July 8th update on my, elderly, father, William L. Morris (by Barbara Morris).
Having survived the heart attack, 16 months, my father was admitted to
As it turns out, my father, no longer, needs a feeding tube and is able to eat and drink, by mouth. The details surrounding feeding and hydration are significant, as are the continued efforts by the
While in ICU my father received a “swallow test” which he, allegedly, failed. However, the NPO order (no food or fluids, by mouth) was applied inconsistently. Initially, several nurses gave him thickened fluids for thirst. The hydration ceased, yet, in spite of the order, my father was given his meds orally (pills crushed in apple sauce or thickened beverage). This continued for over a week, until the Thursday, July 1st hearing. In a significant reversal, Judge Timothy J. McCrone ordered that my father was to be given food and hydration by mouth. Within a 24-hour period my father went from a hospital order for no food or fluids, by mouth, to pureed foods, to soften foods. His fluids, still, need to be thickened (to prevent aspiration), and, in the hospital, he was to have as much as he wanted. The only problem occurred when a sitter (ordered, during the final week, by the Office on Aging caseworker) gave my father water which was not appropriately, thickened.
On July 2nd I spoke with the supervising doctor and asked what protocol was, still, required. The doctor, immediately, ordered the diet upgraded to “soft”, the I.V. feeding/hydration removed, and the catheter removed. I, also, requested a physical therapy examination. The doctor said he would order that, as well. Within hours, I learned that the caseworker, Marcia Soergel, was trying to rush my father out of the hospital, that same day, into hospice. With the holiday weekend, she was not able to succeed in that transfer until Sunday evening, July 4th.
Meanwhile, my father had a physical therapy examination on Saturday, July 3rd, which he passed with flying colors. He had been in the hospital bed for over three weeks, but was able, with assistance, to get out of bed using a walker, walk to the bathroom, use the toilet and return to the room to sit in a chair for over two hours. The physical therapist, not only, deemed him, fully, qualified for physical therapy, but expressed it with great enthusiasm. It begs the question as to why Marcia Soergel wanted my father rushed out of the hospital, so, quickly. Had she succeeded in moving him on Friday, I would not have known the positive results of my father’s physical therapy examination.
Although, my father has a weak heart and is not a candidate for heart surgery he passed a physical therapy examination with flying colors. He was reinstated food and hydration by mouth. Yet, he was transferred on Sunday evening (July 4th) to a hospice in
I went to the hospice facility, the next day, and it was most fortunate that I did. I arrived around noon. As I got off the elevator, I heard my father crying out, “Water! Water! Water!” I didn’t need a room number to find him. I went into his room to find a lunch tray, sitting on a cart by the wall, and no caregiver in sight. He had been ordered a “Pleasure” diet, i.e. a regular meal, not one softened to accommodate his needs. Most importantly, the water and lemonade on the tray were not thickened. Had he been given the fluids, he could, easily, have taken them into his lungs and aspirated.
I, immediately, located hospice staff to remedy the situation. The nurse brought a prepackaged thickened beverage, instead of water, as requested. I explained to her that when my father wants water, another beverage will not suffice. I, also, explained to her that he needs water, with the thickening agent added. At first, she looked at me, as if she had no idea what I was talking about. Fortunately, a caregiver was present and assisted in explaining what was needed. It took another 20 minutes, while my father continued begging for water, but, a small container of the thickening agent, finally, arrived.
Needless to say, the
Just as crucial, to my father’s well being, are his mental and emotional states. He is, once again, traumatized. He begged me, repeatedly, to stay with him. (This was the never-ending cry, for three years, in assisted living.) I asked if he is afraid. He nodded his head, “Yes”. He said he is afraid that he is dying. And, now, again, he is separated from his family, but with the, additional, separation from his wife. [My mother,
Concerned about other protocol, I asked the hospice doctor about physical therapy and told him of the positive results from the hospital. This doctor stated that, not only, does the hospice not provide physical therapy, but since my father’s heart is weak, physical therapy would be “detrimental” to him. The alternative is that they will “keep him comfortable until…”. I responded that I would rather my father have a heart attack from physical exertion than to be laying in a bed, in a negative mental state and traumatized by isolation from his wife and family, as he realizes he is being left to die, and without any activities to support a positive mental state.
As with others, in this four year, saga, I have to question motives. The hospice had one bed open. What is that worth? Why would positive physical therapy results at the hospital not be considered of value at hospice, in fact, completely, contradicted by the hospice doctor? It appears to be, yet, another, conflict of interest for the hospice to recommend, otherwise, they would sacrifice the income. And, once again, the Office on Aging caseworker is being supported with their agenda.
Again, it is important to reiterate that the Office on Aging has spent all of my parents’ money (an estate worth, approximately, $450,000, in four years). My parents’ names are on the Medicaid waiting list, but it is not, yet, available. The result; the Howard
Now, the Office on Aging is ignoring the positive physical therapy results, from the hospital and is denying my father, further, physical therapy. As far as I know, there are no plans to get my father out of bed; even to sit in a chair, as had been done, on several occasions, at
These events support all that I have documented and posted, including my recent posting, “Intent to Murder by the
Again, for more history, do a “google” search with “Neglect and Abuse of William and
Once again, to drive the internet machine, here are the names of the perpetrators and those that acquiesce: (Office on Aging Caseworker) Ofelia Ross, (Attorney) Ria Rochvarg, (Attorney) Tony/Anthony Doyle, (County Attorney) Beverly Heydon, Howard County Circuit Court judges, Judge Louis A. Becker (now recused), Judge Dennis M. Sweeney (now retired) and Administrative Judge Diane Leasure, (Additional, APS, Office on Aging and other Howard County Social Services staff) Janis DiSibio, Shareese Kess-Lewis, Debbie Beares, Peggy Rightnour, Phyllis Madachy, Susan Rosenbaum, Sue/Susan Vaeth, Charlene Gallion, and Marcia Soergel. Greedy assisted living owners who, also, participated, Carmen Collandrea and Richard Collandrea of Bryant Woods Inn Assisted Living in Columbia, Maryland, and their former “manager”, Sandra Farrow (convicted felon). Currently participating are Pfefferkorn Assisted Living (West Friendship, MD) owners, William and
Loving daughter of William and