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Old 02-18-2012, 07:38 PM   #41
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aren't dogs remarkable, tho? i wonder if they know how wonderfully therapeutic they are for us humans at times....:)
I think they do. That is why they pine for their owners when they are taken away. They think they are the only ones who can cure them.
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Old 02-20-2012, 03:40 PM   #42
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Well, we didn't take the dogs up on the weekend as Dad has taken another turn. He is sleeping a lot and when he is awake he is very demanding and needy.

He called me at 6:30 last night because he didn't have any Kleenex. I said I would pop by (15 minutes away) but would just park in the 15 minute parking lot, bring it up and kiss him goodnight. When I got there two aides were trying to make him comfortable and he rudely dismissed them saying his daughter was here. I ended up staying for 45 minutes listening to him complain about everything and when I said I really had to go he just said "Fine, then go". He wouldn't let me kiss him and as soon as I made two steps toward the door he pushed his buzzer. I am told these mood swings are normal and I am trying to take it in stride but it is so hard to see him like this.

He is eating and drinking less and so we have a call into the care coordinator and doctor about having him assessed for hospice. We still have the outside worker coming up 7am to 1 pm and that is helping take pressure off the unit staff and us.
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Old 02-20-2012, 04:00 PM   #43
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They are going to check all his meds aren't they? These mood swings might be an interaction between meds or they might be being magnified by them. Like Rx steroids really really can have a effect on a person's mood and cause mood swings and anger.

Just a thought....
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Old 02-20-2012, 04:13 PM   #44
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It's a good thought Dave. Thanks my friend.

They are monitoring the meds on a regular basis. The Hydromorph may affect his moods, but is the only thing that is keeping his pain levels down. They have a PRN of Ativan but they don't give it to him soon enough and he is totally convinced it doesn't work (part of the mood swings). They were going to talk to the doctor about changing that to an injectable as he has a butterfly port in his arm already for the hydromorph.

I just got a call from our worker as she is now off duty and he is very calm and sleeping so far today. She told him I would be there at 4 and he said that was good.
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Old 02-20-2012, 04:29 PM   #45
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That's some strong stiff (Hydromorph). Giving the other in liquid form would help it take effect faster. Let's hope they get that worked out. At least he is resting for the moment and getting some sleep.
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Old 02-20-2012, 04:37 PM   #46
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Yes, hydromorph is strong stuff. Two friends of mine that were "being kept comfortable" were given it at the end of their battles with cancer.

We are still awaiting the results on all the tests they insisted they do. The chest and stomach xrays have not been done but I don't see a point because he would have to be taken across the street to the hospital for these and the trip, whether by wheelchair or ambulance would not be easy on him.
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Old 02-20-2012, 04:40 PM   #47
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Did they want the xrays because they suspect something or trying to rule things out?
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Old 02-20-2012, 05:24 PM   #48
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They want a chest xray to see how his COPD is - whether it is progressing or staying the same. I think they also want to make sure he isn't aspirating anything into his lungs.

They want a stomach x-ray to find out why he is having so much pain there. We have known for a year that he has prostrate cancer but because of his age, the early stage it was in and his other health issues, they didn't want to treat it and he agreed. Now they just want to make sure it hasn't spread to the stomach and/or other areas.

They have said all the tests are just to see what is going on and whether treatment will help or delay the inevitable.
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Old 02-20-2012, 05:58 PM   #49
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They need to work on getting him the Ativan sooner, by the time he is anxious it's almost a little too late. He should be able to have 0.5 - 1 mg about every three hours without it snowing him.
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Old 02-20-2012, 06:04 PM   #50
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They need to work on getting him the Ativan sooner, by the time he is anxious it's almost a little too late. He should be able to have 0.5 - 1 mg about every three hours without it snowing him.
Thanks, PF, that's how I feel, and it is good to know I am right.

I want to thank EVERYONE for letting be blab on about all this and for your encouragement, help and support. With family and staff I have to be the strong one who looks after everything but inside I sometimes just need to get it all out - my questions, fears, frustrations. Hope I don't bore anyone. I just need a place to let it all out.
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