Friday, 17 December 2021

Here we are!

 



Okaasan and Dear Son - together again!

For a brief moment in time - thanks to Covid.

This is Okaasan about to enter her forever care hospital - just 10 mins drive from our home. She dressed in her fave red cardigan, with newly washed and brushed hair. She was awake and responsive to all the old hospital staff farewells, and us, and the special taxi driver, and the new hospital welcomes. Dear Son got to ride in the taxi with her for the 20 mins between hospitals, and all in all it was a positive transfer.

So, now she is there. Attached to three lots of tubes: food and medicine tubes going in - and pee going out. Big mittens on her hands,  and straps across her body and from her wrists to the bed to make sure she doesn't pull it all out and run screaming from the building. Like I would.

Such is this kind of care in Japan. One of my students who works in a hospital said she and her colleagues are holding a working group in her place of work to try and rethink if the bed restraints are necessary in all cases - because she said it's just so automatic and many of the staff don't like it. She asked me about the UK. But I don't know. Maybe calming down drugs are used more? Do we actually tie elderly demented patients to beds?


Anyway.

Okaasan's new home.

We had a meeting with the admin staff, then the doctor, then the nurse, then the admin staff again. All super efficient.

The doctor, a straight-talking older man, went on and on about how the blood pressure meds were not a good idea. My Japanese isn't good enough to catch the full detail - but he strongly advised that there were inherent dangers in trying to control the blood pressure at this age/stage of life, and THEN went on to explain that if Okaasan's heart failed - resuscitation involving chest pressure etc was equally risky.

Basically, he was telling us to face up to the realities of an over 90 year old whose body organs are beginning to weaken. We understood and accepted. It's the truth. Brutal, but true. And she wouldn't want any different.

So the blood pressure meds will stop. And we'll all hope her condition will stabilize.

The head nurse was equally realistic about Okaasan's clothing: don't need it now. Can take it all home. Unless she makes a great improvement and can move to a wheelchair and physical therapy room - from now her therapy will be bedside in her pajamas. We guessed so.

Visiting rights in Covid times? The hospital has, of course, a reservation system. For once a month family visits. But AMAZINGLY - they have the option of an online visit via iPad!! First time we've been offered that. Not that it's any use for us, as Okaasan can't talk and may not understand our faces on a small screen.

But we can make up a small photo album so that staff can show her photos and talk about it.

Best of all: the head nurse actually asked us about Okaasan as a person. What job did she used to do? What are her hobbies? So refreshing! This isn't just a medical case to be processed thru the system. This is a human being who can't communicate much, but she has a whole life of experiences/likes.

So we told her: book keeper a long time ago, super housewife, great cook, flower arrangement, Hawaiian dance, travel, funny...

We left out the part about a healthy distrust of doctors and nurses. ;- )๐Ÿ‘€

And our next meeting.....the admin staff checked the calendar and came back all apologetic.

We can next meet Okaasan on February 2. Next year. 7 weeks from now!!!

Thanks Covid.

Tuesday, 7 December 2021

A choice of...one

 Okasan's next move in the works - to a long term care hospital near us.

Social services sent the info about our options. Option.

There were 3 options for the suitable facility in our requested area. But two of them can't take an elderly person with fluctuating blood pressure. So, we got the small brochure for the third offering.

I thought MOST old people have fluctuating blood pressure? Is that really a reason to refuse a potential customer?

Anyway, Dear Son looked at the brochure, which has a stock image photo and general info arranged in colorful boxes. Could be any care hospital anywhere in Japan. We are not allowed to visit because of COVID. And anyway - as Okaasan's life is now a bed and tubes...does it really matter what lovely facilities are elsewhere in the building?

Sorry. My bitterness is showing.

It of course matters very much that the people coming to her bedside are kind and caring, professional and humane. It matters that they have a proactive policy in allowing family visits during a pandemic.

We can only hope. Dear Son is talking to the social worker and the move is in motion.