We were just getting started with Palliative Care and it was decided that we were better suited for Hospice. I had no idea we would qualify for Hospice this early (of course, who knows how early it really is). I am so thankful for this. The benefits are probably as good as you can get in the U.S.
Incidentally, the day after this was decided, Sandy took a downturn. He declined about a month ago, and then about three weeks later, another decline. Prior to that, he had had a plateau for four months. His body has been leaning extremely to the right or left every day for the last six days, and in the last couple of days, he is leaning forward. That's a tough one. He is also slower to respond and more lethargic (a bit spaced out sometimes). And it seems that his swallowing has slowed way down and he's coughing a bit more. All of these symptoms came as a package deal. He'd been having most of these but it seemed that they accelerated all at the same time.
The ceiling mounted electronic hoist was installed the same day that the Hospice nurse came to sign us up. I think the hoist will be extremely helpful once we get the right lift bar. The company sent the wrong one so we have to wait another week or so for the replacement. In the meantime, this one is difficult to use. Just used it this evening for the first time. I was going to wait until the OT came on Friday to have a little training on the device but we were forced into using it as Sandy could not stand up on the Sara Stedy tonight. On the job training.
It feels like we've entered a whole new realm with this disease.
Tomorrow is Thanksgiving and we'll have our family together. So thankful for that.
Goodnight all and a very Happy Thanksgiving to all of you!
Joy
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journeyofjoy
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Wishing you, Sandy and the family as Happy a Thanksgiving as you can have. PSP is such a rollercoaster, but keep on keeping on.
Best wishes from the other side of the pond.
Anne
I had asked about hospice care for Larry for at least a year only to be told he didn’t meet the criteria. Palliative care to start was decided by the primary care doctor. The intake nurse for palliative care took one look at Larry and asked why I hadn’t asked for hospice. Told her I had. She got on the phone to her supervisor who also said he didn’t meet the criteria according to the primary care doctor. That hospice group didn’t work out and I fired them. The next group put him directly into hospice care.
In the USA hospice is the best thing to be in with a terminal disease. Suddenly lots of resource and supplies are made available for “free”. It is actually paid for by Medicare.
I agree too. We had a similar experience with hospice and palliative care as you and Larry had, Jeff.
Our hospice discharged my husband at one point saying he wasn't declining (not true). Our doctor then ordered palliative care, but how that works in our area is they treat a symptom and then go away until another symptom crops up. You then call them for an evaluation and they decide whether it needs to be treated or not. Then they order someone to come out which can take time. Palliative care is not very well suited to your needs when you are dealing with PSP. It only took about 3 weeks for my husband to have a medical emergency which landed him in the hospital and back on hospice when he was discharged. I felt like this particular hospice didn't know anything about PSP and didn't really care to learn much. They kept referring to my husband's illness as 'his Parkinson's'.
We eventually changed to another hospice and they were night and day different. They were wonderful both for their care and support. I don't think you can start hospice too early when you have a PSP diagnosis you are dealing with.
Happy Thanksgiving to you and Sandy and your family. I hopr that you enjoy a truly lovely day making lots of lovely memories. I am so sorry that there seems to have been a downward turn but really glad that the Hospice are now involved. I am sure that you will feel more physically supported from now on. Love AliBee
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