CONTACTS 

SUBJECTS
Knee Surgery Pain Patient Isolation at Home Not Taking Mediation Pat

0703 -
0703 -    ..
0704 - Summary/Objective
0705 -
070501 - Follow up
070502 -
070503 -
070504 -
070506 -  ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - Millie's lifelong friend, who lives in Chicago, had knee surgery about
070902 - 2 - 3 weeks ago or so.  About 10 days ago, Marilyn was released for
070903 - outpatient care to continue physicial therapy at home.  Millie called
070904 - Marilyn in the hospital about every 2 days, and continued calling
070905 - every 3 - 4 days after Marilyn got home.  Three (3) days ago early in
070906 - the morning on 100122, Marilyn called and sang happy birthday to
070907 - Millie.  Turned out Millie's birthday was the next day on 100121.  In
070908 - any case, Marilyn sounded strong and positive, and was very concerned
070909 - about Millie's recovery from 9th relapse of cancer, and more recently
070910 - Millie was diagnosed with shingles on 100104. ref SDS 1 0P9S
070912 -  ..
070913 - Millie was about to leave for a birthday party at her daughter, Pam's
070914 - home.  She received a call from Amy, Marilyn's niece.
070916 -  ..
070917 - Any was very distraught and talking very fast.  She asked for Millie's
070918 - assistance and advice on how to care for her Aunt Marilyn.  Amy
070919 - indicated that Marilyn has been bed-ridden complaining of pain and
070920 - talking about want to die, rather than take her pain medication and
070921 - perform physical therapy to recover from knee surgery.  Amy seemed to
070922 - say Marily had recovered nearly 90% of her range of motion on release
070923 - from the hospital about 10 days ago.  She has regressed rather than
070924 - continued to recover from knee surgery.  Amy seemed to indicate that
070925 - Marilyn feels alone and isolated at home.  She has called other niece
070926 - asking her to come help Marilyn get out of bed, clean the house, take
070927 - her medication, and do her physical therapy.
070928 -
070929 -            [On 100124, Amy reports Marilyn is suffering severe
070930 -            emotional depression and physicial distress from neglect
070931 -            without patient assistance, and so was treated in the
070932 -            Emergency Department at the hospital, ref SDS 2 PPVV; after
070933 -            release in 3 days, Marilyn will get continuing care in a
070934 -            medical facility rather than return home. ref SDS 2 VG49
070936 -  ..
070937 - Millie commented that Marilyn sounded okay three (3) days ago calling
070938 - to sing happy birthday.  Marilyn did not complain of being alone,
070939 - excessive pain, and needing help to take medication.  Millie also
070940 - recalled that Marilyn reported going next door to visit with a
070941 - neighbor the day before.
070943 -  ..
070944 - Millie asked what what went wrong the past few days?
070946 -  ..
070947 - Amy indicated that Marilyn has emotionally struggled adjusting to
070948 - being alone and living with problems recovering from knee surgery.
070949 - Amy feels Marily needs continuing medical assistance.
070951 -  ..
070952 - Amy apoligized to calling Millie for guidance on assisting Marilyn,
070953 - when Millie is struggling to recover from the 9th relapse of cancer,
070954 - was diagnosed with shingles 3 weeks ago.
070956 -  ..
070957 - Millie said she is late for Pam's party.  She thanked Amy for calling
070958 - and explaining Marilyn's peril.  Millie will call Amy tomorrow to
070959 - discuss further plans for helping Marilyn, including Millie callin
070960 - Marilyn to provide emotional support.
070962 -  ..
070963 - Millie commented after the call that Marilyn may need to move into a
070964 - medical facility where she can get daily care to ensure she takes her
070965 - medication and does physical therapy, and is not alone at home
070966 - struggling to cope with demands of household chores.
070967 -
070968 -            [On 100124, Millie called Marilyn, who sounded okay, and
070969 -            agreed she would enroll in a medical facility that will
070970 -            provide daily care, help Marilyn take medication, and
070971 -            perform physical therapy. ref SDS 2 VG7G
070973 -             ..
070974 -            [On 100124, Amy reports Marilyn is suffering severe
070975 -            emotional depression and physicial distress from neglect
070976 -            without patient assistance, and so was treated in the
070977 -            Emergency Department at the hospital, ref SDS 2 PPVV; after
070978 -            release in 3 days, Marilyn will get continuing care in a
070979 -            medical facility rather than return home. ref SDS 2 VG49
070980 -
070981 -
070982 -
070983 -
070984 -
070985 -
070986 -
0710 -