My dad (in rehab for strength and stability work after a burst compression fracture in his L4 vertebrae) seems to be doing pretty well in his SNF/NH. But I have a medications questions...
He's on a blood pressure medicine (metoprolol/Lopressor) and has been on it since a heart attack in 2016. One nurse told my mom and I about 'parameters' which means he doesn't get the pill if his blood pressure is too low. Another nurse told us today that he often doesn't get the pill. I remember when he had a minor surgical procedure, that pill was the only one he was allowed to take the day of the procedure. So is this common?
Also, the hospitalist who sent him to the SNF for rehab prescribed muscle relaxants (methocarbomol/Robaxin) both to help allow him to heal and because the PTs at the hospital said he was very stiff and tense. He was getting one every 6 hours. Until today... when the doctor who is the head of the NH (I googled her, she's worked as a geriatrician since 1982) switched it to "as needed." No one told my dad that, and it was only me noticing he only got one pill when he usually got two, so that's annoying and we're complaining about it but... the nurse we asked said the doctor does often pull back on some medications to see if people really need them.
So... is this a common thing? A good thing? I feel like it could be a good thing... if someone had told us.
We talked to the physical therapist today who said he's made a lot of progress but there is still a lot he needs to work on. The PT said he expects that my dad will keep making progress. He's walking 80 feet, while learning a walker, and the PT wants 100. He's getting more balanced, taking bigger steps, turning better. The PT is getting him out of a chair by himself (it was two people) and it's getting easier. He said it'll be a few weeks at least, if not more.
And that he promised he won't send my dad home without meeting with my mom and I a few times to teach us how to help safely when my dad needs help.
I'm feeling much more calm about this... so thank you to all of the kind people here who offered me support and advice and their own stories and counsel and good wishes!
(I ramble and get wordy. I know. I'm sorry! Thank you for listening and reading!)