Meds. and DNR
Brian has gradually come up out of his seizure of last week, but it is clear to me that he is not thinking as clearly as he was before he had it. For the last three days of visiting he has frowned at me as though he cannot quite place me. I have asked if all is well, is he in any pain at all, and he said he was fine.
The home offered to scan any photos we didn't have the negatives for if I wanted to put some in his room. At home we have always had our three favourite school photos of the boys displayed here in the lounge and yesterday I put scanned copies of them into frames for him and showed him each one in turn, before taking them to his room. He recognised the two older boys but thought the youngest was himself. He also thought a picture of him and me sitting side by side was a picture of him and our eldest.
And I'm pretty sure he thought I was his mother (I was feeding him his tea/supper) and he asked after his dad.
One of the lady residents occasionally gets going on an "I don't want to be here" stream of talk, and in amongst it are remarks like "You can't trust any of them - They're all murderers - We'll be murdered in our beds - Watch out for that one, she's lethal" and so on. All the other residents ignore her and I am so glad that Brian is partially deaf in one ear and doesn't catch most of what is being said. I would hate for him to absorb any of her confusion. He has problems enough watching the TV on occasions, thinking himself to have been shot when watching old cowboy films.
In an effort to lift his frown (and drown out what this particular resident was saying), I told him he was a dear, sweet and gentle man, which brought a real smile to his face. I got him to repeat it back to me, which he did, and in an effort to establish who I was, I added "and you're a delight to be married to." "Thank you" he said, and beamed at me, and puckered up for a kiss which was duly delivered. But again later I think he thought I was his mother ...
Our GP rang at lunchtime. The CH had asked that one of his meds. (one up to now always supplied by the hospital and for which I have always made a trip to the hospital pharmacy to collect) could now be supplied by the practice. I had told her that it never had been up to now. She put a note at the bottom of a prescription to request it and told me yesterday that they had agreed. To-day the GP said it couldn't be done and had to be prescribed by the Consultant. I said I had explained all of this to the CH. He said we'd have to go on doing it the same way.
He then went on to talk about DNR. He said he'd seen Brian last week and apart from having lost a bit of weight, he thought he looked reasonably well and with it. I was glad he said that because I said I was not altogether happy with the hospital having him down as DNR. I told him there were times when Brian still had completely lucid spells of up to twenty minutes or so when he is as he was prior to his stroke. I realised that there was a chance that the very next stroke or seizure he might have could take him down so far that the quality of his life would be very badly affected, but up to now I thought he was doing all right. "I absolutely agree" he said, "I'm about to ring the home now and I'll tell them we've discussed it together."
One of the Care Assistants told me this week that Brian had had a long chat with the young male CA and I had been so pleased to hear that. (That particular chap has not been in for two days, or I would have asked him what they talked about.) I am very aware that when I get to the home at the end of the afternoon, 5 p.m., to help with tea, sometimes Brian is quite tired by then. (The day before yesterday he had two ten-minute naps while actually eating - woke up refreshed and set off again.) He is perhaps a good bit more communicative during the day than I realise. I was told he had much enjoyed a music session one afternoon. When I asked him about it, he said "Ah, yes ..." but couldn't recall very much about it, other than he had enjoyed it.
So I am glad to have had a chance to talk about the DNR label with our GP, and for it to have been "removed" for now, and that our GP agreed with me.
The next seizure or stroke will come at some point because it is the nature of Brian's illness, a natural progression. And when it does, the severity of it will perhaps cause a re-think. But for now - my thanks to our GP.