After 3 additional days, we got Dad back on a regular diet with regular liquids – hooray! And what a difference they seem to be making. He is more alert, more agreeable and noticeably more comfortable. In fact I think the hydration has helped gain some of his appetite back, as he has started to eat the provided hot meals and requesting some of his more usual favorites like hot dogs from his preferred local convenience store. Unfortunately, his physical therapy is not progressing as well as I would expect or like.
There are several factors that affect Dad’s physical therapy sessions. Some of these things include; having just eaten a good sized meal (he gets sleepy), sessions later in the day (sleepy again) and his mental status (often sleepy) – you get the idea. On his good days when he is brighter and alert, Dad is willing to get up out of the Geri-Chair (a large comfortable, recliner-like chair on wheels) and walk on his own. This especially happens when I am leaving after my visits and he wants to walk me out, as he previously always has. However on those days, it still requires some persuasion to get him to stand up and walk a few steps in therapy. On the not-so-good days, he doesn’t appear to respond to the therapist’s directives and requires effort from all of us, myself included, to get him up and on his feet. When this happens, he can barely stand up on his own and steps are out of the question.
In the meantime, my plans to get him back to the Home are on hold. Until Dad can help assist the aids with his transfers in and out of bed and to chairs, he is not a candidate for their Enhanced Care Unit. I have an appointment with the Rehab Center team next week to discuss his progress and I plan to get more feedback on their thoughts and insights. I am uncertain whether his recovery is just going to take more time given his recent surgery and LBD advancement or if we have reached the next stage of Dad’s disease state. Regardless, I’m giving him the benefit of the doubt and sticking with rehab for the time being in hopes he will soon rally.