In Memory Of The Greatest Cat And Friend A Girl Could Have
LOOKING AT THINGS FROM A DIFFERENT PERSPECTIVE
IN MEMORY - YOU WILL BE MISSED
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OLD AND DEBILITATED BUT NOT DEAD
George was a 72-year-old patient who had a stroke several years ago which left him debilitated and unable to take care of himself. That was what brought him into the nursing home. He did not walk, was totally incontinent, and needed total care. His wife visited him several times a week usually around dinner time. George also had a medical history of depression, CAD, dementia with agitation, Parkinson’s Disease, and hypertension. He was nonverbal and made grunting noises when he felt like it. He did not like strangers and it took almost two months before he would even acknowledge me. Questions are answered by nodding his head yes or no. His annual history and physical was due. I had no problems with my previous monthly exams.
I had the CNA bring George to his room so I could do his physical. He usually liked to sit in front in the lobby looking out the window or falling asleep. He was not happy to have his looking out the window time disturbed. When I walked into his room he looked at me with anger. With a smile I told him I needed to give him a physical. He nodded his head yes.
I was almost done with my physical. He cooperated when I looked in his mouth and ears. He showed agitation when I asked him to squeeze my fingers to assess his neuro status. He squeezed tightly while he looked at me with a frown. It was apparent he thought he was hurting me but was not. He became less agitated as I completed my exam. While sitting across from him George decided he needed to examine me. He proceeded to take one hand and look down my shirt.
So George got a little lookie see at the expense of getting his annual history and physical. Apparently he had done this with other staff members. It was obvious George was old and debilitated but not dead. Score George 1; NP 0.