When Libby Renshaw, Home Health Registered Nurse at WelbeHealth, visited Jim at his West Hollywood apartment, she became very worried, very fast. It was his first day home after multiple seizures had led to a 17-day hospital stay, followed by a month in a skilled nursing facility. She knew coming together in his time of need was critical.
“As I sat with him, I saw that he had severe tremors in his arms and hands,” says Libby. “His muscles were weak from being bedridden, and I also noticed significant memory impairment.”
All of this was making even simple activities extremely difficult. The hand tremors were especially concerning because they made it hard for him to eat, and he couldn’t administer the insulin he needed to treat his diabetes.
Jim had a caregiver on site that day, thanks to the quick work of WelbeHealth’s Home Care Coordinator, Michael. In addition, Jim’s good friend Amir was there and said he could assist. But these were only temporary solutions.
“Living alone at home seemed unrealistic,” Libby says. She gently told Jim that he might need to go back to the skilled nursing facility, and she could tell that he was devastated.
“He desperately wanted to be at home,” she recalls. “After I left his apartment, I got on a conference call with the care team. We all agreed that we would do everything possible to keep him living at home.”
After the call, each WelbeHealth team member got to work on their part of the plan. When Libby returned to the apartment the next day, she was amazed by what she saw.
Physical Changes All-Around
WelbeHealth Occupational Therapist, Christine Gaw, had set up many solutions to make daily tasks easier for Jim.
That day, he received a new bed rail to get out of bed more easily, and a bedside commode to avoid walking to the bathroom at night. Christine also installed a toilet riser and a shower bench to make the bathroom safer and more usable.
She brought in a chair cushion, both for comfort and to prevent pressure ulcers, and she arranged for a recliner chair to help Jim transition from sitting to standing.
Christine had also hunted down adaptive shoelaces—a big deal because Jim kept mentioning that he could no longer tie his shoes.
Fitness and Food
The apartment was humming with other team members, as well. Pam, Jim’s assigned Physical Therapist, was teaching Jim and his friend Amir a home exercise and walking program.
Claire, Jim’s Dietitian, talked to Amir about good food for Jim. She provided ideas and recipes that tracked Jim’s preferences and would also help him manage his chronic conditions.
Claire and Amir also talked about monitoring blood glucose levels and keeping a log to share with the dietary and medical teams. Claire noted that, in addition to using insulin, Jim could help keep his diabetes in check through his diet.
On the medical side, Jim’s Primary Care Provider Lauren, with help from Registered Nurse Case Manager Jennifer, simplified Jim’s diabetes medications. He went from five insulin injections per day to one.
Lauren also started Jim on medication to help reduce the tremors. She also educated both Jim and Amir on the side effects of Jim’s new seizure medication and answered all their questions.
One Request Makes a Big Change
Even with all these improvements, Jim and the WelbeHealth team were still concerned about whether he could safely navigate through his home, prepare his meals, and remember to take his medication. He clearly needed regular and consistent home care.
WelbeHealth could arrange for this, but then Amir offered an even better solution; he could move in and care for Jim. Everyone agreed this was a great idea, but there was one problem. Because Jim was in Section 8 housing, strict rules applied. He could have no extra occupants and was concerned about losing his apartment since he didn’t want to violate the rules.
WelbeHealth Social Worker, Twyla, delivered a solution by requesting a ‘reasonable accommodation’ through Section 8. With this change, a caregiver would be allowed to live in the apartment with Jim.
Today, WelbeHealth’s Physical Therapist continues to visit and work on conditioning and balance. And the Home Care Coordinator arranges caregiving support to support Amir and Jim. Other team members are available to help whenever needed and answer questions.
Libby saw Jim recently and was heartened to see he was doing well. “He looked so good, and he was practically walking independently,” she says.
Ultimately, Libby says, the experience showed her that the people at WelbeHealth don’t hesitate to go above and beyond for their participants.
“This really is the embodiment of our values,” she says. “It is Courage to Love, Pioneering Spirit, and Shared Intention—all coming together. We provided what this vulnerable senior needed to ‘unlock his full potential’ and live independently in his community. It is a beautiful sight to see.”