Neil and Betty - Case History

Support Services:

Rehabilitation Support

Housekeeping

Medical Supplies

Case Management

Respite

Family Communications

Personal Assistance

Household Installations

Security Check-ins

Medical History Documentation Medications Planning & Tracking Appointment Tracking

Intake Story
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.

BCS 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.

Neil 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.