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Recommended: On being independent
Youth. Health. When do we ever realize how important they are? When do we stop and notice how agile we are, how lucky we are to be able to care for ourselves? How much does independence affect our lives? How often do we say “Thank you g-d; I can walk on my own feet, hear with my ears, and feed myself with my very own hands.” Sometimes it takes a stark contrast to put us in our place and show us how much there is to be thankful for.
It was a regular, hectic Friday morning when the call came in. My grandmother had gotten up in the middle of the night, and taken a bad fall. She was to have surgery sometime that day, and if everything went well, she would be sent to a nursing/rehab center until her bones strengthened. The weekend was tense and frightening; surgery always is and especially in a woman of her age.
A week later, Friday morning, Grandma was released and sent to the Rehab Center. She acclimated well to her surroundings, and a couple of days later was even willing to go to therapy. That was what everyone else was doing. The next week posed a slight problem; none of her children were able to spend the weekend with her; and my sister and I were therefore nominated to be there all weekend.
Down the block from the home, there was an apartment available for any relatives of the center’s patients. My teenage sister and I arrived there late Friday afternoon, put down our few belongings, and quickly hurried over to Grandma’s room.
Walking into the building, we were greeted by the strong antiseptic smell that all old age centers bear. The lobbies and building in general tried to have a homey look, but the wheelchairs, walkers, and canes quickly reminded us where we really were. We came into grandma’s room, took the arms of the ...
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...ntinue our shift at the center. Grandma was all dressed when we arrived; there must have been a really friendly and caring nurse on duty that morning.
Sitting together in the synagogue, we began to pray to ourselves. “How nice,” I thought, “The citizens now have something else to fill their day with.” A couple of minutes later, a woman was wheeled in by a nurse. She asked my sister to take out her prayer book and find the place for her. I followed closely, and sadly noticed it was upside down- the wonderful lady couldn’t see! Thankful for my own eyesight, I began to look inside and with much concentration continued to pray.
The rest of the weekend passed similarly, uneventful, yet so much to learn from. Grandma recuperated and is doing beautifully on her own, yet her fellow senior citizens are still there, each living in a body that slowly betrayed them.
Today I felt overwhelmed about my clinical day because I had patients with situations going on that I had never taken care of before in my other clinical rotations.
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
Elderly Culture and Nursing Homes Nursing homes offer a wide range of long-term care assistance for older adults to be able to meet their everyday needs. Older adults from different cultural backgrounds experience conflict with their decision to participate in a nursing home, catalyzing the underlying stigma different cultures hold towards nursing homes. In many cultures, older adults look for family as their primary source of care. However, when their needs cannot be met due to disability and mental health issues, it begins to take a toll on the person’s instrumental activities of daily living (IADL). IADLs are complex daily actions that are needed to live (Cavanaugh & Blanchard-Fields, 2015).
Having a group of senior citizens following you around for dinner most likely doesn’t sound like a fun night. However, working at a nursing home doesn’t feel like an actual job at all; I actually enjoy spending my nights at the Grand Residence. Not only has this job given me responsibility, but I also have built relationships with many residents. While spending my evenings at a nursing home throughout my high school career, I have come to the realization that I am comfortable and genuinely happy with pursuing a career in patient care in the foreseeable future.
The next day I went to the library and began reading about the disorder my Grandma had. I think I was about ten so it was hard for me to understand what I was reading. So I asked the librarian for help. She began explaining to me what Multiple Personality Disorder was. It was tough to think that my Grandma, the strongest person I know, was suffering from such a terrible disorder. I went home and began thinking; I might have this disorder. I asked my dad and he replied, “I would not worry about it.”
After visiting my grandparents several times I began to explore the hospital floor. Although shy at first, I began to talk with the patients and better understand their situations and difficulties. Each patient had his or her unique experiences. This diversity sparked an interest to know each patients individualized story. Some transcended the normal capacity to live by surviving the Holocaust. Others lived through the Second World War and the explosive 1960’s. It was at this time I had begun to service the community. Whenever a patient needed a beverage like a soda from the machine or an extra applesauce from the cafeteria, I would retrieve it. If a patient needed a nurse I would go to the reception desk and ask for one. Sometimes I played checkers or chess with them during lunch break. I also helped by mashing their food to make it easier to swallow. Soon, however, I realized that the one thing they devoured most and had an unquenchable thirst for was attention and the desire to express their thoughts and feelings. Through conversing and evoking profoundly emotional memories, I bel...
Christine Hughes is a 63-year-old, single mother, and a Licensed Nursing Assistant. Christine is my mother’s daughter which makes her my grandmother. Over the Thanksgiving holiday, I saw friends and family, but I made it my mission to sit down and talk to my grandmother. Being a college student, I am only fortunate enough to see her over my breaks and I make sure I never miss out on an opportunity to visit her. During our talk, we discussed her hobbies as a child, her favorite thanksgiving memory, and a stressful moment within her life. She also gave me words of wisdom and guidance to get through stressful points currently within my life and stressful moments that will hit me within the future.
A nursing home is another form of care and this involves an elderly person moving from their home to a building full of all amentities necessary for living well. The only downside to nursing homes is that they are the most exepnsive alternative and that there is a large waiting list for getting into one. In 2010, the Ontario Health Quality council reported, “wait times for a long-term care bed in Ontario have tripled since 2005” (Born, 2011). A nursing home has become a last resort because of these reasons and we need to do everything in our power to alleviate the amount of demand for these nursing homes.
I slowly opened the front door -- the same old creak echoed its way throughout the old house, announcing my arrival just seconds before I called out, "Grandma!" She appeared around the corner with the normal spring in her steps. Her small but round 5'1" frame scurried up to greet me with a big hug and an exclamation of, "Oh, how good to see you." It was her eighty-fifth birthday today, an amazing feat to me, just part of everyday life to her. The familiar mix of Estee Lauder and old lotion wafted in my direction as she pulled away to "admire how much I've grown." I stopped growing eight years ago, but really, it wasn't worth pointing this fact out. The house, too, smelled the same as it's ever smelled, I imagine, even when my father and his brothers grew up here more than forty years ago -- musty smoke and apple pie blended with the aroma of chocolate chip cookies. The former was my grandfather's contribution, whose habit took him away from us nearly five years ago; the latter, of course, comes from the delectable delights from my grandmother's kitchen. Everything was just as it should be.
The character Dorothy said in The Wonderful Wizard of Oz, “there is no place like home” (Baum, 1960, p. 45). Sadly, many of our elderly live in Long Term Care Facilities (LTCF). The transition from living in their own homes, to living in a LTCF, can be a traumatic experience. Poor adaptation to a LTCF may cause depression, malnutrition and significantly reduce the lifespan of the elder. Thus, it is imperative, that nurse’s recognize this promptly.
She stared at me for a long time, watching me wipe my endless tears away with the sleeve of my jacket, saying nothing until I had settled down. I looked up at her, my eyes were blood shot from crying and my hair ran down the side of my face limply. She gave me a worried look and said, “Esther… I need you to be strong now, your mom has a mental illness, and needs special care. You now have to live with another mommy. I am Ms.Banulous, your social worker.” From that moment, my life began again.
At this facility, I took care of fifteen residents for almost two years and once you are around for that long you get to share holidays with them, you learn their likes and dislikes, you get to hear about their life experiences and learn from them as well and they become like family. There was a lady there in her mid- seventies, who was well known by others as one of the first Strawberry Queen’s in Plant City. She was such a lovely lady and she had many stories to tell. As I was listening to her concerns one night she ended with, “There is something special about you. You’re not like the other girls here because I can tell you actually care. You have all these other things to do, but you are here giving me your time.” What she had verbalized made me tear up, because I was only giving her not even ten minutes of my time and it meant a lot to her. This lady who had been known by many, had very little visitors. Her family were all caught up with their own life and she only had the staff to talk to. It was heartbreaking for me, because in my culture we have grown up taking care of our elderly instead of sending them elsewhere, and here I am taking care of this lady who was getting forgotten by her loved ones. Now as I am in a different position in my career, I get to hear and see things that have
I was quivering as I sat on the pristinely white sheeted gurney. I had no idea what to expect. Ami sat in a plastic, maroon chair over in the corner and looked at the cold, disinfected, tile floor. The sounds of beeping machines and ticking clock flooded my ears. The nurse knocked on the door and both Ami and I jumped. She handed me a clipboard with some paperwork on it that asked for the basics: name, date of birth, reason for being here, consent to treat, and so on and so forth. I filled it all out the best I could, my mind was lost in another galaxy. Besides, how was I supposed to know what year my father was born in and the phone number to my mother’s work? Once I finished, the nurse took the clipboard and exited the room once again.
got in the car, and went to visit her. Being as it was a very large hospital,
Finally, we arrived at our destination. I left the car leaving my parents and little brother behind and ran up the steps to my grandma’s house. I just had to be the first one to knock on her door, so I did. She opened the door for me, and I went inside parting with the bitter cold and darkness surrounding me. Inside the house I was immediately encircled with the aromas of her Christmas cooking and baking. A real fresh Christmas tree which was already beautifully adorned with old family ornaments perforated the air with more holiday aromas. I went into the kitchen with my mom, and together we helped my grandma finish preparing the Christmas Eve dinner.