Many of us have older relatives who need nearby if not active supervision – not because they are demented or frail, but because the details of daily life have become too much to manage. Some of it is adjusting to modern electronics and communications. Some of is a result of spread out car dependent communities and a declining ability to drive oneself. But some of it seems to be avoidable.
One example, as described by this New Old Age column in the NYT, is medication management.
Lest you think this is an exaggeration, I present DH’s pill regimen. I am live-in, obviously, and manage it because even though he can still win regional bridge events, he can’t keep track of all of this, for example, the meds that have been eliminated but the pharmacy stills sends refill reminders, the varying dosages by day of the week. Or the generic supplier is changed and the refill is a different size and/or color. Or there are five white round pills that resemble each other. He has one of those 7 x 4 pillboxes I fill every Sun morning. The first pill was recently adjusted over the phone (did I mention he is hard of hearing and doesn’t wear his hearing aids around the house?) throw out old pills (trip to police station required for safe disposal). Get new pills different dosage (trip to pharmacy required.) I had to pry the phone from his hand to speak directly to the nurse.
Upon waking –
Thyroid – 1 pill 4 days a week, 1 ½ three days.
Breakfast – must wait a full hour after wake up pill
Diuretics (F & S)
Heart C (1 ½ pills)
Heart D (1 pill 4 days, ½ 3 days)
Blood thinner – twice a month blood draws at the doctor’s office – dose then adjusted over the phone – sometimes just for a day or two
Heart C (1 ½)
BP L ( ½ )
Totebaggers, what would you suggest to make life less confusing for elders (or children) and their caretakers? I also know that an orderly family life, even without elders in the mix, is made more difficult by seemingly artificial constraints relating to kids and school and work, but somehow we expect that children need help navigating and employers will be arbitrary.