I think it was around 3am that Mary Ann finally settled. Then, we were up pretty early again in anticipation of the Bath Aide. Mary Ann has done no napping today, and she did not go to bed early. Some days she can sleep well at night, then have a couple of two or three hour naps during the day. There seems to be no rhyme or reason to when there is lots of sleeping and when there is very little.
When there has been little sleep, I appreciate that I am retired and have no major public responsibilities that would be impacted by my sleep deprivation. I guess driving is a public responsibility. If you see a dark colored Honda van coming down the street, give it wide berth. The driver may be dozing.
Today has turn into a domestic duty day. It was not planned that way, a couple of things just converged on the day. Both the medication that thin her blood (aspirin and Plavix) and the mucous production increase on account of the Autonomic Nervous System being impacted by the Parkinson’ s and Parkinson’s Dementia, combine to create the need often to change the bedding. Today was not the usual day to change bedding, but I noticed that even the mattress pad that is protected by two chux had some stains on it.
I got out a new mattress pad and put the dirty one in the downstairs utility sink along with stained bedding, and a two or three ladles of Oxyclean. After soaking a few hours, and then running it through the washing machine, it is all in the dryer at the moment.
Then the weather for today and tomorrow allowed working on a much dreaded task. The Ceramic tile floor in the bathroom is a dangerous weapon in a household with someone who has both balance and fainting problems. After a nasty fall and subequent trip to the Emergency Room, followed by a couple of hours with the Ear, Nose and Throat Specialist trying to get the bleeding stopped, I realized that the tile floor needed something to soften a fall.
I found something called Snaplock, twelve inch squares of mesh made of a strong and supple plastic mesh. The squares snap together. The colors were nice and the squares were easy to put together. The squares are impregnated with something to reduce the mold. Of course the squares must be taken up and cleaned a few times a year. The weather is important, since the tiles get washed in the driveway, and dried in the sun. I scrub them with an old broom after spraying them liberally with spray cleaners that kill mold as well as cleaning the tiles. They then air dry. They are on the driveway tonight. I will leave them there and bring them in after the sun has done its work.
The hardest cleaning task actually is cleaning the ceramic tile that has been covered by the mesh squares. Mold eventually grows under the tiles. There is lots of spraying (Tilex and Clorox Cleaner), scrubbing with the broom, and rinsing that has to be done. It is certainly worth the effort to have the protection on the ceramic floor. Any Caregiver whose Loved One is subject to falling needs to be sure and cover ceramic tile with something safer. Gratefully, the Snaplock tiles come in very nice colors, so the result after putting them down is not unappealing.
Blood Pressure update: Now that I have reduced in half the Midodrine in preparation for starting the new medicine, Mestinon, I am trying to track her BP more closely. Sitting down at the table earlier in the day, her BP was 107/65. Tonight while lying down I tried taking it with the electonic meter. It would not read her BP but gave an error message. That usually means it is too high for the machine to measure. When I took her BP by hand, it was 240/120. There was no doubt about when the beat started and stopped while listening with the stethoscope since the beat was so strong.
That is another example of just how dramatically her BP jumps between high and low. Tomorrow morning I plan to add the generic Mestinon. I hope it works. I don’t know how long it takes to reach the therapeutic dosage. We will just wait and see what effect, if any, the new medicine has.
As always, we will see what tomorrow brings.
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