THR Butterfly Flutters Over

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Milli....I can see that you are really upset by this encounter with Home Health. Please be reassured that, no matter what the people may say to you, you are in charge of what service you will receive for the money YOU are paying. That said......I think you are worrying needlessly about this initial visit. Here are a couple of points to consider:

It's normal for someone to come and do what they call an "assessment" before starting any program. The purpose of this visit is to obtain your medical information and determine what home services you need and want. Yes, they will take all that same information from you yet again. But I doubt if you must fill out forms. The nurse should just talk with you and input the information on a laptop. Part of the reason for doing this yet again is to have a chance to talk with you and get to know you a bit better. It's the same as if you went to see a new doctor....there would be an initial discussion and information-gathering.

The person will not be roaming around your house and snooping. But there are a couple of things they want to check for your safety. They'll want to know if you have easy access to the bathroom. They might check for loose throw rugs or other tripping hazards. It may be that you can provide this information verbally during the visit, if you prefer. I think you'll find the person that comes very sensitive to your concerns.

As for asking for your address, that would have bothered me too. The facility should have that and I would discuss that with the main office when they open. However, they should have a 24/7 call number or answering service available, so I would call back and use that if you need to talk to someone after regular hours.

Remember that these folks have a responsibility for providing excellent care and support for you. This also includes a legal liability if they were to do something inappropriate for your care needs. So it is to your benefit that they have all the information about you and your case that's possible so they can to the good job you expect.

If your insurance only allows a certain number of home health visits, ask if you can combine the initial intake with other things. You mentioned a limit of 4 visits.....is that for ALL aspects of home health? There are many components, each with a trained specialist to help you....nurses, occupational health, physical health, and sometimes an overall nurse supervisor who does the initial intake and evaluation. This is really an excellent program that can go a long ways in helping you have a smoother recovery.

It most certainly will be okay to wait to start the home health process for a few days. It's common for patients to want to have family members present for all or part of the visits, so they are used to working with that. Please don't let all this upset you. It will get worked out and you're going to be fine.
 
It would take quite an amount of force to dislocate, wouldn't it? Would you instanty know something was very wrong if you had dislocated??
Yes it does and yes you would! :wink:
I and those home health people are going to go head to head very soon. they have it all on file at the hospital, plus, if they are who they say they are, they can get permission to log on to what we call "My Chart" and get history, test results, meds, etc.
Interesting ... I say that because last year I was going have shoulder surgery and needed a home care person to help me shower and various stuff. The manager of the agency came round and did that kind of questionnaire from two points of view. a) they needed to know what medications and other chemicals were in the house from the operatives point of view. And b) they needed to know from my point of view in case either care workers or I had an accident with something. She took comprehensive notes. I knew what she was saying to be true as it's all covered in the UK Health and Safety Regulations for Lone or Outside Workers. It's very comprehensive, they leave nothing to chance. Maybe it's different in the US, I don't know. But I do know that a lot of what you said rings bells with me.


But tell me, did the relaxation help you at all in your pre-op period?
 
I too had the same uneasy feeling about the 'home visits' but I had someone here with me. I thought they were useless. Check my BP, look at my incision, and talk to the dog...now I am fighting with the stupid insurance company because somehow these visits were deemed "pre-existing"...Home PT was just as useless (in my opinion, maybe good for others) watch me do my hospital PT routine, added 3 more exercises and took by BP. I ask one day if there was ever going to be 'more' to the visits and she looked at me and said "no"...that was the last day of home PT!

So happy to read your post and see some one as OCD as me! I woke up one morning in mid stretch, breaking every rule and a few they probably never thought the average person would attempt so they don't list them!!!! I froze, in this very awkward yet not painful position and panicked that I had done 'something', I was sure I had...It took me over 15 minutes to slowly unfold myself and get back to a prone position, then I slowly checked for pain, sat up, got out of bed and walked a few steps...guess what! everything was still in place!!!! My shoulders did feel better and my back felt relaxed, so did my ankles and feet but I have since avoided the uber stretch and replaced it with 'hanging' in the deep end of the pool.

Most of my swelling took awhile (up to 8 weeks) to completely go away. OS was never concerned with any of it. Told me to ice if I wanted to (I found out after the fact that my hospital and OS are not big fans of icing...has no one ever told them what wonders it can do!!!!) , elevate at night and don't remain seated for more than 2 hours at a time. I still have slightly puffy feet, not swollen but just enough to make some dress shoes uncomfortable. Some of the swelling seemed to disappear over night other parts I watched slowly go down over time. Our OCD makes us impatient for the 'instant cure'...it ain't gonna happen...it takes time ... took me 12 weeks to just admit it, and will probably take another 12 to adjust to it!
 
Butterfly my knee was swollen after surgery, but it seems to have resolved. My right hip an groin area have swelling but much less than last week. I also have bruising above my knee all the way up to my waist. My hip is all black, blue, and purple.
 
Great advice Butterfly from everyone

You were sensible to see a few alarm bells as in they didn't have your address etc

Hope that when they do visit it all goes well
 
Josephine Thank you for your response. Yes, the relaxation did wonders for me and I was actually pretty darn good the morning of surgery You should put it on a CD or an MP3 so others can have access to it. I especially liked it because it was very down to earth and simple and something I can do myself. I typed up some of the key points and have referred back to it regularly. I'll never be able to thank you enough for all the help you have given me. I did so well that when the surgeon's physician's assistant came in on Wednesday morning, he said I had been the "star of the ward" and asked me if I wanted to go home! Of course I did, and I got sprung that very afternoon. I stayed calm in the hospital and did not even freak when I had some bleeding from the incision and my blood pressure dropped to very LOW levels. Me -- LOW blood pressure -- WOW!! And the nurses were all very kind to me. And I don't mean "just doing my job" kind, they went above and beyond and treated me like a person -- maybe a much loved auntie or somethng.

As to the post surgical pain, I think I expected it to keep on drastically reducing like it did from right before surgery to right after surgery. Of course it didn't. If it had done that, I'd be doing the tango or something. I have had ups and downs through the previous week. I guess everyone does. It just worries me when the pain level goes up a wee bit oro changes and then I get into the "oh no! It isn't better at all! I've done something to mess it up!" thought tangle, which is non-productive, scary, and just not true. Then I go back to the relaxation stuff. Here I am one week post op and wondering why I still have pain -- good grief, I need to get real about this.

Part of my reluctance to let those home health care people into my house is that my house is a mess right now. I know that is silly and they are not coming to judge my housekeping or lack thereof. DIL is doing all she can, but what with taking care of me, her job, and her kids, she is spread pretty thin and I worry about her. I need to get my act together and worry about what is really important instead of what isn't (like dust bunnies.) And I hope my sleeping pattern returns to normal at some point. Being so tired doesn't contribute to clear thinking.

Thank you again, Josephine, you are wonderful!!
 
I am SO pleased it worked for you! I mean really delighted! But as to this ..
Part of my reluctance to let those home health care people into my house is that my house is a mess right now.
I know exactly what you mean! Been there, done that!
 
btw, this will make you laugh - I have a tendency to change letter around in words and sentences (why? who knows!) and keep reading your title as "Flutterby butters over"!! :rotfl:
 
Butterfly. Just curious...is there a thread or other information regarding the relaxation techniques you and Josephine are talking about?
 
Butterfly I had a similar experience with the Visiting Nurse and PT assigned by the hospital. They were supposed to come the day I was discharged. The VN did not come at the appointed time, and the PT called for my address. Finally both arrived, late, and "needed" to inspect my house for safety issues, so I guess that is standard. I had someone with me so let them in. The asked to inspect my bathrooms before I took a shower. I told them they were too late, as I'd already had one and did not give them a tour. We filled out lots of forms, and the VN checked my incision. The PT checked my range of motion.

What I did find helpful was that on the second or third visit the PT took me outside for a walk. I had not gone out-too nervous, and it felt safer with an expert. The VN never returned, but the PT did check the incision and for swelling on each visit.
 
Josephine and Butterfly... I second the "Josephine you are wonderful" comment!!! And I don't even have definite surgery plans yet, but I know you guys will help get me through it.

Butterfly, after I came home from rehab after my TKR last February, they sent in an RN and a PT. The nurse was wonderful and extremely knowledgeable, but did want a whole history -- actually an assessment, as someone already mentioned. And the lovely PT was also interested in my history. Nurse did vitals, checked my scar, allayed my fears, and it was kind of comforting to know I wasn't totally without some oversight. PT was equally great and patient... also took me
outside, encouraged me, tried to motivate me, etc., but eventually my hip reared its ugly head as a new problem. AND the rehab had done a home visit just prior to my discharge to determine home safety issues with me present. Soooo.... It's great that you're being vigilant, but try to remember that these folks can be good to have around. Oh, and by the way, I don't think the home health people give a fig about messiness -- they go into all kinds of homes in all kinds of conditions and probably couldn't care less unless safety is involved.

You're doing great! Just remember where you were at this time last Sunday night. You've come a long way, baby.
 
I would also love those relaxation techniques!


Sent from my iPhone using BoneSmart®
 
It's nothing official, just what I was taught to do many years ago by a trained hypnotherapist when I was going through a bad patch. I'm not trained in it and therefore have no qualifications, I just explain what I do and most of the time it seems to work but I have no idea why it does.
 
[Bonesmart.org] Butterfly Flutters Over
:wink:
 
Butterfly hi my hippy friend, sounds as if your doing fine to me. Your bound to be in pain, it's only been a week and hip replacement surgery is one of the biggest procedures you can have done. I too had a major problem with my knee and it was only when I found out what they did in the op that I realised why. Basically in order to dislocate the hip to operate they use the ankle and knee as an anchor point. The surgeon holds the knee and pushes with all his might to bring the leg up and out, this dislocates the hip. They have to be quite physically strong these surgeons ( we call them carpenters. In the UK) and its no wonder the knee hurts :shocked: I'm into my fifth week and my knee is still a problem. I can't advise you much on the home visits sadly as in the UK we get ours free under our NHS team and meet some of them in hospital before discharge. My hospital call it their community team and they visited for a week because of my low blood pressure. I will tell you a funny tale though. The one day, one of our cats caught a mouse and brought it into the house, the darn thing ran under my bed. I was only a day out from hospital and couldn't move much. The nurse who came out said " I think you should lye on the bed and I will go through your exercises" my heart was racing as I thought the blooming mouse would run from under the bed and frighten the nurse. She's sat on the end of the bed and I could hear scuttling noises. Thankfully all was well, the mouse stayed put until the nurse went. Then we my husband caught it and put it outside :)
Chin up sweetie, the time soon flys by and each day you will notice more improvement ( she says still on two sticks ) :kittykiss:
 
Good morning @Butterfy.Your doing great young lady.Umm your still in pain.Duh,they just slice you open,twisted your leg like a turkey leg to dislocate it,cut off the top of your femur with a power saw,drillid a cavity to hammer in your new hip ball then took a power drill with a cheesegrater on it to ream out a hole for your new socket to be hammered into place,all while someone is holding your leg in a position its never been in.How long do you think it would hurt if you got hit by a truck?Hey your doin great,its all normal.The most important thing for you is to keep your head up.Very soon your going to be pleasantly surprised at how rapidly this pain just disintigrates.All of a sudden your like " oh my god this is fantastic " Youll see.Until then take your pain meds and slowly strengthen those muscles,they are whats holding you together.Peace.
 
Butterfly How are you feeling today? I am a little better each day, although nights are a bit tough. My leg aches and aches when I lie down despite pain medication. I hope you are doing well.
 
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