Dr Antenucci, call 6/6/2014
I saw your mom Wed 6/4, because had gotten a call about
being on the highway.
Saw her, had long talk, she was crying a bit, saying she
didn’t realize getting old would be so bad.
Overall, the problem comes down to:
-
Understands that she’s having more grouble
taking care of yourself
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Hard with subtle losses in her faculties
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Getting lost for instance, difficulty
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Mini mental status exam – 20/30.
-
Everyone loses dates, but didn’t know year,
day. Didn’t have recall.
Part of test is 3 commands, take paper, fold in half, put on
floor – that’s a key.
Most get that, Mom didn’t, has problems with acute retention
of information.
After seeing that, and being back and forth with her,
definitely seeing the decline
That’s why I’m agreeing with placement.
She does not need skilled nursing, but needs constant
supervision.
Based on these issues, she will make good decisions most of
the time.
But someone needs to be there to keep an eye on that.
Rick - Expressed my concerns
Dr A:
-
Would be great if she was in a situation with
care
-
There are no other needs causing her to be
locked down
-
We wouldn’t want her to get lost, get hit by
car, etc.
-
Agrees that it’s better to have a safe
environment w/o skilled care
-
Needs someone to help her make the best
decisions
-
Might be the easiest thing to do is to lock them
down in SNF
-
Other than monitoring no acute issues
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