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Hi There Youngin, But, of course you can use my writings. Now about those vehicles, gosh in my time we were lucky to get a walk in the woods, day or night. Yep, even in the arctic circle, but that's another story... Bernie, the elder....with memory. At 03:25 PM 11/8/99 -0500, you wrote: >Bernie-- thanks for the excellent comments---may I post them to CARE, where >they are very pertinent? >Camilla. > >>Some of my part-time semi retirement Psychology work includes Geriatric and >>Long Term Disability folks, I would like to add a few points of concern to >>the discussion. >> >>We all have a comfort or uncomfortable level, and usually decisions are >>often made on the basis of that level of the primary care giver, and NOT on >>the needs of the "patient". This is what I see most of the time. Often >>decisions are made beyond the time that adjustment to new surroundings and >>care would be optimal. This puts additional stress on all involved, >>including the facility that the person is being moved to. What I am often >>called into, is to evaluate in the management of the "stressed out" >>resident. Behavior varies from out right physical aggression to refusal to >>eat and withdrawal, including refusal to take medication. Some folks are >>then transferred to Psychiatric Units, which makes matters worse, because >>it adds to the stress of adjustment. Medication, and maybe restraints, are >>provided to calm and protect the patient, and then moved to placement, >>sometimes at a high level of care facility. Another major adjustment. At >>this point the original care givers are more confused and upset, and then >>in attempts to aid the "adjustment, restrict their interaction with former >>care recipient. This only adds to the stress patient and family experience. >> >>Other listings have suggested that folks talk about these issues when there >>is an opportunity to plan with rational thought and an understanding of the >>many variables involved in future options. There are Social Workers who >>specialize in Geriatric Care Management and are a good source of >>information and assistance. The use of such professionals provide an >>objective perspective, which aids in stress reduction for all, and this >>helps in making the appropriate decision. >> >>I would like to add that individual points of view, including various self >>faith concepts, are valid for the specific individual, and must be >>understood in that light. When others become involved, it is just as >>important to recognize their view points and beliefs and together arrive at >>workable solutions. >> >>Hope this adds to discussion. > > >Camilla Flintermann, CG for Peter 81/70/55 >Oxford, Ohio >http://www.newcountry.nu/pd/members/camilla/one.htm ><[log in to unmask]> > > "Ask me about the CARE list for > Caregivers of Parkinsonians ! " >