pivot

Gourmet Puréed #TSJ

When I got to Connect this afternoon I asked Janet how her day was so far. She was happy to report that she “got up this morning”, had a smoothy for breakfast and did not go to the gym. I thought that was pretty good reporting on her part. Turns out she did go to the gym but shortly after arriving a new resident with some behavioral issues came in and disrupted things enough that Janet started crying so Garrett took her back to the “house”. She had some Speech therapy before Rikki made her a colorful lunch of green beans, carrots, cottage cheese and pork. I was surprised to hear about the cottage cheese as Janet had thought it pretty disgusting at KGH but apparently lapped it up today.

Our chat took place in the living room while waiting for Brian to come and meet with us. We talked to him in detail about the wheelchair and now have a plan in place to get Janet’s chair set up ideally for her so I can actually buy the darn thing. Brian offered a few accessories intended to make Janet’s day to day routine easier. Most of them I found to be too compensating and Brian agreed that we need to have Janet learning and re-learning to do things rather than having something do it for her. One useful item is a short easel that sits on top of her desk at an adjustable angle and allows a book or the iPad to be positioned in a more useful way for her. Some of the items were food related and we agreed to leave food prep out of Janet’s itinerary until she is cleared to eat real food. That brought up the question of the swallow X-ray. Connie had emailed today saying KGH has yet to receive the doctor’s order. I phoned her the doctor’s office right away and was told she had some things to do to it before sending it off. Translation, she forgot about it. Grrrr. We had a good long talk with Brian and Janet was very patient throughout and near the end she went off to explore the living room a little. She returned with a pillow on her lap so I invited her to a pillow fight. She thought that was great.

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Janet went for a shower before dinner and we hung out in her room for the few minutes we had before heading down to eat. Rikki made another colorful plate for Janet, carrots, mashed potatoes with a little yam in them, cottage cheese and chicken. The best looking meal Janet has had at Connect and apparently a tasty one too.

Since Janet missed out on the gym this morning I took her in for some leg stretching and got her on the Shuttle as well. I wasn’t able to set it up as well as Tez had it but Janet still got a decent go at it. She was reluctant to try standing so I tricked her a little bit into doing a standing pivot off the Shuttle. She did really well once I got her started towards standing.

Bob was leading a bunch of the residents in a poker game tonight and Janet enjoyed watching for a little while. She didn’t understand the game of course but liked the loud action. She also really enjoyed watching some YouTube before bed and after being tucked in agreed that today was a good day.

Praying for rest and healing and a productive day tomorrow with positive news about the swallow X-ray.

Month Eight #TSJ

Day 246 was a good one for Janet. Lorne and Garrett worked with her this morning in the gym and with some Speech. She didn’t fall out of bed or her wheelchair and ate well. When I arrived she was waiting in the living room to go back to the gym with Tez. The guys were updating Janet’s chart and agreed that she needs to be on a regular toileting program. I talked to nurse Jen about that later on and she will develop a routine so Janet gets plenty of opportunities to go to the bathroom. Today was much better in that regard. Lorne and Garrett also started making up a bunch of side dishes for Janet to eat so she gets more vegetables and then the only thing that needs to be cooked at meal time is the protein. Food has been a challenge and will continue to be until Janet passes that swallow X-ray. No word yet as to when she gets a chance but the word has been put out to Connie to see what’s happening.

Janet failed the “who am I” test again but caught on quicker today for sure. We played an expanded version of it at bedtime and she did really well naming family members except her own kids. Usually she nails those easily but tonight it was everyone but. Still waiting for Tez we played a naming game on the iPad and Janet did reasonably well after getting two or three clues. She definitely knows things once she sees the word the problem is in pulling that word out of her memory bank on its own.

Tez was finally ready for Janet around three o’clock and he worked her pretty hard again. This was another training opportunity for the staff and Tez wanted to add some more hand, arm and shoulder exercises so there is a solid routine for those in the mornings and one for legs later in the day. Janet’s right arm continues to be nice and loose and Tez got some good range from it and even though Janet cried you could see improvement from last week. Tez got Janet to hold her right hand with her left and intertwine her fingers then lift her arms up high. Janet was straining hard to touch Tez’s hand about a foot and a half above her chest but she did it!

Getting Janet on her tummy was a challenge today as she was pretty worn out from the arm workout she had. Tez only kept her there long enough to get her doing some pushing back with her legs as he applied resistance. From there we got Janet on her knees again and she really seemed thrilled once she got there. It took a tremendous effort on her part as Tez had everyone back off on supporting her so she was doing almost all of it herself. Excellent effort.

The next stage in transferring for Janet is going to be using a circular pivot board that Janet will stand on, spin, then sit. We tried it a couple times and its still really hard for Janet to do on a regular basis but will be incorporated into her workout.

Finally Janet got to try the Shuttle Machine. This is a piece of equipment I noticed as something Janet could maybe use when we first toured Connect. As you can see from the video she caught on real fast. Using this regularly will really help Janet build some strength in her legs.

After all that it was time for a bathroom break followed by a Skype session with Mary/Gaga and Keith. Janet was able to converse reasonably well and I think enjoyed the chance to see and talk to them both. Dinner was a massive bowl of puréed spaghetti and meat sauce. It looked disgusting but Janet gobbled it up then enjoyed a desert of “yummy” pears.

It is truly amazing to think back eight months and see just how much progress Janet has made. Seeing her “kneeling” and “standing”, working on that Shuttle Machine, talking, laughing and eating well is truly a blessing. Thank you Lord for every minute I get to spend with her and for the healing you are bringing to her. Thanks to all of you for the prayers, love and support. #Team Save Janet