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.
- Dressing herself
- Feeding herself if food is placed before her
- Toileting herself
- Bathing herself
- 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.
