Tag Archives: heel blister

My Uplifting Valentine’s Presents

Day by Day with a Movement Disorder Posted on by 9

This last week has really been a strange one, on several counts. I wouldn’t normally go this long without a post, but I tried to get a little too fancy with my Drive Partitioning software, and couldn’t get the computer to boot at all! It took me several days to figure out how to fix it, and several more to get everything back the way it belonged. Luckily, I’m good about backing up my data, so I didn’t lose any of that.

In between working on the computer, DH and I have had quite a time with Daddy. He’s been getting more and more wobbly, and less and less able to follow our transfer directions. So, we’ve had several episodes of it taking every bit of strength the two of us had to get him from one place to another. The last straw was Monday or Tuesday (I’ve lost track HA!) when we had the usual bowel problem. Thank goodness I had decided to move the commode into the bedroom, instead of trying to take him in the bathroom. By the time that ordeal was finished, he just about finished all three of us before we got him cleaned up and back in his wheelchair. The Hospice nurse came not long after that, and she could tell how exhausted we all were. This time, when I asked for lifting help, she agreed that it was time.

So, what did I get for Valentine’s Day???? A brand spanking new Hoyer Lift!!! Frances, our paid care giver, DH, and I learned how to use it this morning, and we were able to move Daddy from the bed all the way into the living room to his recliner, without any trouble at all. He’s more comfortable, and we’re MUCH happier. And our backs and nerves appreciate it, too!!

I’ve been pleased with how well the Zelepar has been helping me deal with all this physical and emotional strain. I did have a bout of hysterical crying this weekend, though, because Daddy’s foot looked worse to me, and I felt so guilty that I had let it get that way. My head knew I’d done my best, but my emotions sure didn’t. The Podiatrist was here today, and he’s very pleased with how it’s progressing, so that’s a big relief. Hey, that’s another Valentine’s Day present for me!!

And, today, for the first time in years, the pressure sore on Daddy’s bottom is all but healed! Present number THREE!!

I feel like a huge weight has been lifted off my shoulders. For the first time in quite some time, I really think we’re going to be able to keep Daddy out of a Nursing Home. The lift, the gel seat cushion, our Estate Sale sheepskin finds, and the rippling mattress have made all the difference in the world in Daddy’s quality of life. I thank God for his tender mercies.

Downs and Ups with Daddy

Day by Day with a Movement Disorder Posted on by 6

A lot has been going on with Daddy this week that has kept us both pretty busy. I called the Podiatrist’s office Monday about his heel, and they said he would come by Wednesday evening. The regular Hospice nurse came and took a look at it and changed the bandages, telling me that the key thing was to keep the blister from breaking open. She promised that we would get the rippling kind of mattress this week, too, which is supposed to help with pressure sores, such as those on his bottom and heel.

Monday night was the worst I’ve had with Daddy. His usual bedtime is 6:30, but he wasn’t sleepy then. That’s not too surprising, since he sleeps so much during the day, but part of his night medicine is a Tylenol PM, so I can’t let him stay up too late after taking that, or it would be dangerous to try to transfer him into bed. So, I put him to bed a little after 7:00PM. He spent the next 5 hours talking wildly about things like when was he going home, who were all those people, where was his bed, where was I going to sleep, and on and on. He would call me to the back every 15 or 20 minutes, and nothing I told him appeased him. When I told him he was already in bed, he would disagree, telling me he was in the car, and wanted to go home. About midnight he finally went to sleep, but the whole craziness started over again off and on every few hours until it was time to get up.

Not surprisingly, he was wobbly all day Tuesday, and I was worn out, too. So, Tuesday, Wednesday, and Thursday night I gave him 2 Tylenol PM! He slept soundly, and his walking was much better during the day. His appetite has even shown signs of improving a little.

His Podiatrist ended up coming out yesterday evening. He immediately set to cutting the whole top of the blister off!! Mind you, Hospice had told me to do everything I could to keep the blister intact. I was SO glad I had called him! He showed me a dark place in the tissue that was already beginning to develop into a deep decubitus ulcer, and said it would not have healed if it were not fixed so it could drain. He also told me to keep it open to the air as much as I could, instead of keeping it all wrapped up.

I think I’ve finally gotten my point across to the Hospice people that I expect preventative care as much as possible. So the rippling air mattress came yesterday!! It has many crosswise sections of air filled tubes that slightly inflate and deflate back and forth from the top to the bottom of the bed and back. For getting in and out of the bed, it can also be set to inflate completely for a firm surface. I think this will actually help, and may even keep him from getting any more sore places on his bottom.

He still has times when he doesn’t know whose house he’s in, but the hallucinations are not as disturbing to him as they were. His strength is returning, and with the improved appetite, he feels more like walking. So, a week that started as the worst yet has prospects of ending as one of the better ones. I’m keeping my fingers crossed!!

We Have BOOTIES!!

Day by Day with a Movement Disorder Posted on by 6

Finally, a good two weeks or more after I first asked for them, the nurse brought the sheepskin looking booties today. If I had gotten them when I asked, his heel would not have looked so bad, and may not have even blistered at all. She also brought the seat cushion for his chair. His bottom is also getting worse, so this will help considerably.

We spent the whole morning trying to achieve a bowel movement. I’ve been giving Daddy 2 stool softeners with each meal, plus a Senna laxative tablet each night. He hadn’t been since last Wednesday, so this morning we went all out to get some results. Prune juice for breakfast, plus another laxative tablet. It’s quite an involved process to get him in the bathroom now, but DH helped me this morning. Daddy still couldn’t go. So, I used a suppository. We waited, but still nothing.

By the time we had him ready to move to his chair in the living room, everything decided to start working. So, we went through the routine to get him back in the bathroom, take care of that, and then put him on the bed, so I could get him really clean and put ointment back on his sores. Then, we got him back up and into his chair. By the time we did all that, the nurse came. His chair is a recliner, which he would not use before. But we had so much trouble keeping him comfortable in his chair or the wheelchair Saturday, that we thought it was worth a try. By propping his calves up with two pillows, we finally got his legs high enough for his heels to hang without touching anything. And he’s comfortable. He immediately fell asleep, bless his heart.

He’s not the only one who’s worn out! DH had to take over and sit with him while we were waiting for him to finish in the bathroom, because my stomach started churning and cramping. I not only had diarrhea, but I came very close to throwing up. I think it was just from my nerves, but this would never have happened before I had Parkinson’s. It makes me so very nervous to work with him, because I’m so slow at everything I do. I’m afraid he’s going to fall while I’m trying to get his pants down. In fact, I’m afraid he’s going to fall every time I do anything with him. Really, I’m just afraid, period. Even though I know exactly what I want to do, I have no confidence that I will be able to actually do it, anymore.

DH and I have eaten lunch, but we’ve left Daddy sleeping for now, as he’s exhausted. DH is asleep sitting on the sofa, and I’m blogging and resting. We’re all three worn out from the morning’s doings. LOL

This nurse says the other nurse will bring the air mattress when she comes later in the week, which should help his bottom a good bit.

I managed to control my temper while the nurse was here, as I didn’t see that anything useful would come from letting her know just how mad at her I was. My DH knew I was mad, but I don’t think she ever realized it. I hope not, as we have to work with her.

But if we have another situation develop like this one, I doubt if I will be so restrained.

Daddy Stayed in the Bed All Day

Day by Day with a Movement Disorder Posted on by 2

Today was Frances’ day to stay with Daddy, so we could go to church. As it turned out, I was just too tired to go, and stayed home and slept until DH returned from church.

Frances called before he left for church, though, to say she wasn’t comfortable trying to get Daddy out of the bed. She had tried, and he was just too weak. So, she sat with him in the bedroom, changing his position, feeding him, changing Depends, all day long.

When we took over this afternoon, I had him go through some mild therapy exercises, just to see how stiff he was from being in the bed. He seemed to be moving OK, and said he didn’t hurt anywhere. His heels are hanging off a pillow, so they’re taken care of. His bottom looks no different than it did, certainly no worse. He even let me feed him oatmeal tonight. That’s the first time I’ve fed my Daddy a meal, since he had his pacemaker surgery over 15 years ago. He surprised me by being willing to let me do it. Since there really wasn’t anything for two people to do, once he had fixed the oatmeal, I sent DH home early tonight. No need for him to sit in this hot house if he doesn’t need to.

We listened to the Super Bowl on the radio, and Daddy stayed awake until it was over – way past his usual bedtime. He made several remarks about not being able to find his bed, so I went through the whole explanation of which bedroom he was in, and this is his house, the whole thing that gets repeated night after night. By the time the game was over, he seemed content that he knew where he was, and promptly went to sleep.

It’s after 10, and I’m beginning to yawn now, so I’ll finish up and try to get some more sleep. Hopefully, tomorrow, Daddy will feel like getting up, and will be strong enough to do it.

For the Want of a Nail …..

Day by Day with a Movement Disorder Posted on by 9

It’s pitiful the domino effect one small problem can have on the well being of an elderly person.

From the start of putting Daddy in the hospital bed, he has been very touchy on his left heel when I’m getting him dressed in the mornings. I had already, some time ago, asked for help keeping his heels in good condition, as I had noticed some splotchy areas there. The nurse said she would order booties. When they didn’t bring them, I asked the next nurse I saw about them, and she said she would take care of it. Well, the booties didn’t come, and yesterday morning Daddy had a water blister on the bottom of that left heel that is huge.

Even though it was Saturday, I called the after hours Hospice number, telling them about his heel. The nurse had a call to make in the opposite direction from us, but she said she would see him sometime that day. Sure enough, she did come about lunchtime.

When she measured the blister, it was 2″ by 3″!! His whole heel has broken down!! No wonder it was hurting. She used an ointment on it, padded it with gauze, wrapped his foot in Coban, and reminded me to hang his heels off a pillow and not let them touch anything. She said I did the right thing calling, and she thought it had been caught soon enough that it would heal quickly. Of course, Daddy is diabetic, so quickly is a relative term.

I’m just sick about that heel. I’ve been going to his house to fix breakfast and put on his shoes and socks for years now. I always checked his feet and made sure I smoothed out any wrinkles in his socks, before putting on his shoes. Now, too many people are dressing him, and I have no idea how the blister got started.

So, for want of a nail, the battle was lost. Hopefully, our battle is not lost, but it certainly has been put in jeopardy! Because of the huge bandage on his foot, he can’t wear his shoes. Because he can’t wear shoes, he’s not as sure footed when he tries to stand up. Because he’s having trouble standing or walking, he had to stay in the wheelchair almost all day long. Because he’s in the wheelchair and not walking to the bathroom, he’s not getting any exercise, so his legs are even weaker. Because he’s sitting almost constantly, with his legs up, the pressure on his bottom is greater, so the sores on his bottom are getting worse!

The nurse was obviously concerned that I had not gotten the booties when I asked for them. She said she would see to it that the medical supply company brought out the seat cushion, booties, and an air mattress as soon as possible. We’ll see.

This is exactly why I don’t want to put him in a nursing home. If his skin has broken down here, with me asking several times for the equipment that would have prevented it, how much longer would they have waited to deal with his skin, with no one around to remind them??

We spent the day yesterday trying to keep him as comfortable as we could, what with his bottom sore and his foot sore.

This was not the Hospice we had used with Mama and Pop, but the one the doctor’s office made arrangements with. I’m seriously considering switching Hospices. That means returning all the equipment and getting another set from the Hospice we liked, but at this rate, it will be worth it!! It all depends on how long it takes them to get this equipment to us this week. If it’s delayed, they’re fired, no matter how much of a hassle it is!!