Phone call number one: Thursday at Psychiatrist we discussed increasing Daughter's anti psychotic. She had been on 80 mg, and then a month ago Psychiatrist added another 40 mg pill. She wanted to take her up to 160 mg, which eventually would be dispensed as 2 80 mg tablets bubble packed together as one dose. There was a discussion as to whether the pharmacy would take back the current bubble packs and repackage them so there was 160 mg in each bubble. Finally we decided it would be easier for me to take the current ones and start with a new prescription for the house. I would know how to make sure Daughter got enough of it while she was with me. Psychiatrist emphasized again to the house medical coordinator that the medication would not work unless she took the medication with her supper. So yesterday evening Daughter called me right before supper. "Did you keep my anti psychotic? Is that what we talked about yesterday?"
Apparently the staff knew absolutely nothing about what had happened at the appointment with Psychiatrist. They couldn't figure out what had happened to her anti psychotic. They were looking for a new prescription, which they eventually found. Then they couldn't figure out how to give it. "One now and one at bedtime?"
Finally, Daughter handed her phone to the staff member who was on meds. I carefully explained what had happened and again emphasized the importance of giving the medication with her supper. This staff member claimed she understood. Of course, that doesn't mean the next staff member will....
Phone call number two: Daughter called yesterday evening and apologized for the earlier call in which she announced she was quitting her program and hung up on me. I suggested she had contributed to the problems. She informed me it was everyone else who was being difficult. I said, "When you are having problems with everyone it is time to look at yourself and see what you are doing to cause them." She paused, and then said, "Okay, point taken." She still insisted she was done with her program, and I told her we'd talk about it later. I see that call as progress.
Phone call number three: Daughter called at bedtime. I asked about blood sugars. It had been in range at supper time, and then was high at bedtime. I quickly figured out why. They may have measured out her food initially, but then they told her she could have more fruit. Fruit that they didn't cover with insulin. I think Case Manager is right about moving Daughter.