Planning & Tracking
Courtney attended a BCS "Planning for Independence"
workshop given at a local Adult Community Center as he was anticipating
the return of his wife of 50+ years, Barbara. Barbara was soon to
be released home from a rehabilitation facility where she was on
the journey of recovery from a partial hip replacement surgery she
required because of a fall. Courtney, her 90 year-old husband and
primary caregiver, has his own history of heart disease and attendant
struggles with hearing loss and other age-related ailments. Barbara
would be ambulatory only with a walker and require intensive assistance
with her on-going physical and occupational therapy during her first
few weeks and beyond at home. They live with one itinerant middle-aged
son in the same home they have for the last 25 years, a spacious
4-bedroom, 3-story home on several acres requiring typical upkeep.
Barbara needed rehabilitation; Courtney could help, but needs respite.
Documentation and Tracking - Rehabilitation Support - Respite
The combined medicines prescribed daily for Barbara and
Courtney numbered over 15. Courtney kept careful track, but to an
uninitiated observer, there appeared to be medications stocked on
every kitchen shelf. BCS assisted organizing the separate pill containers,
clearing and designating a medication area, disposing of dated medications,
and preparing a medication chart which, to this day, is current.
BCS also assisted Courtney in tracking and calendaring the numerous
- sometimes over seven appointments in a week - doctor and other
test and therapy appointments required for both Barbara and Courtney.
BCS also prepared a complete medical and social history report for
Barbara and Courtney for use by other practicioners. BCS routinely
prepares and distributes updates via e-mail on Barbara's progress
and Courtney's health to two daughters who reside out of town.
worked initially 5-6 days a week during the first two months of
Barbara's return home. During that period, BCS provided Barbara's
daily therapy session(s) and oversaw the outfitting of the house
to better suit her needs. This included the installation of grab
bars, bathroom fittings, bedside rails and commodes, and the planning
and rearrangement of household furnishings to suit the new conditions.
In addition to the oversight of Courtney's administration of Barbara's
complex medications routine, BCS provided encouragement as Barbara
was motivated to improve until the family elected three day a week
assistance and respite.
required only minimal assistance with his medications and doctor's
appointments. However, on the days when BCS was present, he was
able to take more time for himself away from the continuous planning,
organization, household chores, and general rehabilitation assistance
Barbara required to thrive. Courtney was also able to schedule and
keep appointments for his unattended health needs secure that Barbara
was well attended at home.