Dear New Home:
May 26 2011 in Trish's Blog by Trish
Who decided it would be a good thing to treat the family of one of your residents as if they were someone to be patted on the head and told, “There, there. Don’t worry your pretty little head about this.”
Let’s review events since move-in three months ago: You changed his medication schedule because it would be more convenient for you (and, oops! surprise! he had more seizures!). You called to change his neurologist appointment that had already been scheduled for six months (by me) because he was having more seizures and you needed to know why. (Um, see previous sentence). You tell me you encourage family visitation (sure! come over! take him out! he’ll love it! we love family involvement!) and then require me to notify three people and sign a release (god forbid I bring him back later than when I told you I would). Now you tell me I can’t arrange an x-ray for his sore back because that’s your job (but then your solution is to make him miss Day Program and sit in an ER for the x-ray?).
NO.
You are not treating me as a partner in Robert’s care. Instead of actually trying to help me care for Robert, you have been trying to wrestle control of him from me since he moved in. To what end? I understand you have state rules and regulations you have to follow. I understand they may be burdensome. I understand you have paperwork to fill out when Robert falls. I understand you want to keep him safe (cynically, I suspect, so you don’t have to fill out more paperwork). I understand that, for many different reasons and due to many different situations, families are not always as involved in the care of their loved one as I am.
I. DON’T. CARE.
I am looking out for Robert’s best interest. Period. I have Power of Attorney over all aspects of his care. I choose where he lives and which day program he goes to. I provide his clothing (no matter how many times his pant’s size changes). I keep him supplied with 7-Up because that’s what he likes (but make him drink water because that’s what’s good for him). I make sure he has a triple-blade razor and Crest toothpaste because he’s used to those things. I buy him protective briefs to wear at night because the ones he wears during the day don’t work well at all at night (and it’s apparently impossible to get both kinds approved by Medi-Cal).
I get to decide if he should miss a day of Day Program (something he loves!) and spend several hours in an ER for an x-ray and urinalysis (your plan) or if he should get a referral from his neurologist to go to a lab to have these done in a quarter of the time (my plan). I understand you have budget constraints. (But is the ER really less expensive than a lab? I find that hard to believe.). I get to decide that you have dismissed his back pain for far too long and I am now going to find a solution that works for him.
I AM ROBERT’S SISTER AND WILL NOT BE DISMISSED.
There, there, New Home. Don’t worry about this. This isn’t a power struggle. This is a sister looking out for her little brother and making sure he has the best care, the best place to live and the best place to socialize while being safe and healthy.
I’m convinced Day Program is the best place for him. I’m not convinced living at your home is the best place for him. What I need for Robert is a home that will partner with me to provide him the best possible care.
Can you be that place or not?

G-J said on May 26, 2011
Very well, written, Trish! How frustrating!!! It amazes me when something like this happens. Don’t they see that by partnering with you, their job actually becomes easier? You are actually taking some of their burden and helping them. What’s your next step?
By the way, I finally listened to your blog talk radio show from what was it, February? Really enjoyed it!
Trish said on May 26, 2011
G-J, Thank you so much! What a great idea to go back and listen to the older shows (especially ones before I joined caregiving.com).
Karen said on May 26, 2011
Trish,
Very well put. I hope you also gave/sent this to the New Home! It’s a shame that people have to constantly be taken to task in order to get them to behave they way they should.
When they (the people who run this place) don’t work with you, they place an extra burden on you–and on themselves.
Hang in there! Don’t give up!
Chet said on May 26, 2011
WTG Trish, you tell them!
Bette said on May 26, 2011
Hi Trish,
I’m sorry–I feel frustrated for you. Communication again…and so many times not enough where it is needed.
You continue to be a wonderful voice for Robert. I hope the New Home’s eyes begin to open, and they are able to see how critical your involvement is WITH them–for all of you.
Thinking of you and hoping that all you need, to have the right care in place for Robert, will be very clear soon.
Liliana said on May 26, 2011
Trish-
Very proud of you! Very well said, and I hope they start listening to you!
Denise said on May 26, 2011
Oh, Trish… How awfully frustrating. UGH!! We’re behind you all the way!! Keep us posted…
kristin said on May 26, 2011
Great manifesto! I hope you’re sending it to the top banana at the home. Good luck!
The Unit Known as Shandi said on May 26, 2011
May I copy and paste and send to my Mom’s adult family home? You’ve summed up everything I’m feeling right now. They,too, are struggling with having an involved family member (they aren’t used to that) and having to be accountable to me for my mother’s care. They, too, want to make my mom’s health care decisions (my job, not their’s). They, too, are not keeping me informed when there is a change in my mom’s condition. I am so frustrated. I’d go into details, but I helped daughter (recovering from major surgery) with her baby for 4 hours, took Mom-in-law to heart doctor to hear very bad diagnosis, went to see Mom (who, I suspect has UTI #7 since January), and just got home. 12 hours after leaving it this morning. Tomorrow, I take Mom to the urologist in the big city. Hallucinations and all. Not looking forward to that!
Trish said on May 26, 2011
Shandi, I am so sorry! It’s beyond frustrating and I find it galling homes do not see involved family members as a good thing. Where does that come from?? Feel free to cut & paste.
Good luck tomorrow.
Trish said on May 26, 2011
Thank you, everyone, for your supportive comments. I picture us all with pitchforks!
The update is that I left a message with regional center yesterday; posted this letter on my personal blog (and linked it to facebook) and called the person who supervises the house manager. (love the house manager; the supervisor is who I had communication issues with when I first moved Robert in).
Today, this supervisor was sooooo sweet (too much so) and said Robert would “of course” be taken to an imaging center (not the ER) and the urine collection would be done at the home because she wasn’t sure if he could pee in a cup at a lab. I told her he could pee in a cup and does so all the time when he goes to the doctor. She said she didn’t know that and that’s why Robert needed to go to the ER. For a catheter. Because they assumed he couldn’t pee in a cup.
She is not helping their case.
All they had to do was ask. Even Robert would have told them he could pee in a freakin’ cup.
She was so accomodating it makes me wonder if someone finally figured out I blog about them. I don’t trust her at all but at least Robert got an x-ray and urine sample and didn’t have to miss day program or sit in an ER for it. Or get a catheter done. Yuck. I still can’t get over that one.
Even though I love some of the workers there (and the house manager), I am still looking into moving him. I am looking at options now but wonder if any place will actually have common sense.
Thanks again. You guys are the best!