Episode 64 - Transition - Part 3
I can't remember the last time I shed as many tears as I did Tuesday. I was exhausted, sad and traumatized and although sleep came, I was wide awake at 3:30 a.m. That is when I wrote Episode 62. Blogging is therapeutic for me. As the words poured onto the page, some of the tension left my body.
I had been hopeful as we'd left Grandma the previous night. We had talked about McVille, the care center and "the plan." I remember when we talked, saying to her:
Me: Harriett is at that care center, you know.
G: Harriett who?
Me: Harriett. Your good friend from when you lived in D1.
G: I don't remember her.
My optimism may have dimmed but my resolve was strengthened. We were making the right decision - but "right" is not always "easy."
Wednesday morning, DH and I got things around at home to take with us to the care center. I spoke with them on the phone and with the floor nurse at the hospital. The care center would like her there by 11:00 - the hospital says we are at the mercy of the doctor coming by to release her. At 10:00, we decide to go to the care center, take her clothes and survey the situation.
We arrived and I mindlessly opened the alarmed door, without reading the sign and entering the code to disarm it. Loud ringing signaled our arrival. Note to self: Don't do that again. I know why I had been distracted though and it was because through the window in the entry door - I had seen, sitting at a table in the dining room, none other, than Harriett. I went over and spoke to her. Yes, I looked familiar... but she didn't really remember me, my mom or even Sam, who she often looked after. Still, I told her that Grandma would be moving in later that day and she smiled. I couldn't wait for these two strangers (old friends) to be reunited.
The room was fine - I marked all her clothing with her name and put them on hangers in her closet. Her new roommate was there in a wheelchair. I asked her name. "I'm Ethel" We visited with her as we worked and she told us she was only there for a short while - until she was well enough to go home. I asked her about her family, life and typical get-acquainted questions. I learned she was 77 years old and had three sons. As we prepared to leave, I told her we would be back with her new roommie a little later. Her parting words: "Does she have her right mind?" I laughed and said, "Sometimes."
By noon, we hadn't heard from the hospital so we just decided to go and wait there. We had loaded a TV, stand, and a few other items into the car, to take with us to McVille, after getting Grandma.
She wasn't in her room when we arrived, but was brought back a short time later (from a CT scan which showed no sign of stroke). We spent the next three hours waiting... Grandma dozing... watching Food Network. Occasionally, mention was made of the care center... but Grandma appeared to have forgotten about "the plan."
Since Grandma was a "fall risk," they had an alarm tethered to her chair and clipped to her gown. She wasn't happy about it. A couple times she took it off. It seemed to really agitate her.
Me: Mom - you can't do that.
G: Yes I can. There's no reason for it.
Me: It's for your safety. They want to know if you get out of the chair.
G: They can't make me wear it.
Me: If you want to get up, let's push the button and they'll come help you.
Grandma was good with my suggestion and pushed the button. I could tell the person responding to it would be the subject of her wrath. A few minutes later, a young nurse entered:
N: What can I do for you?
G: This thing. (anger rising)
Me: Yeah... that alarm seems to be really pissing her off. Can we remove it? (Shock! And no - the "p" word is not part of NanaMama's usual vocabulary... but at the moment, it seemed appropriate and added a little levity to the situation.)
The nurse and Grandma both chuckled and permission was granted to remove the alarm as long as we with with her.
Although she didn't stop by to see Grandma, the doctor did arrive on the floor about 3:00 and signed the papers to release her. We had left one of our cars in the parkade the previous night so we drove separately to the care center. Grandma rode with me. We chatted as we made the half hour trip. Several times I had to remind her where we were going. As we passed through Lisbon - her hometown - her demeanor changed.
G: What do you think of this McVille thing? I don't think it will work.
Me: Well for now Mom, it's going to have to. They wouldn't let you go without a plan... and this is the one we have for now.
G: I can't live in McVille. Lisbon is my town.
Me: But Lisbon doesn't have a care center.
The seven miles from Lisbon to McVille were filled with chilly silence. I mentioned our having been there earlier and that Harriett was excited to have her there. Silence. As we turned off the highway at McVille, Grandma looked out the car window at the snow covered landscape.
G: This town has nothing for me.
Me: Mom, you're not going to be part of the community, it will be OK.
G: I don't think so.
A few blocks later, we pulled into the circle drive of the care center. Fear could now be heard in her voice.
G: Oh... this is not a good place.
Me: Yes it is Mom. It's a safe place and for now, it's where you need to be.
Somehow I had enough sense to press in the code, avoiding a fanfare for our entrance.
Me: Look Mom... It's Harriett! (pointing to the other side of the room)
G: Yes, I think it is. I'm going to go talk to her.
A nurse changed Grandma's course as they began processing her in... weight, height, etc. Many sets of eyes were on us, as the other residents checked out "the new chick." DH stayed with Grandma as I went to do paperwork with the center's social worker. He later joined me.
DH: She's talking to Harriett.
G: That's good. The trip over wasn't great.
While completing the paperwork, the nurse came in and said she was concerned that Grandma's BP was quite high. I told her it had been elevated in the hospital as well. She said it was 190/120 and she wasn't at all comfortable with that. I said to the nurse, "Did I mention she doesn't want to be here?" The nurse said she'd contact the doctor. She left but returned a while later... with Grandma.
G: There you are. I thought you'd left me.
Me: No - we haven't left yet. Just working on some papers.
G: What kind of papers? I can't stay here. Does my family know about this? (Referring to her grandsons)
Me: Yes, they want you to be safe and they know this is a good place.
G: Oh.
Me: Mom, I'm taking care of some business and I need you to go back to your room. We'll be there soon.
G: I don't have a room.
Me: Yes you do. It's E3. Have you met Ethel?
G: Ethel who?
Me: Your new roommate.
Grandma and the nurse left and we completed what I considered a massive amount of paperwork. The social worker said, "It takes some time to adjust."
We found Grandma out in the dining room, visiting with her new friend, Harriett. She told me she was ready to go home. I said, "Well, let's go down to your room then." She had clearly meant she was ready to go to the car, but begrudgingly got up and walked with us to her room.
When we got to E3, Ethel was visiting with her son.
Me: Hi Ethel... we're back with your new roommate.
Ethel: Who are you?
Me: My mom is your new roommate. We were here this morning. We brought her with us this time.
Ethel: I've never seen you before in my life.
Uh boy... I guess "right mind" is a relative term. We made introductions and tried to settle Grandma in as much as possible, showing her where things were and discussing her gliding chair we would bring down. The objections she voiced fell on my deaf ears as I made the best of this situation with all the strength and determination I had seen my mother model in her lifetime. Yes, I am a wimp - but even a wimp has her moments. It was time to be firm.
Ethel announced it was almost time for supper. We walked Grandma to the dining room and looked at the beautiful glass bird display. We found an aid and were given Grandma's table assignment. We gave her hugs and said we'd see her soon. Things would be OK. We would bring Sam to visit.
DH and I let ourselves out the alarmed door and walked to our cars. I was tired and relieved. It had been a long week, but the transition from "caretakers" to "patient's family" was now complete.
So ends Episode 64