Over the past few weeks the family has witnessed a noticeable more aggressive change in Ray. He has become more stubborn in following the rules of his care team and unwilling to participate in all of his needed therapies. His mindset has become altered in which he feels it unnecessary to receive appropriate help for his recovery. While at home he has refused the use of his walker and wheelchair, and there have been a few days where he completely refused any therapy. We are not seeing Ray engaging fully in practices that will help him recovery more quickly. What we are seeing appears to be a regression that if not changed could severely impact the extent of how much he will recover. We have addressed these concerns with the VA care team to see what may be possible but unfortunately Ray has been unwilling to participate in the options so far provided.
Last night Ray had an incident while at home in which he had to be rushed to the hospital. He was able to get into his tremor medicine, which is a large bottle of liquid, and consumed unknown quantities. Due to his bad tremors he spilt the medicine all over the floor making a slip hazard which caused him to fall down several times and chip his teeth. Fortunately Ray did not consume a lethal amount of the medicine and aside from the tooth injury and a few scrapes there does not appear to be any other damage. Since Ray is not able to properly cooperate in the care process while at home a decision was made last night to transfer him to the Gainesville VA. He has become a safety risk that could lead to many other incidents if not properly controlled. While at the VA Ray will be able to get the care he needs to better help in his recovery.
Thus far Ray remains in denial on what is needed for his recovery. He has been placed in the pscych ward of the VA hospital. As such there are restrictions on interaction with him at this time. Once Ray is more willing to cooperate, he can be immediately placed into a rehab program where he will be able to take full advantage of all the services offered. We all need to focus on Ray coming to terms with his situation and accepting help. If anyone would like to visit him he is in room 518 on 5 East. Visiting hours are from 6:00 – 8:00 and restricted to only two people at a time. No items are allowed into the room either when visiting.
Given the sudden change in Ray’s situation we have yet to formulate a new plan of care. This week we will work out the details on an approach more suitable to what is needed. We really need to focus on Ray getting onboard with his options. The more he resists the longer his delay in receiving the full benefit of the recovery process. Ray has it in his mind that he will be able to get back into his old life very quickly. Unfortunately that may not be the case and he needs to come to terms with reality. Once he accepts there will be the opportunity for improvement. Please keep your thoughts and prayers focused on Ray during these next few weeks.