found a used books/puzzles sale that had some 300 piece puzzles. Celebrated and took them down to Dallas for my dad a few days later.

Around our yard

A cooler day. September had some hot days…but there are cooler ones where the high stays in the 70s to celebrate too.

Getting the yard mowed and the brush burning in the chiminea. I celebrated that I got so much yard work done on one of the cooler days…mowed the whole yard and burned a pile of brush that had accumulated during the summer.

Collecting pin oak acorns to sprout. Celebrating finding a video about sprouting acrons in water and starting the process with some carefully selected acorns from my neighbor’s tree that fell in my yard.

Planting pawpaw seeds. So many seeds from 2 pawpaws I got from an earlier master naturalist class! This time I stratified them before planting. I am celebrating that I got them in the ground…and hopefully will celebrate some of them coming up next spring/summer.

American Spikenard seeds turning red. Celebrating that the American Spikenard I planted a year ago has survived and is producing red seeds this September.

Road trip to Texas – September 2024

I made a 2-day road trip to Texas to visit my father. It was the usual 7 hours on the road each direction. It was dark when I left my house. The moon was close to the horizon and looking very large. I should have stopped for a picture when a few clouds drifted over part of it – missed the opportunity. More clouds and fog blinked out the moon before I got to my first rest stop and gave the day an eerie start. I was more than halfway to Texas before the temperature was in the mid70s, but Dallas was in the 90s when I got to my dad’s assisted living home. We finished a puzzle and watered plants around the back patio, but it was too hot to take him for a walk around the block.

I had forgotten that there was a partial lunar eclipse…didn’t venture out of my hotel room. My husband sent a picture the next morning that he took from our front yard.

The next morning I visited my father right after breakfast…a great time for a walk. He is moving more slowly but walks often enough that other walkers in the neighborhood recognize him! There is a lot of home maintenance/improvement going on in the neighborhood. One family had enclosed more of their yard and made rock gardens in the parts that are too shady for much to grow; a small branch had fallen from the tree and was leaning on one of the larger rocks….photo-op.

There was an interesting leaf in the middle of the street…..not the usual fall foliage. It might have been from a Bradford Pear. My dad was so focused on walking that he didn’t seem interested in the leaf, but I took it back to his room as a memento to share with his next visitor.

Getting out of Dallas was a bit challenging. There seemed to be more-than-the-usual stalled cars/trucks (in traffic lanes on US 75 rather than off to the side) and there was some construction. I made a stop to relax a bit close to the border with Oklahoma…and am glad that the rest of the drive back to Missouri was uneventful.

Sustaining Elder Care – September 2024

The past month has been challenging with one sister still traveling and another exposed to COVID (disrupting her visits to my dad). We have still sustained our goal for someone in the family to see him every day.

He is changing a bit too…often wanting to go to bed much earlier than usual. That compresses the time for us to have a good visit with him. Sometimes he will get up when one of us arrives and work on the puzzle or go for a walk if it is still light outside. It helps that the weather is not quite as hot as it was in August.

I found 9 puzzles at a used book/puzzle sale done by the Springfield MO libraries and my sister that it traveling has purchased puzzles at some of the places she visited. One of the ones I found might be kept until closer to Christmas rather than leaving it for him to do now.

The staff at his assisted living home has encouraged us to proactively reduce the clutter in his room so his day-to-day activities are less confusing to him. We’ve cleared surfaces by putting some things in enclosed storage areas and reduced the numbers of linens (he had more than double what he needed!). We took away shoes and clothes that he doesn’t wear any more. We tried to transition him from jeans to pull-on type pants and discovered that he wants to stay with the jeans!

His medical team which makes house calls for his checkups has done bloodwork, and he is in good health. But he is over 90 and some days he feels better than others.

One of my sisters is looking for ways to use his television screen to provide visually interesting slideshows; he is not interested in watching television shows or the news anymore. Hopefully we can do some experimenting over the next month to see if we can develop another activity he can enjoy.

Sustaining Elder Care – August 2024

One of my sisters is taking an extended road trip this month, so the 3 of us still around are adjusting so that one of use sees my dad every day. The real crunch will come later this month when another sister will be out of town for a week. It’s a good thing the assisted living home seems relatively calm at this point and dad is getting morning walks, puzzle time, and eating as well as usual.

He likes puzzles with fewer pieces now (up to 500…rarely one with 1000 if there are a lot of clues in the puzzle and the pieces are not too small). I had one puzzle that I took during my first visit this month and there will be an opportunity to buy used puzzles before I go later in the month. We are also starting through some of the puzzles he did months ago; his memory is such that he doesn’t remember them from before…they are a good challenge all over again.

His doctor has taken him off all the supplements he had been taking for years because they were causing him digestive problems. It was more difficult for him to swallow them now too. He gets the equivalent of a multivitamin as a liquid (purchased in powder form and taken mixed with water); he is feeling much better after the change.

Another change that is occurring – he appears to have developed ingrown toenails for the first time in his life. Fortunately, the assisted living has a podiatrist that comes periodically. We are scurrying to buy some open toed shoes for the day after the ingrown toenails are resolved.

The plants one of my sisters planted around the back porch area of the house had required daily watering – which we were all doing as part of our visit with dad – but the house sprinkler system has been fixed and we only need to water on days that it doesn’t run now.

We are beginning to feel that we have a routine that works for us and my dad (and the staff at the assisted living home) although we are very conscious that the routine will need to be tweaked as his needs change.

Sustaining Elder Care – July 2024

A full month had passed since my visit to my father in June and I noticed that his situation seemed calmer this month although the staff at the assisted living home were stressed with acclimating 2 new residents and the further decline of another. It took them longer to answer the front doorbell on both of my visits, but on both days my dad’s room was clean, he was dressed in clean clothes, and he had just finished a meal.

Since I arrive in the afternoon, it was too hot for a walk outdoors. One of the staff members stopped by to tell me she had taken him in the morning just after breakfast. We finished a puzzle in the great room (he was very pleased since the easy parts had been done the day before and the remaining pieces were mostly the same color). Afterward we went into the back yard, and he sat in the shade while I watered the plants that my sister managed to transfer from his former home; they need to be watered daily in the hot Dallas summer; my mother’s miniature rose bush is blooming profusely. I put out his clothes for the next day. It seems 2 to 2.5 hours is the ideal duration for visits with him. When I left, he was going to take a nap.

The next morning, I got bitten by something (ants?) as I waited for a staff member to let me into the house (fortunately the welts disappeared quickly once I used my After Bite stick). The staff were evidently overwhelmed with helping another resident (or two); they left the door a little ajar so I could immediately take Dad for a walk. The temperature was still pleasant, and I was surprised at the pace Dad set; it is clear that he is walking regularly and had built up his stamina. We made it around the block in good time – but enough that whatever was keeping the staff busy had resolved by the time we got back. I encouraged my dad to drink some water and we started a new puzzle. It turned out to be harder than we anticipated, and we only got about 2/3 of the border done before we decided to take a break to water plants in the backyard. And he was worn out from those activities…ready for a nap before lunch!

My dad is visited by me or my sisters almost every day. We all put out clothes for him to wear the next day and (right now) water plants. If the weather permits, we take him for a walk. We work on a puzzle with him. There has been at least one instance where he has requested that a puzzle be framed for his wall – and participated in the process to get it ready for the frame. He seems to be settling into a comfortable pattern.

The newest challenge has been him getting cold and putting on a jacket when he is in his room. Evidently the thermostat for his part of the house is in the kitchen and when there is a lot of cooking happening there it gets hot enough to cause the air conditioner to come on. His room gets about 5 degrees cooler than the kitchen! The staff is aware of the issue and is monitor. We are also reminding him that it is warmer in the community room where the puzzle table and large recliners are located…but he seems to prefer the jacket and his room at least some of the time!

Previous Elder Care posts

Sustaining Elder Care – June 2024

A lot had happened over the past month.

A resident of the assisted living home came down with a respiratory infection but was getting better; then another one became sick and spent a few days in the hospital before returning. My dad didn’t get sick at all. The episode caused an uptick in anxiety for my sisters and I for a few days.  

One of my sisters was going to cut his toenails and discovered two small wounds on his leg. He didn’t remember how he’d gotten them and there was no incident reported by the staff. Fortunately, they were not infected and appeared to be healing.

With the staff turnover, we have realized that his medications are not being given as consistently as we assumed. One of my sisters reviewed the meds with a staff member and discovered that the supply of some supplements had be depleted and no one had told us more needed to be purchased! Most of what he takes are supplements, but now we are concerned about whether he has been getting his few prescription drugs reliably since his ophthalmologist discovered he had a small stroke near one of his optic nerves and can only see light and colors in that eye now; we will always wonder whether the assisted living staffers were giving him the eye drops prescribed to lower the pressure in his eyes.  

My dad complained of his front teeth hurting; we have known for some time that his lower teeth were loose and that there was not enough bone or other teeth to do any kind of restoration. The decision had been made to cut up his food and train him to avoid using those front teeth. But that was before they started hurting. My sister that handles most of his medical appointments contacted the doctor that comes to the assisted living home for most of his medical needs and discovered that they there is a dentist in their practice! Within a few days, the dentist came, got updated x-rays, and pulled two lower teeth! Both were not in much bone and were relatively easy to pull. Now the staff really will have to pay more attention and cut up his food consistently; even though the requirement has been in their document for him since January, they seem to lapse into serving him food that he can’t eat with the teeth he has (or rather doesn’t have).

The only doctor he leaves the assisted living home to see is a dermatologist; a small skin cancer was removed this month. The visits are quite tiring for him…being in the car, waiting for the doctor…the procedure itself is very short. My sisters and I anticipate a time when he won’t be able to withstand that kind of medical appointment.

He is still doing puzzles – enjoying the shared project with anyone visiting him. He is joyous every time one is finished.

The flower beds at the assisted living home contain some of the plants from his previous home…planted by one of my sisters. They are doing well however, she is frustrated that one of the beds that she hasn’t work on, is full of Virginia Creeper; she is too allergic to do anything that bed.

The weather in Dallas has gotten hot enough that walking in the afternoon with Dad might not be a good idea. We all try to take him for neighborhood walks whenever the weather is cool enough. The walks will probably be more and more skewed to the mornings.

Dad seems to be adjusting to the upheavals well enough. He is more resilient that any of us anticipated.

Previous Elder Care posts

Sustaining Elder Care – May 2024

Since my last ‘sustaining elder care’ post, I have been to Dallas twice and am acknowledging that maybe my plan to drive down once a month is not going to work. Two times a month is becoming my more realistic plan.

Now that the days are longer, I can visit in the afternoon on the day I drive down and again in the morning before I drive back to Missouri. My dad is the only morning person in his assisted living group home so visiting him in the morning is prime one-on-one time. He frequently has a ‘first breakfast’ before anyone else is awake (about the time I arrive) and then eats again with everyone else. Between the two light meals we can take a walk around the block or maybe further if his stamina increases; in the summer, the morning walk might be his only walk of the day.

One of the challenges right now is that my dad tends to lose track of his reading glasses (he needs them to work on puzzles). My sister has brought a supply but hopefully some of them will show up again. While we were working on the puzzle during my morning visit, he did it without glasses! He seemed to enjoy the challenge of working from the shape of the piece entirely – and he was successful plenty of times.

I bought 10 more puzzles at the $3/bag day at my Missouri library’s used books (and puzzles) sale. What a bargain! One of them was a duplicate but it still was a good deal! We started the beach and lighthouse puzzle in the upper left corner of the picture below during my first visit in May.

There has been some upheaval at the assisted living home – the lead staff member being reassigned to another home and some leadership being rotated in from other homes – the company searching for a permanent replacement. There is also a new resident in a room near my dad’s. So far, he seems to be unperturbed by the changes, but my sisters and I are thinking more about what our plan would be if something went very wrong at the home where he is.

Previous Elder Care posts

Sustaining Elder Care – April 2024

2-day trips to Dallas have become the norm for me. I leave early from home, visit my dad immediately after I get to Dallas in the early afternoon and take care of any other business thereafter…then stay in a hotel overnight and drive home the next day. Now that the days are getting longer, perhaps I might visit him a second time in the morning before I head home although the assisted living group home is not ‘early.’ I probably would not want to arrive for a visit before 10 AM.

Dad still enjoys going out to eat and we are exploring more places nearby.

The warmer weather is great for walks. We have discovered that he does better with a four-wheeled walker than the two-wheeled one. The rough pavement makes it very hard to use the two-wheeled one. His balance is much improved holding onto the four-wheeled walker and he walks at a pace that is more like the way he walked prior to using a walker.

He has decided that 500 pieces puzzles are usually too hard…and he wants bigger pieces. I got 10 puzzles for $20 at the library’s used books (and puzzles) sale; knowing what they have is one of the benefits of volunteering for setup. Most of the puzzles I got have 300 pieces and I am hopefull my dad and others at the group home will enjoy putting them together. I picked ones with bright colors too – although that wasn’t a requirement from my dad.

One of my sisters and her husband took my dad to her home to see the eclipse on the 8th. Unfortunately, he didn’t understand what was happening and kept asking where he was. It was a learning experience for our family – we will continue to enjoy taking him out to lunch occasionally but be very careful not to overwhelm him with more complex events away from his assisted living home.

I had thought I would be able to get down to one visit per month…but so far that hasn’t happened.

Previous Elder Care posts

Birthdays

The birthdays in my family are almost all in March, April, and May! So – I’m thinking about the way we have celebrated birthdays over the years. The age range for the group of 8 is 2-93 years!

Food has always played a big role in birthday celebrations. Sometimes there was cake – bakery (I remember a few in the 1960s where the cake was in the form of an elaborate dress around a Barbie doll), homemade, or ice cream (strawberry or mint chocolate chip being the most popular flavors). Recently there hasn’t been cake for most adult birthdays since we’re all reducing sugar in our diets. But we do enjoy a meal at a restaurant…or take out…or a special home cooked meal. When I was growing up, my paternal grandmother was the one that prepared most special meals which always included her Czech pastries: buns with raisin centers, kolaches and cinnamon rolls.

If we can’t be at the celebration in person, we at least acknowledge the birthday. These days I send texts …previously we sent emails…and further back there were cards. Since all the people with spring birthdays live in the Dallas area, most of the family manages to participate in the celebration….except for my family who live in Missouri.

As we’ve gotten older, there are less presents exchanged…it’s the time spent together that is the primary component. We tend to get things for each other in a more ad hoc way and try to avoid presents that will simply be ‘stuff’ that accumulates through the years.

The oldest of us (my dad) enjoys a good meal so there will be one on his birthday…but he enjoys the outings to a restaurant so much that we are doing it more frequently. My sisters and I are all keen to discover what he likes…and provide it! We don’t need the excuse of a birthday or other celebration… we are simply in the mode of savoring that he is still with us!

Sustaining Elder Care – March 2024

A recap: My sisters and I started our journey ramping up elder care back in November. At first we thought we were being proactive in our conversation about ‘next steps’ with my parents’ doctor….but, less than a week later, my mother was critically ill and in the hospital. I spent the next 7 weeks in Texas. My mother managed to recover enough to come home before Thanksgiving even though she needed a lot of support at home. We hired caregivers to assist her at night through December and moved my parents to an assisted living group home just before the new year. As we worked to get them settled into the assisted living routine, we started a surge of effort to get their house cleared and on the market; the sale was finalized at the end of February. Both parents responded favorably to assisted living and decided they wanted to go out to eat occasionally rather than having special meals via take out as we had done for them at their house. In mid-February, they became sick with COVID…my dad first; he got Paxlovid and was recovering. My mother tested positive a few days later; her doctor adjusted her meds and she got Paxlovid; at first her case seemed even less symptomatic than my dad’s; the staff at the group home thought her breathing was wheezy one afternoon (even though my mother did not think she was having breathing problems) and sent her to the hospital via ambulance; she died 2 hours later.

The last few weeks have been busy ones. We reconfigured my dad’s living space from two rooms down to one and are in the process adjusting the assets my mom and dad accumulated to support his long-term care. As I write this, I realize that we have already settled into a ‘sustaining’ rather than ‘ramping up’ mind set. It isn’t that we won’t evolve what we do based on my dad’s needs…but we have a framework that will stay the same: the assisted living group home…daily visits from family….out to eat several times a month…walking in the neighborhood when the weather is good. Right now, he is still adjusting to not having mom around all the time; she was there for him for over 71 years. We are grateful to the staff of the assisted living for their increased attention. He still has times when he looks lonely…but he is talking more than he did when mom was around to talk for him.

Going forward, my trips to Texas will be quick ones – drive down and visit with dad in the afternoon before I head to my hotel, drive home the next day. Sometimes I will visit with dad in the morning before I drive back. I have done 2 of these trips so far in March. My sisters are there more frequently because they live closer than I do – one is there almost every day, another comes 2-3 times per week, another once or twice a week. Along with taking him out to eat, we put out his clothes for the next day, work on a puzzle with him, accompany him on a walk, help him find something that he lost (his wallet with his id and he glasses tend to go missing).

My sisters and I have had conversations about how much we have accomplished in the past few months – having to adjust very rapidly. We are not exactly relaxed at this point, but the stress level is dramatically lower!

Previous posts: November 2023, November 2023 update, December 2023, January 2024, February 2024, March 2024 (1)

Ramping up Elder Care – March 2024 (1)

A lot has happened in the last few weeks, so I am going to write 2 ‘ramping up elder care’ posts in March. In my mid-February post, I wrote “Are we through the bend…or is more to come before we settle into the new normal?” We were already getting accustomed to my parents’ house being sold…but we were also anxious with my dad testing positive for COVID. My mother tested positive a few days after he did….and died suddenly  few days later after being in the hospital for about 2 hours. So - the bend in my family’s collective life path is continuing into March.

My mother’s funeral was on the 1st. Dad was pleased with his appearance for the funeral; one of the assisted living staff helped him get into his suit (which he had not worn for a few years --- the last time was to a granddaughter’s wedding)…found another shirt so the neck would button and he could wear a tie! My sisters and I alternated being with him during the visitation and service. He seemed to enjoy my slide-by-slide narration of the pictures of Mother’s life from a young child to a few days before she died at 92. He also liked the limo. He did not like seeing Mother in the casket…thought it didn’t look like her even though he acknowledged that it was. He looked a few times then seemed to prefer watching the slideshow.

 My dad is grieving but very engaged with the reconfiguration of his living area at the assisted living group home. We started setting expectations a few days before the funeral so he would not be surprised when the furniture moves started to happen and it helped him internalize that mother was not coming back. The bed my mother has been using was one provided by the assisted living home and it was removed while we were at the funeral. We were all relieved that he didn’t seem traumatized that it was gone.   He is talking more than usual (he previously has always deferred to mother) ….and is more opinionated about how he would like things arranged. My sisters and I are spending more time with him, and the staff is very helpful. The staff has figured out that a small serving of ice cream is a great treat for him…and smooths out rough emotional times. So far – he seems to be surprising us with how well he is navigating his ‘new normal’ without his partner for over 71 years.

My dad’s reactions have been so positive that my sisters and I have already cleared away most of my mother’s belongings. It was a good time for us to talk to each other and him….noting some of the clothes she had worn for years…and others that were almost new…and trying out ideas for where furniture would be moved.

I don’t know for sure that we are at a new normal yet. We are with him more than usual…just to be sure he is OK. So far…he seems to be.

A few last pictures from my parents back yard the day before we closed on the 28th:

One of the neighbors asked the new owner if he could cut the narcissus and daffodil flowers from the yard to bring to the funeral….and the new owner said yes!

One of the neighbors asked the new owner if he could cut the narcissus and daffodil flowers from the yard to bring to the funeral….and the new owner said yes!

Previous posts: November 2023, November 2023 update, December 2023, January 2024, February 2024

Last from my Parents’ House

The last work trip I made to empty storage areas from my parents’ house before the sale is finalized at the end of the month, was mostly about how to donate, reuse, or trash what was left. I did notice that the Japanese quince was starting to bloom. My mother’s favorite color was orange when I was growing up; the color of the flowers is probably why the bush was purchased…why my mother cut the early blooms to bring indoors.  

As I cleaned out the storage areas there were only a few items I decided I could reuse. One was a very large clip board (shown with a standard sized clipboard for comparison). There were two of them. I chose to take the one that had remnants of paint around the edges; one of my sisters took the other. I assume my mother used it when she was taking art classes at the local community college, but she doesn’t remember the large clip boards at all.

There were 4 pieces of Masonite in the pile of wood that we were putting at the curb for pickup (the city does curbside pickups on Friday in their area…but often the items are picked up by others and taken away before the city trucks come). The pieces were lighter in color than the clipboard; I decided they would work as Zentangle tiles…that could be hung together or separately.

Another find – covered with dust – were some vertical blinds. At first, we thought they might be from the window treatment in my dad’s old office – but the ones there are very different. I opted to take them to use as Zentangle tiles as well – probably using the smooth side rather than the textured. They have a hole in the top that makes them easy to hang from a nail (maybe a decorative one).

Now I have taken the moving blankets out of my car; they worked well for all my trips to Carrollton in January and the first weeks of February. The house and storage areas are empty. My parents’ house is ready for a new owner.

Ramping up Elder Care – February 2024

My parents have rediscovered the joy of going out to a restaurant for a meal. The weekday late lunchtime seems to work best (i.e. not crowded). It is quite a production: two elderly people with walkers…and two (or three) others with them. One of my sisters bought a small refrigerator for their room and they relish being able to put their leftovers there (and seem to prefer eating them for their next meal!). This is probably something I will try to do with them every time I visit. There are a lot of restaurants near the assisted living group home to experience.

Sometimes major bends in our life path are only recognized in retrospect; the events of January and February 2024 are a bend everyone in my family anticipated and acknowledges in real time. My sisters and I are acclimating to others providing the day to day care of our parents with their move to an assisted living home and the family has lost a long term hub for family events with the selling of their house.

  • My parents moved to an assisted living group home at the end of 2023. They’ve settled into their new environment. My mother is improving; maybe it is simply a trend that started back in December, but it could also be the increased social interactions and her confidence that someone is always available to help. It is still challenging for my sisters and I to back away and not jump to assist them when we visit. The staff is helpful and patient with everyone! My dad is about the same although he was very disoriented at first; he is eating well.

  • My sisters and I began to clean out my parents’ house soon after we moved them. They had lived in the house for over 30 years. There was a lot to go through. I made two short (less than a week) trips to Carrollton to help. During January we cleared most of the house by

    • Distributing furniture to family members or selling it or marking it for donation. I took two small tables, and my daughter took a larger octagon table for her office.

    • Donating clothes. There was very little that someone else in the family could wear. The closets in their assisted living rooms are filled to the brim with clothes that they wear.

    • Following the ‘bequeath’ list for decorative and kitchen items. I got 2 items from their 50th anniversary (one passed down from my maternal grandparents’ 50th), 1 from my parents’ 25th  anniversary, items that I remember from my childhood (a knife, fork and spoon of the silver plate my mother bought before she married; a orange cut glass bowl that I bought as a present to my Mother because it was her favorite color), 2 paintings my mother made (one of a dogwood blossom…and the pressed flower that I sent to her in 1984 from my Virginia house that she used as her model), the remnants of my maternal grandmother’s China….too many things to name although I am realizing that I should make a list for myself.

  • The house went on the market on February 1st and we accepted a full-price offer on the 2nd. Closing was requested for 2/28. February became a sprint to clear out the two sheds on the property and donate the furniture that no one in the family wanted. I made a very focused trip to help.

    • Salvation Army came with a truck to get furniture and boxes of books. It was tricky since the city had the street in front of the house torn up (infrastructure update project). The truck managed the pickup from the alley.

    • Tools were mostly distributed to the sister that wanted them. Some were tools from my paternal grandfather.  My daughter got a telescoping tree trimmer (she has the bigger trees…but I can borrow it when I need it).

    • The trash and recycle bins were full for every pickup and some items were put at the curb in front of a neighbor’s house for bulk pickup.

    • Some odds and ends were taken to be repurposed. I got some white vertical blinds (not attached to anything…just loose pieces of blind) which I plan to cover with Zentangle patterns and hang (not sure where yet). There were three small pieces of Masonite that I got for another Zentangle project. Some pieces of wood were taken by my sisters for art projects and specific repairs at their house.

    • One sister is having the king headboard (purchased in 1963…beautiful wood) made into a display case. She also took the antique meat grinder that we found in one of the sheds.

    • Another sister is taking most of the yard equipment to distribute to her family’s houses so that it will be easier for her to do yard maintenance.

Are we through the bend….or is more to come before we settle into a new normal? As I write this my dad has tested positive for COVID-19. The symptoms were mild and initially attributed to some new eye drops. He was tested after one of my sisters that visits frequently tested positive. He is getting Paxlovid. This is the first experience with COVID for him and my mother; they are both vaccinated. Hopefully this will be a minor blip and we’ll achieve a new normal in March.

Previous posts: November 2023, November 2023 update, December 2023, January 2024

My Parents’ House

Once the decision was made in mid-December with my parents to move to an assisted living group home, I found myself examining the house that that had called home for more than 30 years – the last home they would own…the only one that didn’t still have a mortgage when they moved. The contents documented the whole of their lives.

The creation of the garden room not long after they moved into the house was a project that added more than space to the house.

The space was lined with house plants (some that had grown quite large) and had great light. The jigsaw puzzle table was there…a rocker and glide…and a transport chair that was easily maneuvered into a sunny spot to observe birds outside at the feeder or read the paper. The glide, puzzle table, and transport chair were moved to the assisted living group home.

The large plant in the foreground of the picture with the transport chair is one that grew up into the skylight of the garden room over the decades. My sister had brought it home from her work when an office closed. It bloomed in December (something it had done rarely over the years)…to the joy of my parents and the whole family. My sister has now managed to move it (in a U-Haul truck) to her house about an hour away; we were all relieved that it survived the trek intact.

A clay pot that another sister made was in the corner of my parents bedroom holding a collection of peacock feathers and dried seed pod/flowers….a suncatcher. My mother selected it as something to move with her – perhaps because of the memories of each item and the vase itself. Peacock feathers are special in my family because my maternal grandparents kept peacocks in their later years.

Back in the garden room a small poinsettia purchased recently sat on the windowsill. The second image is my favorite artsy image of December 2023! The pot was small enough for the windowsill at the assisted living group home so it moved with my parents.

We are now in the phase of sifted though everything in the house….taking a little more to my parents, distributing items to family members and my parents’ friends, donating some items….recycling and trash are the last resort. There are ups and downs to the work. It is giving us time to internalize the pivot point in my parents’ lives (and our own).

Ramping up Elder Care – January 2024

A lot has happened since I wrote the December chapter of ‘Ramping up Elder Care.’ The assisted living group home we initially found ended up not having space…so we looked at several others and settled on one that was probably better than the one we found in their neighborhood in every way but the location. When we took our parents to see their new home the day before the move, one was optimistic…the other one was silent but attentive.

The focused activity was intense to get them moved just before the end of 2023. Our strategy to have a night time caregiver in their home during December and then move them to assisted living worked….but it was more challenging that we anticipated.

  • The nightly caregivers were not consistent; we had over 5 people that handled the overnight shift during the month. Almost all of them slept for part of the night. One was very talkative. One was not very helpful. One got sick and had to leave early.

  • We opted to have two rooms for them in the assisted living group home – one for sleeping and the other for a private living room. It seems to be working well – better than having one larger room. There are 6 other people living in the assisted living group home.

  • Our parents had a lot of clothes that had accumulated over the years. Some no longer fit but one of them insisted that most were moved to assisted living.

  • There were a lot of toiletries. We opted to not take any that had dust on them! It was a harder than expected job to pack up what they would need.

  • My dad had to transition from a safety razor to an electric….which he hated.

  • My mother only began to stabilize on her meds toward the end of the month. For a few days we thought we might have to continue to give her two of her medications rather than transitioning those medications to the assisted living facility staff but it stabilized just before the big move. Physically, she made progress with the help of an excellent occupational therapist and the suggestion from a physical therapist to try massage boots for the edema in her feet and lower legs (OK’d by her vascular surgeon)

  • We celebrated their 71st wedding anniversary with special visits from family members and great food for the whole week before the move. It was joyous…but also stressful to get the visits scheduled at good times for everyone and to eat all the excellent leftovers!

  • One sister handled financies, another handled medical transition, another focused on evaluating what would need to be done with the contents of the house and sheds; I focused on my parents’ needs since I was in the house with them those last few weeks. Everyone helped pack up what needed to go on moving day….and it was still chaotic and stressful.

  • In retrospect…moving on the Friday before a holiday weekend was not the best decision because the staffing at the assisted living was reduced over the weekend and they had no time to learn to supply thickened liquids required by one of our parents (so we ended up supplying them for the weekend).

And now, as I write this, I am home in Missouri….monitoring via the cameras we’ve installed in their rooms at the assisted living but otherwise trying not to interfere as they get acclimated to their new surroundings.

The next stage is getting their house ready to sell. I’ll be back in Carrollton in mid-January for that project; hopefully I’ll be rested and ready to work by then! And my parents will be adjusted to the big move from their home to the assisted living group home.

Previous posts: November 2023, November 2023 update, December 2023

Last Sunrise of 2023

I was in my parents’ house alone on the last day of 2023. They had already moved to assisted living (more on that in the monthly ‘ramping up elder care’ post coming soon) and the first round of distribution of the furniture had occurred: to their new home, to the rest of the family. It felt odd to be there without them and without the jumble of possessions that had been there for over 30 years. The beauty of the sunrise changed the trajectory of my mood for the better!

I loved the color caught in the line of trees visible from the backyard. I took several zoomed images. I think the last one is my favorite.

It occurred to me that the prettiest sunrises are not the ones the occur on a clear morning…it takes some clouds to catch/reflect the light. Maybe that is a good analogy for life too – that complexity and challenge make life better!

123 Years Ago

One of my grandfathers was born 123 years ago today. He died in the mid-70s…the first of my grandparents to be born…and the first to die. I find myself thinking about him and my other grandparents every year on his birthday; somehow it was the easiest of my grandparents’ birthdays to remember. The last one died in 2010.

As I’ve been thinking a lot about elder care recently, I’m realizing that only one of my grandparents died at home; two of them died in a hospital and the other one died in a rest home. Two of them lived with my mom and dad as they got older (my siblings and I were in the same house during the early years); the other two benefited from adult children that lived nearby. They were all the first generation to benefit from Social Security.

As I think of myself growing older, I realize that what happened with my grandparents…and now my parents…is a model of possibilities for my own future as an elderly person.

Another thread thinking about my grandparents…recognizing a different perspective of history and how it impacted them – or not. None of them got the 1918 flu….none fought in World War II. They lived in small towns or farms; the Great Depression did not cause them food shortages. The big elements of history impacted them but not as significantly as many other people.

Only one graduated from high school. The others barely got an elementary education. They could all read…newspapers and magazines, some books. They successfully managed their own financies. Both grandfathers ‘retired’ early but continued to be very active either with part time jobs or building up the family home place.

Overall – the family history is full of memories to savor…realizing that they light my path into the future too.  

Zentangle® – December 2023

Happy New Year 2024!

31 days in December –31 Zentangle tiles selected from the 75 created during the month. I was in Carrollton for the whole month so these were made in the quiet times during, sometimes intense, elder care; their create were welcomed islands of calm. I found myself reverting to ‘thickets’ again and again!

I left my scanner at home so the images were created with photos made with my phone…not as tidy as the scanned images of prior months but it was the best I could do when it came time to do this post!

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The Zentangle® Method is an easy-to-learn, relaxing, and fun way to create beautiful images by drawing structured patterns. It was created by Rick Roberts and Maria Thomas. “Zentangle” is a registered trademark of Zentangle, Inc. Learn more at zentangle.com.