Bergen County Geriatric Care Manager

March 27, 2009 at 11:09 am | Posted in Megan Milchman, GCM | Leave a comment
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Monday:  Visit with M, I take her for her blood work, basic labs are done to check for normal values.  She is very anxious because they always have trouble finding her vein and getting her blood.  This time is no problem though, they found her vein first try and she was very happy about this.

Visit with A, she has a breakdown under her breast, the doctor was called and ordered them to put neosporin and vasoline on it.   I advise not to wear a bra because it can cause further irritation, until it is clear.  It all started becasue she scratched a small scab.

Tuesday:  I am in a seminar regarding Caregivers and Alzheimers Disease, and how to help the caregiver cope with the issues the are going to face with their loved one.

Wednesday: Visit with Ma, filled her medications and went over her medications with her Aide who has just returned from vacation and doesn’t know the new medications.

Visit with Mr. A who has the owner of a home health aide company come and talk to him about having a companion.  We had to get firm with him, because he doesn’t realize that his dementia is progressing quickly and that it is unsafe for him to be alone all the time.  At this point in time he forgets to take his medications and we are unsure if he is eating.  Everyone is very concerned for him.

Thursday:  Visit with P, everything is the same, nothing has changed.  She is doing well and is happy that she will be getting a new television soon.

Visit with B, a new client who was just transferred from a hospital to a rehab facility.  Her family was concerned because she was disoriented and hallucinating when she was transferred, I told them that, that is normal and when I saw her today she was fine.  She was alert and oriented.  Her PT and OT stated that they had just completed their evaluation and feel that she is in good shape.  Her doctor and the people in the facility will be working their hardest so that she can return to her home.  As a Geriatric Care Manager in Bergen County, NJ, I would like to see that as well.  People are the happiest when they are in their own home and that is what we strive for.

Dr. G, he is doing very well in his new facility, but he did bring up wanting to go home for the first time today.  I explained to him that his home was unsafe, but he had a hard time understanding that, and kept telling me that his home is fine.

All families were contacted shortly after the visit with their loved ones.  We strive to keep everyine informed who needs to be informed.

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