Friday, October 4, 2013

Before you dial 911

These are the things you should have on hand, obviously well before an event.
For adult caregivers, of which I was one, you never know when an emergency will occur. In our case it was the day of my late mother's funeral.
Dad contracted delirium, which we did not realize at the time, as a result of radiation treatments - from a urinary tract infection. The ER doctors did not diagnose it, and they sent him home. His dementia overshadowed his delirium symptoms, which is not unusual. That said,
If, like me, you were a caregiver, it is even more crucial to understand this information.

1. Health Cards: including the blue hospital card.

2. Names of all doctors, including specialists, and phone numbers.
3. List of allergies, infections, eating disorders, addictions.
4. Legal Documents: Advance directives; Power of attorney for personal care; Do Not Resuscitate (DNR) orders. These are crucial. You won't have time to go home and fetch them.
5. Major medical comorbidities. Dad had a brain tumour, dementia, painful arthritis in his knees, and used a walker (sometimes). This is  information you need to communicate to Primary Care staff.
6. List of medications and/or supplements. (Available from the pharmacy.)
7. Prior surgeries and major medical procedures.
8. Names and phone numbers of extended family and close friends.
9. Activities of Daily Living. ADLs and IADLs are a good indication of personal health. It is important for a family member to understand the abilities of a loved one to take care of themselves: bathing, food prep, hygiene, banking, self-care and pet care.
10. Agency Involvement: It is important to convey to hospital staff how many caregivers, or other professionals, or public or private health services involved with the patient. Some of my clients have a PSW in twice a day, and a nurse every other day.
Abuse, neglect or self-neglect?

Read: Hospitalization for seniors for more information regarding hospitalisation and discharge.

Demand a hospital discharge plan: do not let your loved one be discharged before you are ready. Use services locator for local supports (CCAC, private home care, day away programs, Community Home Support Volunteers.
Take a coat and shoes or boots.
There have been too many incidents of people leaving hospital unexpectedly.

Discharged ER patients often miss instructions - Health - CBC News

Jan 24, 2012 - Patients who are discharged from emergency and their relatives are... Brigham and Women's Hospital Department of Emergency Medicine and 

Delta Hospital forces 90-year-old woman to take taxi in middle of the ... Justin McElroy-10 hours agoShare
A visually impaired 90-year-old woman says Delta Hospital forced her to leave the emergency room and take a taxi home in the middle of the night ... “The nurse said you're going home, you're discharged, and I said 'what?
Read: Elder Self-abuse or Self Neglect

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