- The Assisted Living Community: The center ring that has the overarching task of care, but also has the least amount of bandwidth with very busy employees who care for many residents with a wide variety of needs.
- Hospice: The second ring that is our resource to help my Mom be comfortable as she moves through the final stages of her dementia.
- Personal Daily Assistants (PDA): Now that my Mom is unable to leave her bed, we have hired additional personal assistants who can be with Mom from 8 a.m. to 8 p.m. to keep her company, comfortable and cared for.
As we move through this change, we are hitting a few bumps in the road. Today an adjustable hospital bed arrives and I start getting calls from all three parties. I was told I would be called when it was scheduled, but was not contacted. In the course of one hour, I speak with all three and we put a plan in place to manage the simple task of removing one bed and inserting the new one until I can drive over.
When I arrive my mom is half asleep. The morning PDA tells me Mom has been up most of the morning with all the bed-moving activity. I sit by her bedside and wait for her to stir.
I made a pledge when this journey started that I would always tell my parents what was going on at least once. I wanted to not just repay them with respect, but treat them as I would want to be treated.
When my Mom wakes I ask her how she’s doing. She starts to ask questions. It’s hard for her to speak now; her voice has changed and she has trouble forming words. She asks where her bed went and what happened to require this new bed.
I tell her that her back hurt so much she didn’t want to get out of bed two weeks ago. All tests came back negative and they tell me it’s osteoporosis. I let her know they ordered this bed in hopes of getting her comfortable. We spend the next hour cycling through her asking to get up but being unable to stand any movement. As soon as we get ready to help her move she yells “Wait a minute, wait a minute.” We never have the chance to really help her move out of the bed, she seems to be afraid that moving will hurt too much. The PDA is with me and we try to arrange the bed to get her more comfortable. She is frustrated at this new development and just wants to do things for herself. She keeps asking how she ended up this way.
In the midst of all this, she states “No one cares about me.” My brain stalls as I imagine how lonely and frightened she must be even now when I’m sitting next to her. She doesn’t always know I’m her daughter, she doesn’t remember that her other daughter just visited and spent three days with her, she doesn’t know that her two sons immediately made plans to visit when I told them that hospice was recommended. My first instinct is to put my hand on her hand and I lean down to give her a kiss on the head and tell her I love her and that all of us care about her. I immediately walk out of the room before the tear falls from my face. Juggled.