Showing posts with label rehabilitation. Show all posts
Showing posts with label rehabilitation. Show all posts

Friday, November 30, 2018

The Story Continues: A Ray of Light

Ezek. 37:1 “The hand of the Lord was upon me, and carried me out in the spirit of the Lord, and set me down in the midst of the valley which was full of bones,”

A Ray of Light

Darkness had fallen upon the nursing home after my husband and son left, when from around the curtain to my left rolled in a woman. 

“Whatcha doin? My name ith Ray, I’m your roommate.”
“Hi Ray, nice to meet you.”
“What time do you go to thleep?” she said in her lispy voice.
“About nine.”
“Me too. Do you like it dark?”
“Yes, I don’t mind the dark,” I said with a smile.
“I like the curtainth clothed, do you?”

Ray was a bit older than me at sixty-three but had the mind of a child. I’ll say a fifteen-year-old because she did have some intelligence as I got to know her over the next ten days. She too was immobile and needed a mechanical lift to get her in and out of bed. She had bulging blue eyes and the electric smile of innocence. Her gray hair was manly, tight and straight but well kept. She told me over and over how she loved purple and everything purple as she pointed to her pajamas. She would be one of the elements of light that God shined down on me. 

The first night I was there my dinner came at seven-thirty. To me, it was almost time for bed but I was hungry. I had not eaten since lunchtime (twelve o’clock) that day. I think my first meal was Salisbury steak with a biscuit and mashed potatoes and a small glass of water. Water, water was scarce for the next couple of days.

I brought with me a big thirty-two-ounce cup of water from the hospital. The hospital gives them to patients and well since I was so toxic, it isn’t like the cup could be reused. I took little sips because I did not look forward to peeing in this place. I could not yet put the dinner tray over both of my legs, so it was at an awkward slant over my right leg. The trauma of anything touching my wounded leg scared me to bits. I didn’t cover it in a blanket because the slightest brush of anything left me with a tinge of pain. 

My medication was due at seven and had not yet arrived and at eight-thirty when Ray pushed the button for the nurse, I asked when I would be receiving my meds. The young nurse said the ‘pill tray’ was on its way down the hall. I asked if she could help me to the commode after she was done with Ray and she said yes, finishing up placing Ray in bed with the ‘lift’, she said, “I’ll be right back in a minute.” And she left the room. 

She came back to the room at nine-fifteen with another young nurse and they were both wearing yellow protective coverings and gloves, in one hand was a gait belt. The gait belt was placed around my waist and it was used to help lift my tiny eight-eight pound body. One nurse to my right and one to my left hand, both had hands gripped on my pained hips in a two-foot space, they lifted. I always counted so we could be in sync. One, two, three, lift, small grunt, and pivot. Imagine three women in a two-foot space trying to pivot. The gait belt was a necessity so as to avoid liability in anything breaking.

“Please, hold the belt until I’m completely seated. This is how my left femur became broken, a sloppy seating on the commode.” Tears began running down my cheek as the tragic incident flooded my mind. Embarrassment, pain, vanity, all danced around in my head as I was gently seated. They removed their gowns and left the room for me to urinate. I was pushing the nurses' call button as fifteen minutes on the commode was leaving my limbs numb. They returned, put on a new set of yellow gowns and gloves, and lifted me, pivot, and I sat on my bed and was ready to just sleep. I jokingly thanked them for the dance. It was my sense of humor and personality that kept these young ladies smiling as they took care of me for the next week.

Curtains were drawn lights out. I cried quietly because I honestly was afraid to be alone. My husband had spent the ten days at the hospital with me and this place barely had sitting room for my two guests. I was alone, except for my prayers and my roommate, Ray.

“You okay?” I hear in the darkness, it was Ray.
“Yeah Ray, I’m just lonely.”
“I get like that thumbtime. Itth okay to cry. What time do you get up?”
“About five for me.”
“Yeah, me too. I go to dialithith.” I drifted off a little as she continued talking, ever so lightly, but it was comforting in the darkness. “Okay, goodnight.”
I opened my eyes a second and whispered, “Goodnight, Ray.”

I was startled awake at about one o'clock as the bright lights came on and Ray was being tended to. I called out, “Can someone get my pain meds for me and I need to pee, too.” 
“Sure Joni, let us take care of Ray first okay?” 
Okay, thank you.” 
She went and got another nurse after calling down for pain meds for me. They gowned and gloved up and came around the curtain to help me. 

I was on twelve-hour oxysomething but allowed ‘2 booster pills’ for pain if needed. And being startled awake and moved around, I certainly needed the pain medication still at this juncture of healing. It had only been eleven days since surgery. The pill lady was a different nurse, she was called the ‘charge nurse’, I guess because she was in charge of the pills? Maybe the nurses too, I don’t know. She took my vitals while she was there at two o'clock so she didn’t need to wake me at three to do it all over again. Everything normal (except me) and with a ‘I hope you sleep well’ after shutting the lights off and closing the door, she was out of the room.

“That feelth better,” I hear Ray say on the other side of the curtain.
“Yeah, it sure does,” I whispered.
“Okay, goodnight.” 
“Goodnight Ray”

Jer. 29:11 “For I know the thoughts that I think toward you, saith the LORD, thoughts of peace, and not of evil, to give you an expected end.”

Thursday, November 29, 2018

My Story Continues: The Nursing Home

Pss. 136:1 "O give thanks unto the Lord; for he is good: for his mercy endureth for ever."

The day came where it was time for me to be transported to the Nursing Home/Rehab center, I cried for more than one reason, I was losing all the familiarity I had for ten days, the closeness of the nurses and physical therapists was something I hadn’t expected. I think that was the reason they changed nurses every single day. The rotation of nurses didn’t allow for intimacy to grow between patient and nurses/physical therapist etcetera.

The Tuesday morning came when I’d await the arrival of my ride to the nursing home. No gurney was necessary because I was now semi-mobile in a wheelchair and I was commode mode so setting me loose was what my insurance called for. My husband and son were not allotted the time to look around at rehab places because conveniently a room had opened up for one woman, at St. John’s, I would be the one woman that the insurance insisted I take. 

Sadness, anxiety, and fear had all crept into my being as I was loaded on the van lift and taken to the nursing home/rehab across from the hospital I had called home for ten days. Gone were the days of very regular delicious meals that arrived between six and seven a.m., twelve and one p.m., and the dinner at five to six. Water refreshed and medication, always on time. The hospital was now a thing of yesterday.

My husband and I were escorted to the entry hall of the Home. A nice carpeted room with overstuffed chairs lining the walls, a fake fireplace was the central focal point and it looked cozy enough at a glance. We were met by a small older-than-me woman with tight curly blonde hair and a nurses uniform hugging her petite body.

“Welcome, Joni, let me get your vitals and we’ll wheel you down to your room.” 

I sat silently gazing off into space wondering just where it was I was being left. The vitals were fine and off we went, down a crowded hallway with patients lined up against one wall and equipment lined on the other wall. The patients looked helpless, hopeless and immobile, looking at me as if I was an alien that landed smack dab in their territory. 

I’ve been in nursing homes before so I knew kind of what to expect, but I honestly thought that there was a rehab wing that separates the long-term patients from us short-term patients that were just here for rehab. This was not the case. You’re not in Baltimore anymore, Joni. Back home my grandmother was placed in a similar facility but the long term/ short term patients were not together. The nurse I’ll call Bird because to me she resembled Big Bird but much smaller, she was the one who was in charge of the nurses on staff, her office was where we came in the door at and she met us there. 

I was wheeled down the hall as Bird explained that they were building a new wing to the home and for now the patients were being doubled up in rooms until construction is completed. Lucky me. Room number twelve is where we paused and she announced it as my room. Outside the door had a name and the picture of the tenant and below her was my name with no picture, just the note on the wall CHEMO PATIENT! Chemo protocols necessary. Gait belt needed.

I was wheeled into a tightly packed room of the current tenant. The room was about twelve by twenty-four, and I was wheeled back to the window where my bed was set and a side table all in about six feet of space. A commode was sitting against the wall where there was a bureau with a television on it. The home did not reek of the normal nursing home odors, for now anyway, so that was a plus.

My husband looked at me with pain in his eyes. He was horrified of the place where he had to leave me, where we had no options. This is the place where Post Traumatic Stress Syndrome, also known as PTSD would set in. There were two metal chairs in the corner and I thought, at least I can have two visitors. I was already traumatized by the whole broken femur and surgery, now this. The story continues.

My husband went to work in getting my flowers from his truck to place in the window for me and to bring me my blanket that the church ladies made for me, he wanted it to feel as nice as the hospital environment but knew full well, this was not the environment neither of us envisioned. The comforter that currently covered the bed looked old and wrinkled and the sheets had a clean but well-worn look also, but I wasn’t here for sheets and blankets, let’s move on. 

“Will you be dining in the cafeteria this evening with the others?” Bird lady asked.

“No, not tonight, thank you.”

She went on, “Dinner is served at six in the cafeteria, and if you eat ‘in-room’, you have to wait until the others are back in their rooms. About seven your meal should arrive.” She was looking at her clipboard, “I’ll let you get acquainted and come back.”

Eyes filled with brimming tears I whispered, “Thank you.” My date with hell was beginning.

My son entered the room. He was finagling his time between work, moving into his new place, and visiting me often at the hospital. Husband and son were both trying to get back to a routine of working and visiting me after work. My husbands only problem was that he needed to be home before dark since he cannot see at night to drive. My son would stay until seven maybe, if he could, then it was me, all alone in what felt like an asylum. 

My husband ran off to the store and came back with a new quilt for the bed. He was not leaving me in that mess. Both husband and son went to work to make the place comfortable for me as evening was drawing near. My commode was set next to my bed on the left in a tight space with the curtain of the other tenant pressed against it. On the right of my bed sat a nightstand and the wheeled tray? That barely fit in front of the nightstand. 

I was still basically immobile, I could not bend my leg and the pain was still evident with each move. I did wonder how well I would be taken care of here. The tears...puddled the floor only to be dried by the sheet hanging down off of my bed. 

The night was closing in and the goodbyes were the hardest thing any of us have ever been through in our lives together. I would be alone. Alone in the dark, only sounds of the echoing hallways would be heard and all that the hallways held in them. I would be strong for my two guys. I would be out of here in no time. Right? I have to be.

the story continues...

"My heart is steadfast, O God, my heart is steadfast! I will sing and make melody!” Psalm 57:7 (ESV)