Right now, my 94 year old father, Thomas, is on UPMC Altoona, surgical floor, Tower 11, Room 1116B receiving life-threateningly inferior care. On Monday, Thomas suffered a trochanteric hip fracture. Best trochanteric hip fracture outcomes are associated with immediate surgery. At UPMC, there was "no available operating room" until Wednesday evening. When Thomas returned from surgery, my mother and I were surprised to see my father was not wearing an intermittent pneumatic compression (IPC) device and that later in the day, he was not given and taught to use an incentive spirometer. Wednesday evening, I requested that he would receive an incentive spirometer and taught to use it before he went to sleep. When I arrived Thursday, Thomas had still not been given an incentive spirometer. He had, however, been given an oxygen nasal cannula because sometime in the night his oxygen level went to 82. Fortunately, they determined he did not, at that time have pneumonia or an embolism. Oxygen is new. He had no oxygen cannula post-surgery Monday or Tuesday or Wednesday. Thursday, he required oxygen. While I was with him today, I emphasized again his need for an incentive spirometer. It took some hours, but eventually a respiratory therapist rushed into the room with one, hastily removed it from its bag, and gave him a perfunctory, rapid-fire little rote statement on how to use it. He "kind of" got it, but not well enough for her to turn on her heel and leave. I called after her"I think he needs more instruction." Over her shoulder, she replied, "I'll be back in an hour." She did not return in an hour or at all while my mother and I were there. While trying to arrange her husband's disheveled rag-pile of a hospital my mother ran onto his Treatment Plan, tangled up in a blanket, lying on the floor, behind the bed. From it, we learned that he should have been wearing an intermittent pneumatic compression device since post-surgery on Monday. My mother asked Nurse Alexis why he hadn't been given them. Her reply "Oh we have them, They're right over there. I can put them on if he wants. It's just that some people say they are too hot in them." These prevent formation of clots in post-surgical patients, especially ones who are going to sedentary for some time. "Too hot," indeed. My father has not been offered a pan of warm water, some soap and a wash cloth since arriving in the emergency room. He has not been given the opportunity to brush his teeth or comb his hair. He is often at the bottom of the bed, with his feet jammed against the footboard. He is able to pull himself up with his hand on the grab bars and has done so several times. Today we requested he be repositioned in his bed. The nurses who eventually did this, told him to cross his arms on his chest while they lifted him then plopped him as though he were a side of beef and with his head touching the headboard. We want him to use his upper body strength. We do not want him to feel he is being treated like an invalid. Everyone thinks their loved one is special. We are no exceptions. In significant ways, Thomas IS special. Because he is so health conscious, he frequently requests various medical work-ups. His cardio-vascular system functions as in a much younger man. His pulmonary health is the same. Yes, he has severe lower body arthritis and he developed osteoporosis because who thinks of a Dexa Scan for a man. Clearly not his physicians. On top of that, he has been forced to take prednisone for the past year after being diagnosed with myasthenia gravis. The day his hip broke, he had done what he does every week: drove his tractor to mo two acres if beautifully kept lawn. He drives a car. We recently insisted he have his eyes and his reflexes evaluated to see if he ought to be driving a car. He passed with flying colors. I say all of this because we don't want him to lose the gifts of health he has because he is being treated like a hopeless geriatric wreck there on the 11th floor. He needs to be stimulated. He needs to be set up. He needs to maintain grooming habits. He needs to lie in a well made bed at a proper angle and with the proper amount of head and leg room. He needs to have enough blanket to be warm and to have them placed long sides vertical not long sides horizontal. He needs to have quality, efficient, professional, conscientious nursing care. And he is NOT getting it. He also needs someone to figure out why he is suddenly disoriented, why he starts sentences and trails off, why he conflates people, places, and events, why he is perseverating on being able to put on his trousers. I mentioned this yesterday. No one seemed pulsed by this. I mentioned it today. Nurse Alexis asked hime the day, month, year, presidents name, and name of the town. He answered all correctly. This was enough for her to conclude that he is cognitively unimpaired. For crying out loud, the man does the Times crossword puzzle! read more