and Betty - Case History
Planning & Tracking
Neil attended a Brennan Care Services (BCS) "Planning for Independence"
workshop given at a local Senior Center as he was awaiting the return
of his wife of 50+ years, Betty. Betty was looking forward to release
from a rehab facility where she was recovering from a partial hip
replacement surgery she required because of a fall. Neil, 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. Betty 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 1.5 acres
requiring typical upkeep. Betty needed rehabilitation; Neil could
help and needs respite, too.
Medical Documentation and Tracking -
Rehabilitation Support - Respite
The combined medicines prescribed daily for Betty and Neil numbered
over 15. Neil 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 Neil in tracking and calendaring the numerous - sometimes
over seven appointments in a week - doctor and other test and therapy
appointments required for both Betty and Neil. BCS also prepared
a complete medical and social history report for Betty and Neil
for use by other practitioners. BCS routinely prepares and distributes
updates via e-mail on Betty's progress and Neil's health to two
daughters who reside out of town, but remain close to their parents
and the progress they make with their health issues.
worked initially 5-6 days a week during the first two months of
Betty's return home. During that period, BCS provided Betty'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 Neil's administration of Betty's complex medications
routine, BCS provided encouragement as Betty was motivated to improve
and an update included three days of care 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
Betty required to thrive. Neil was also able to schedule and keep
appointments for his own unattended health needs secure that Betty
was well attended at home.