Monday, June 26, 2023

My True love goes to Silverado

 


The last moments at the home she made. She checked the door. Good bye Dearies.

 

Joey and Morgan (with Bucky) made the trip to Silverado.

 

“Listening to Michael W Smith and playing with Bucky on the way” - Joey text

 

“Joey just walked in with her.” - Morgan text at 11:40


The entrance of the main building across from Nexus - her new home


622/ Caregiver notes

TIME: 8:02 a.m.

TASK: General comment or change of condition 

Jennifer: Ms Melinda was in her room when I came.We went to watch tv,till 9 o'clock ,she went to bed she was complaining the room was cold.she work up at 11pm use bathroom and went back to sleep,she woke up again at 3am and walk around the room,then went to sleep.At 6 am woke up,change,use bathroom and went to the dinning ,she walk around.At 6:30 she joined other residence for breakfast. She keep saying , was brought without her consent and she want to go home,no friends and she doesn't know anyone in the facility. She slept well no issue.

6/22 Caregiver note

TIME: 8:02 p.m.

TASK: General comment or change of condition 

Oluwakemisola: Patient was dressed when I arrived,she did not allowed me to help with shower,she hit me twice and pushed me.she only had dessert for launch and water,she had 1hr Napped.she walked around the facility all day.she had dinner,i assisted changed her cloth she was in bed when I left her.


6/23

09:52

Email from Ashley Ritter Ambassador 

Good Morning, I went over to check on her this  morning. She ate breakfast and was relaxing in her room. She's still upset and angry about being here, but she is talking and participating with everyone. Tammie our Nexus director even said she participated in meditation yesterday! 

 

6/23 

14:30 

Email from Ashley Ritter

Me and Melinda just has a glass of lemonade together and she showed me her pictures and pointed each of you out. She agrees to help one of our Nexus residents do flowers...still not happy about it though 

 

6/23

20:01 Email regarding phone call

Ashley graciously took a call to help me understand what the Wellhome 1on1 caregivers actually do. They are friends,  basically to help her integrate into the community and activities. They assist with a few events like clothes, minor housekeeping, showers, etc. The question was do the staff think them necessary past the initial period of 3 days. They recommended that we continue the help until noon Monday. 

Slow but real progress. 

 

6/23

General update from Nexus

Nexus (the building/program where mom lives)Update

"It has been an Amazing Week we have added 2 new Residents to our family and we are so Happy to have them join us in Nexus.  Also we have added an Amazing perk to our Neighborhood in the form of a Private Chef for Breakfast and Lunch Monday-Friday we are so excited to introduce Jose into the Nexus Family!!!  Come out and meet him sometime."

 

6/23

TIME: 8:13 p.m.

TASK: General comment or change of condition 

Annick: When I arrived, Melinda was having breakfast. The person who helped her during the night introduced her to me but she was not happy to see me. When I tried to enter her room she took me out, she didn't want me to stay there. I tried to tell her that I was there to help her, but she didn't want anyone. She remained locked in her room until lunch time. She ate 70% of her lunch. She got into a fight with two people, even with me she pushed me when I tried to calm her down, she wanted to hit me several times. At 5 p.m. she ate her 80% dinner. She asked me why she was there, she asked me to open the front door for her to go home. I told her that I had no code to open, and she became furious. She took her morning medication without problems, but she refused the afternoon one, she threw the medication on the ground. But later in the evening she accepted it. We had to change the key to her cell, to prevent her from continuing to lock herself up.


6/23

20:41 Update from Tammie via Ashley 


Tammie ( our Nexus Director) wanted me to share a photo she took of Melinda joining an engagement briefly this week

 

6/23

TIME: 11:20 p.m.

TASK: General comment or change of condition 

Bosede: I met Mrs. Nelson in the lobby when I arrived. She was agitated and seeking exit from the facility. The caregiver from the morning shift gave me update as stated in her notes. I maintain my watch of Mrs. Nelson within the lobby until 9PM when she mistaken her room for another room. I quietly guided her to her room and knelt down to admire her family pictures on the chair, she beamed with pride as I I admired her beautiful family. She asked me to sit down while she shared her last family outing album dated 12/31/21 with me. She was able to name her children. I got her a glass of juice and we continue talking about the family. Though her speech is disjointed, Melinda can still communicate. She needs slow and gentle approach as she is not happy to be confined in the facility. She went to bed at 10:30 PM.

 

6/24

TIME: 7:38 a.m.

TASK: General comment or change of condition 

Bosede: When I arrived at 8PM, Mrs. Nelson was pacing the lobby trying to open exit doors. The out going caregiver explained as she put in her notes . At 9;30 PM she mistakenly entered another room and I redirected her to her room. In her room when I began to admire her family pictures, she beamed with smiles and further showed me her last family outing 12/31/21. She was disjointed in her speech but she was able to come across in conversation. I gave her some juice and she went to bed at 10:30. However this morning when she woke up at 6 am, she looked aggresive and sad. She refused to wash her face ,freshen up, take a bath or change her clothes. She went back to bed at 6:30 am. She continued to sleep. 

Bosede: Melinda finally woke up at 7:50 .I reported to the facility caregiver to get her tooth paste and brush because I didn't see any in her drawers, bathroom or luggage.

 

6/24

TIME: 2:05 p.m.
TASK: General comment or change of condition 
Fatou: The client is so combative, trying to hit me up with the hair dryer. I have to stay away from her. 

 

 

6/24

TIME: 4:10 p.m.

TASK: General comment or change of condition 

Besta: She refused me entering her room she slapped me on my hand when I went into her room to call her to come eat She is violent aggressive not friendly she is rude she does not want to socialise she changed her pyjama she is in her bed sleeping she took medicine but she declined dinner 

Besta: Getting here the other caregiver was outside saying she was violent and I walk to her door to tell her I was here and she said I must not enter her room I respected her and she called me to come inside and she hold my hand wth a fist up saying the room is hersand I put my bag on the raised fist and hold her both hands and I come out and sit watching her and she calm down and come for activities to play bingo

 

6/24

Time 19:47 

Email regarding call from Gilbert Gutierrez 

I spoke with the chief administrator (thanks to the nurse, Mitzie Watson, who helped us find the place). He said that this is not unusual She is on a couple of new medications that will become more effective as time goes by. I asked that the clinical staff (doctor and nurses) call me once every day or two. Then I’ll tell you.

 

6/25

TIME: 6:39 a.m.

TASK: General comment or change of condition 

Bosede: Melinda went to breakfast at 7 am and I sat across the hall until she was done 

Bosede: Mrs. Nelson slept most of the night after a brief walk around. She woke up at 6 am to clean up and be ready for breakfast. She is still agitated and prone to aggression if not allowed to do whatever she wants. 

 

6/25

TIME: 8:17 p.m.

TASK: General comment or change of condition 

Annick: When I came, Melinda was having breakfast. Then she took her morning meds. She locked herself in her room, she didn't want me to come in. I called her to participate in the activities with the others but she did not want to. She only went out when she wanted to. She only ate the cake at lunchtime. But at dinner time she ate well, she took 70%. Today she did not resist to take the drugs. She took the shower in the morning. Every time I tried to talk to her, she wouldn't. Today she was calm, she didn't talk to anyone, after each meal she went back to her room.

 

6/25

TIME: 11:55 p.m.

TASK: General comment or change of condition 

Besta: She was asleep and I was checking on her she had a very peaceful sleep she does not anyone in side so she put a chair behind her bsbmm

 

6/26

TIME: 7:51 a.m.

TASK: General comment or change of condition 

Besta: Ms Melinda Slept very well at 6 am she was up I went to her room to take out trash and they needed her laundry she was very calm and she realy responded well and nice I left her room to respect her privacy she come out at 7.30 I served her breakfast she ate very well all her breakfast she even said thank you and went back to her room 

 

6/26

Time 8:40 CDT(calling east coast) 

Genworth Longterm insurance 

Spoke with Veronica who went down a checklist to see if Mom qualified for payment. She asked several yes/no questions, and then she asked specific questions about the five “Activities of Daily Living” (ADL). Mom does have failure in any of them. 

  1. Dressing herself 
  2. Feeding herself if food is placed before her
  3. Toileting herself
  4. Bathing herself
  5. Transfers

However, neither aphasia nor violence were on the list, so I emphasized them. She will now have to be evaluated by one of their professionals. She said it could be done by zoom. I told her we don’t have access, so they’ll have to talk to the clinical staff at Silverado.

Claims # is 800-876-4582 

Claim # is

Each month we must submit the invoice and a plan of care to make a claim.

 

6/26 

Time: 11:04 

Tammie Shelton phone call

She thinks mom is improving in her behavior but still has a way to go on her acceptance. Story to illustrate:

Mom came into Tammie’s office and politely and calmly asked if Tammie could help her. Tammie said, “ yes” of course. Mom then asked if she would help her go home. Tammie gave some sort of “no” answer, and Mom left without getting angry. I gave Tammie a listof the things that Adam and I delivered to the desk on the first day We have no way of knowing about that except asking. 

 

6/26

14:00- call from Daisy, the director of health services 

She assured me that mom is doing well. We talked about the lorazepam and determined she only gets it “as needed” (PRN).   Daisy the nurse who came to her get an assessment last week.  She reassured me that mom is in the right place though her soft and gentle side fools an observer. But her “not nice” behavior is very telling. Daisy expects her to continue to accept the place.



Monday, May 27, 2019

inoculation

Touching another's heart is just about impossible when speaking the same language.
Without that the universe never aligns. So, it never aligns...
Language is the only means to communicate when separated by time and distance.
In person the myriad wiggles, twitches, adjustments, and gazes can help; but not by tele-touch, written pages or vocal relays.
Words are the only conveyance.
But the same words fail, spoken or in some sort of image.
Particularly if these linguistics have been misused over a long history.
One says, "tree," and an image of branches and root, bark and leaves may jump to mind.
Or an algorithm to solve a question.
Or a device to store shoes...
This disconnection is rather simply rectified with more words, metaphors, and examples.
But when there are no other words to use, distance turns to void.
Some words are so unique and without synonym that clarification is not possible.
It takes a lifetime of showing effect to uncover true meaning.
Words like God - one with a personal name with whom communication is possible.
Yet God summons to mind a very unique image to each listener.
A vague impersonal force, a myth, an idol, a construct conjured by some charlatan...
That image is impossible to modify, as it is baked into the mind through divine intervention or experience or supposition or tradition.
Justice, right, free, love, ...
Very important gifts from God, yet impossible to communicate.
They are too important.
So poems, songs, paintings, sculptures, scripture, and music are wrapped around the originator's concept in a vain attempt to communicate.
So, speaking into this emptiness of a blog carries very little meaning.
Except to me.
I love God. I want you to know that.
See?
You cannot know anything I am feeling or why.
You can only apply your meanings to these words and be put off or inspired.
You have been vaccinated against hearing my meaning.
I wish we could walk a long path and talk...

Saturday, January 7, 2017

Servant Reciprocity

In life one comes across master teachers on rare, lucky days. Today was such a day. There is a Master Teacher instructing a bunch of physicians and hospital administrators on leadership to "seed our institution with those who can lead change." She is indeed gifted with intellect, clear understanding of adult education, knowledge and quick wit. She has unveiled numerous secrets that will make a difference in the lives of untold numbers as these physicians and administrators direct the care of the children who come to us in need. 

Using vocabulary carefully and clearly many concepts have become living principals through her efforts. The topic that settled on the discussion about which there was not time to digest was the topic of Reciprocity. A leader (or any individual for that matter) must manage the Reciprocity in their lives. A favor is asked and granted. The favor has created a sort of debt. If the debt grows - (several favors) - and is never repaid with a favor or several, then an imbalance is present that interferes with a stellar relationship. Eventually the imbalance will wreck the relationship and perhaps generate resentment.

However, the question arises about the concept of servant leadership - a leader whose efforts are dedicated to serve those being led. This is concentrated energy to elevate the followers' position, increase their wealth or status, or get them some other gain - without expectation of a repayment or tit for tat. By pursuing such ideals and actions the leader demonstrates the benefit of putting other's interest before the leader's. Great things are accomplished.

The master teacher does not believe or find research that supports the existence of true servant leadership. Her contention is that while the leader does indeed improve the situation of those who follow, the leader must be gaining something. Perhaps it is a sense of worth, a promise of spiritual or eternal reward, or the loyalty and industry of the follower. 

So, does true charity exist? Does anyone (even Mother Teresa) give without regard to reward - either physical, emotional or spiritual? Does this sense of "balance" destroy the heart of benevolence? Did the Son of God sacrifice for His own gain - the worship and relationship with believers? Can any being truly serve for no reward at all? 

The Master Teacher is genius. We will think about this for quite a while, and it will change something in us. Hopefully it will make us closer to the Creator . . .
- it will.

Saturday, November 12, 2016

2 Peter 3

Awwwk, Awwwk, this is an activation of the emergency broadcast system. There has been infiltration of evil among us:

Please refer to your Emergency Manual - The Holy Scriptures where you will find the following
  • Prophecies from those who heard from God Himself - the holy prophets
  • Instructions, plans and philosophy from the Lord Himself- Jesus Christ (as delivered by his closest confidants, the Apostles)
Description of the threat:
  • Perpetrators can be spotted chasing vane and lustful pursuits
  • Their message seeks to erode faith and stir doubt- "Where is this eminent coming that was promised? It did not happen as prophesied and is an empty promise. Nothing has changed. Everything continues as it has since the beginning of time - random events leading to nowhere."
  • Contravening facts - 
    • Creation happened by the Command of YHWH
    • The earth itself was first a watery mass that was shaped into this world by YHWH
    • In fact His control over the earth was demonstrated when He used water to destroy all the living creatures from the face of the earth
Future plans revealed - 
  • The earth is held safe only by YHWH 
  • The next great judgment will involve a fiery mode destruction
  • There is a day set apart as "The Day of Judgment" upon which ungodly men will be targeted 
Information and Facts from the Command Center concerning this "Judgment Day"
  • The timing is based on time as YHWH experiences it - one day can be a thousand years or more to Him
    • His motive to delay (by man's standards) is Mercy.
    • He wants no one to be "the ungodly."
    • He is providing every opportunity for those who are ungodly now to discover the truth and change their minds
  • WARNING: Time will run out
    • There will be no immediate warning as centuries of warning have gone unheeded
  • The event:
    • The sound of destruction will be a mighty roar as the skies disappear
    • the very elements will be destroyed by intense heat
    • All we know will be consumed in fire
Response and Preparation are required - act now 
  • Practise holy conduct and godliness
  • Adopt a lifestyle of expectation of the "Day of the Lord."
  • Know that destruction of everything by fire is coming
  • Know that everything right down to the elements - the building blocks of matter will be destroyed in the intense heat
  • Expect a new heaven and earth where righteousness will reign
  • Maintain with diligence the peace that comes from being spotless and blameless before Jesus realizing His patience is for the salvation of as many as possible
  • Rely on The Instructions written by those like Paul where you can check for second opinions about these things to keep straight what is the truth. Disregard the distortions inserted by untaught and unstable men who reinterpret scripture to their own destruction. Don't be sucked in by their deceptions
  • Exercise Faith to grow in grace and knowledge of Y'shua the Messiah, whom we honor with Glory now and  to the day of eternity. - Make it so.

This has been an activation of the Emergency Broadcast System. Further announcements will come as history is revealed. For now we return you to the regularly scheduled programming. 

Saturday, August 20, 2016

George K died on his birthday

George K was a friend. We grew to know and love God together through a number of adventures when we were in those formative years - the ones everyone hates, yet during which characters are forged and cemented in place. George was a talent - a musician and was always intense. Blond hair and dark brown eyebrows that pointed down toward the bridge of his nose gave him a piercing gaze. In those years the black rimmed glasses were common and his memorably increased the strength of his face.

His music could stir one's emotion right down to the soul. He loved His Savior and the music carried that commitment. Notes were certain. Faith was certain. He was strong, and those close to him gained confidence in the message as the music soared.

George is with our Savior Jesus now. The day he completed 62 years in this world, he left us. Though the paths we traveled crossed only infrequently, love for that man burned on. We communicated every decade or so, as the patterns set before cell phones, college, families and the internet were not easily relearned. Our last several touches were about the frailty of our aging bodies under the burden of our respective cancers. His was worse, but his message had more hope.

Thank you Father God, YHWH, for the years You gave me the honor of George's life shining into my heart, singing to my soul, playing his music to my ears, and challenging my life with his force of living. He was Your good and faithful servant. #georgekoehl #servantheart

Sunday, July 3, 2016

Invincible or the exit

A week at 62 years, months, and days
A journey with many stops along the ways
What were Your plans when we started?
You knew sheep would become parted.

Now scattered distant over hills afar
Your voice unifies hopes and heals scar
In those we have been entrusted a moment
Realizing now it was You who sent.

Fear has no place on this roadway
For a guide who owns the seconds of the day.
No loss of  a single hair from the head of those
Under His staff, even when the evil ones arose.

So, we are invincible in Your care and toil.
There is evil at bay, ready to uncoil
In violence and destruction with no bound,
Like that in the Ciudad Bolivar we found.

Father, this glimpse into Your tortured heart
Awakens passion and love in every part
Of our being. Causing breath to be short
as we remember the faces evil did so distort.

If we cannot serve you here, our Senor
Then take us home to serve even more
We have no joy but the warm of Your glory
Without that light there is no story.

Sunday, May 1, 2016

Seen today from the water

Three times I cried today- not tears from sorrows
For those tears have for many years been dried.
No, these tears were tears of tomorrows
When in joy, all God's children will have cried.

Of victory long ago won by God's only Son,
Who will kneel down over a horse trough in a "church"
And say to the one rising from the water
The one whose heart healing has just begun,

"Don't worry, my child. I've got this."

The failing eyes were closed and blurred by tears,
Yet, through grace and mercy gifted them
As no one can ever prove or grasp - only fear
They saw Him right here, right now, as He said He would be.

For that moment what is real was revealed.
There was no cancer - no toilsome work to do.
Only a room full of His own - praising God
Surrounded by strong "men" dressed in white

- but no one knew? Only a few.

Now what? How should I share such a gift?
Who will be blessed or who will believe?
Guess it is not mine to say, but today before I drift
I must pack it in words and let those who can ... receive.