Thursday, April 27, 2017

It's Every Man for Himself -- But Don't Forget Mom!




Safety for Seniors

I remember many years ago living in California and experiencing a large earthquake in the early hours of the morning.  As things began to topple in our bedroom, my husband Skip and I awoke and struggled to sit upright while our bed bucked and rocked.  When the TV fell and the lamp came crashing down across our legs, I flew into emergency mode.  Throwing my arms out to keep Skip from obstructing my ability to exit I jumped out of bed. Without waiting I bounded down the stairs and out the front door, yelling for everyone to follow me.  Self-preservation runs strong within me.  (Okay, I'm not proud of this because I prefer to think of myself as the kind of person who would  ignore personal risk to help someone else.)  The moment I was outside sanity once again prevailed.  I re-entered the house and looked up the stairs to be sure that Skip was following.  He was already at the foot of the stairs and practically out the door.  The children and their house guests were standing on the driveway with the family dog.  Good!  I didn't have to go back in and check on anyone.  We huddled together waiting for the aftershocks and then recovered flashlights and jackets from the hall closet.  The neighbors were already collecting on the street shining flashlights at each other and calling out, "Is everyone okay?"  

A few more minutes of checking up and down the block, verifying that all were present and accounted for, some nervous giggles, some  jokes about the polka dot pajamas that the man next door was wearing, and we all returned to our homes to survey the damage.  But wait... where were my parents?  They lived up the street on the next block, and while our neighbors had reported in, we had no knowledge of how my parents fared.  Dad had just turned 80 and Mom was in her late 70s.  They were fit and able but I worried that they might be slower to react, unable to run to safety.
Sending our son and his two friends to run up the street to check on them and get them to come down the hill to be with us we worried until we finally saw them.  They were badly rattled and recounted how they didn't know what to do because they couldn't see.  Dad couldn't find his way to get down the stairs (we lost power during the quake), they couldn't find their hearing aids and therefore couldn't hear too well, the car alarm was going off  outside which added to the confusion, and Dad couldn't find Mom who was already downstairs and calling to him.  He was in a panic over that more than anything else.  When our son Bill arrived with flashlights, Dad was more calm seeing that Mom was okay.  Aside from a small cut over his eyebrow, Dad was okay as well.  Once we were all together I vowed that I would never leave them alone in an emergency again.  They were too old for that. 

Since that time, we have had many emergencies that required quick thinking, evasive action or safety procedures.  It has been 23 years since that earthquake and much has changed.  Mom and Dad followed us to North Carolina, both of my parents got Alzheimer's, Dad passed away and Mom lives with us now.   Safety has been one of our big concerns in caring for Mom.  She wanders in her room at night and so we have night lights illuminating the route as she navigates her way to the bathroom. 
A few nights ago, after three days of heavy rain, we lost power just around bedtime.  I was suffering from a strained back and moving very slowly. Since there was nothing to do but to go to bed, we were headed to the bedroom when Skip remembered that he needed to check the basement.  "I want to make sure that the sump pump is working."  Then it dawned on him that without power the sump pump could not do its job. For those who are unsure of what a sump pump's function is, it is the pump that runs automatically when water penetrates a basement from flooding/heavy rain.  When the water comes in at the entry point it is diverted to the pump basin; the pump detects a water level and pumps it back out before a basement floods.  It's a clever device but not when there is no power! (I laugh about how we are so dependent on electricity that when we lose power we still forget and try to reheat our coffee in the microwave, we flip a light switch upon entering a dark room, and we turn on the TV.  Last night I even looked at my cell phone that was not charged and plugged it into the charger before remembering that the charger wouldn't work without power. UGH!)

Anyway, when Skip checked the basement he found the water level in the basin of the aforementioned sump pump was rising, threatening to spill over into the basement.  He began baling by hand.  As fast as he baled the water it filled back up.  I called for our son in his apartment (adjacent to our home) to come and help.  Together they formed a bucket brigade to save things from flooding.  Meanwhile I lit candles, found a lantern, flashlights, and prepared to stay awake until the power was restored.  The overhead smoke alarm was chirping, a couple of battery backups on our electronics were sounding alarms, and the weather radio used its built-in battery backup to keep us alerted of potential flooding.  There was such a cacophony that no one could have slept...no one except my mother.  There wasn't a sound from upstairs. Then I thought about it. Wait a minute: the monitors were alerting me that the sending station plugged into the wall in my mother's room was not functioning.  Oh...um...right -- no power! Now, I worried that Mom could call to us and I wouldn't hear her. I got tired of the beeps reminding me of this frightening fact, and disabled the receivers, opting to sit in the family room closer to the apartment.  I was hoping I would hear if she opened the door upstairs.  Perhaps I would hear her cries for help.  Maybe she would be okay.  I sat and waited for the power to be restored.   

It was now 2:00 AM.  Skip and Bill were still hard at work keeping the water at bay. Then it hit me; what if Mom awoke and wanted to go to the bathroom?  Her room was pitch black.  There were no night lights without electricity.  I thought that I could light a candle downstairs and take the lantern into her room to provide enough light that she would be safe going to the bathroom.  But what about once she closed the door?  There were no lights in the bathroom.  Conversely, if I put the lantern in the bathroom,  she would use the bathroom then close the door as she exited and not be able to see her way back to bed.  Mom's Alzheimer's had progressed to the point that she could no longer problem solve.  She wouldn't know what to do.  I sat in the family room worrying silently and feeling too tired to think clearly.  

Skip came back upstairs to get another bucket and asked about the lantern.  "Yeah, I guess we should take it upstairs to Mom," I told him.  It was now about 3 AM.  Skip ran the lantern up the stairs and then went back to his bucket brigade duties while I fretted.  Finally, realizing that there was nothing that I could do, I curled up in my bed trying to ignore the incessant chiming of the smoke detector that Skip couldn't disable for some reason.  Finally, a few minutes later, I heard the familiar click and hum that signaled our power was restored and I happily announced to the two in the basement that they could stop baling water.  They already knew it because the sump pump immediately did the job expediently that was taking the two guys forever to do.  The chirping, and beeping of all of the warning systems ceased and our safe and happy environment was restored to normal.  Normal?  Did I just actually say normal? Ha!  

The next morning we learned that the chirping smoke detector couldn't be disabled because it was the carbon monoxide detector next to it that had been chirping.  We also learned that the battery back up to Skip's computer was not functioning and he had to rush out to buy another one in a hurry before some other emergency and/or crisis required its operation.  Before he could leave the house, Skip went to the pantry to get out some things for breakfast, dropped a box that hit a jar that dropped to the floor hitting the new economy sized bottle of our favorite Balsamic Vinegar. The unopened bottle of vinegar crashed to the floor emptying its contents all over the paper goods, the 25 pound sack of flour, and boxes of cereal that were too big to place on the shelves and which occupied space on the floor.  When I walked into the kitchen the room smelled like a salad dressing and there were angry words being muttered by my poor husband who not only had endured a rough night but whose morning was not going well either.   

I left him mopping and cursing while I ran upstairs to get Mom dressed and ready for her day.  She was standing in the hallway of her bedroom waiting for me.  She didn't have her walker with her and when I asked her where her walker was she pointed at its parking place by her bed 25 feet away.  Running on four hours of sleep, I impatiently explained that it wasn't safe for her to walk around without the use of her walker.  This seemed to make no impression on her whatsoever. (I couldn't tell if it was her lack of understanding or the fact that her hearing aid was suddenly malfunctioning. ) I sighed deeply, got her dressed and escorted her to her elevator chair, assisted her downstairs and to her morning breakfast all the while questioning how it was that we could worry about every little safety contingency and still never be certain that Mom was safe.

All of this is just another day in the life of a caregiver! It is small wonder that there are days when I am less than patient, less than smiling,  and a little on edge.  Fortunately, after we put the flashlights away, mopped up the last bit of broken glass, restored order in the house and sat down at the end of the day after putting Mom to bed to watch a little TV,  we smiled and congratulated ourselves for getting through another day.