Saturday, December 7, 2013

Follow up on mom's condition/progress over the past week. Apologies for not updating sooner but 7-8 hours a day at the Towers is like double that ITRW.
The physical therapists, Tony, Brandon, and Lauren have been calling me in advance of the sessions in the morning so that I can come down and assist. Sessions are never at the same time, more like in a two and a half hour window.

Monday we got her to stand up at the parallel bars once and a couple of half attempts. (PT doesn't happen on the weekends so pretty stiff) Monday also was the day she slipped out of bed early A.M. and she was on the first of the Percosets and an Tramadolso was pretty disinterested in PT overall.

:Sidebar... They gave her another percoset at 1 p.m. and then again the next morning at 8 a.m. and combined with the Tramadol has contributed greatly to the confusion/disorientation/groggy state she has been in this week. The Percoset and Tramadol have been DC'd as of mid afternoon yesterday after speaking with Doctor Mayberry.
These drugs (heavy narcotic) were carryovers from her stays in the hospital when she was in a ton of pain.

Tuesday we had her stand up at the parallel bars three times and take a couple baby steps.

Wednesday she stood up once but then needed to attend to bathroom issues and the session was abbreviated.

Thursday we got her to stand up 4 times and that was very productive.

Friday she stood up 3 plus times and took 6-8 good steps with assistance.

I had conferences with two of the doctors on Thursday and Friday and we have made some significant changes to the medicines she is on, essentially discontinuing the pain meds in favor of simple Tylenol to control the pain so as to give her appetite a chance. Dr. M reviewed her chart extensively and thought that the Tramadol could be affecting her appetite. He added an appetite enhancer/anti depressant mirtazapine which will work alongside the Megase for her appetite. It will take 5 to 10 days for this to absorb and start helping.


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