I have a new pt in home health, she fills her own med organizer. She has been very non-compliant in the past due to her forgetfulness. When I went there and examined how she was taking her pills, she was taking her levoxyl at night, and all her anti-hypertensives in the am. She told me she was really tired, depressed, and also dizzy.
I helped her re-do her organizer by putting her thyroid med in the am, splitting up the BP meds, and giving her a written plan to keep that up. She was droopy, didn't even get dressed, and I observed she had been sleeping on the couch before I came. I had asked her if she was fatigued, and she said, no just depressed.
Today, I went back, being I had only seen her once, I went into the elevator and a woman came around the corner and said, nurse are you looking for me? And she said her name. I couldn't believe it was the same woman. She was dressed nicely, smiling, and walking with a little pep. She said, you know, I know you just called me a half hour ago and said you were coming, but I forgot and started my laundry. I can't leave it, someone may steal it. (In this place I believe it!) I said no problem, we'll visit in the laundry room (no one else was there.) She said she felt so much better, and I am thinking it is really b/c she needed the levoxyl in the am. Such a really small thing I am able to do for her, and make a big difference in her quality of life. At the end of our visit, 2 people came in and said, "Nurse, would you check my BP?" Sure, have a seat.....
It is the knowing that you can make a difference that keeps you coming back for more.