Tuesday, May 29, 2012

Monday, August 03, 2009 NC asks

Q: Nursing home in another state

I am visiting my own family and seeing my parents in calif. My sister suggested that we can move my FIL from Chicago to NY or Vermont to be closer to Canada where we live. So we can travel to see my FIL easily every weekend by driving an hour or two. My FIL cannot move to Canada from USA due to some immigration laws. Now he lives in IL. He is still alert now so we still have home care in his house. We live in Canada ourselves.

The thing is he hates to be driven for even 30 minutes. He will for sure have trouble travelling. Of course, when he stops walking then we can transport him with special request on the plane and etc.

What do you think? I think this is better for my husband and me since the family needs to monitor the nursing home often. The only thing is the transportation for the first time. We are thinking maybe next year or later when my FIL won't care where he is. Of course, provided that his heart will be strong enough to take the trip.

 

Nina

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Answers (2)
Carol Bradley Bursack, Health Guide
8/ 3/09 9:16am

Is it that traveling makes him anxious? Could a doctor prescribe anti-anxiety meds for him for the trip. If that is really the only consideration, it would be good to get him where someone can keep a closer eye on him. Maybe his doctor can help you decide. If the doctor thinks his heart is too weak for the trip, that is another consideration. It's a tough choice. Talking out all the health and travel scenarios with the doctor is ideal (if you can get the time from the doctor). At least some advice on his heart and his anxiety would help.

 

Take care, Nina. You are so caring.

Carol

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AFA Social Services, Health Guide
8/ 3/09 2:46pm

Nina,

 

Prior to initiating any move, it is imperative to speak with your father-in-law’s physician to attain medical clearance. You bring up a very important concern in that his heart may not be strong enough to outlast the trip. To find out for sure, you need to discuss this matter with his doctor in order to make sure this is a safe move to begin with. It is also advisable to speak with a social worker or case manager to help decide whether a transfer would be in his best interest in regard to quality of life. If after having these discussions, you have decided that transferring him is a good idea, you may want to consider some of the following suggestions:

If your father-in-law is unable to travel in a car for extended periods of time, you might want to think about arranging a flight. This can save time during traveling, and may be more comfortable for him. Of course, you or someone you know would have to accompany your father-in-law throughout the duration of the flight.

 

Traveling with a person who has Alzheimer's disease can be challenging, but can be made easier if certain things are put into place prior to departure. The first step is to research flights that can accommodate passengers with special needs. If none are available, you could start out by alerting airlines of the issue and asking how they handle individuals who may require assistance during the flight. Once you book the flight that is right for you, it is important to make special considerations in order to promote the smoothest trip possible. Prior to the trip, speak to your father-in-law’s physician to find out if there is any medication that can help make traveling easier. If he is calm and comfortable during the flight, it can make things easier for everyone. It's also a good idea to schedule the trip for a time of day when behavioral issues are less likely. If you find that he becomes agitated or upset during a particular time each day, this may not be the best time for him to engage in any sort of travel. When you get on-board, alert the crew that your father-in-law has special needs, and might require patience and extra assistance during the flight. In a carry-on, bring all medications, necessary food items, a change of clothes, and personal hygiene supplies such as wet wipes to get you through the trip. You should also bring some simple activities that may keep him engaged, such as his favorite music. Also, make sure to set out extra time in case unexpected issues come up - you want to stay patient and calm, to not rush the process. If your father-in-law is at risk for wandering off, make sure to have some sort of identification on him at all times, such as a bracelet, a wallet, or labels attached to his clothing.  


If a car, bus or train is an alternative, you can apply some of the above suggestions to help him along the way. Regardless of your mode of travel, you can simplify the process by taking a few necessary steps to maintain your father-in-law’s safety and comfort level.

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By NC— Last Modified: 12/17/10, First Published: 08/03/09