Good to hear from you!
In terms of the flu shot...I am an advocate for flu shots and always get one every year. There are people who have allergic reaction from the flu shot (those who are allergic to eggs cannot have flu shots) but a lot of people say "I got the flu shot and I got the flu after that, that's because of the flu shot". Well, that's a false statement. One cannot get the flu by having a flu shot but many people believe that and it is hard to convince them otherwise. Last winter my husband didn't get the flu shot (he always says no because he doesn't like needles) and he got the flu. He couldn't get out of bed for 5 days and then it took him extra 2 weeks to get his strength back. I think this year he will take the needle :)
Flu can be devastating for older people and I think your uncle should get the flu shot. I am not sure if you can request to have a visiting nurse to have a flu shot but you can definitely try. For sure people can be carriers and for your aunt it is very dangerous.
However, you can definitely tell the nurse that you don't want her talking bad about flu shots and trying to talk your uncle out of it. Its important that your uncle gets his flu shot.
In terms of the nursing home...I am not sure why your uncle would want to put your aunt in the nursing home when you are there 24/7. No matter how expansive the nursing home is going to be, she will NEVER get as much care and attention as she gets from you. He must have some other issues going on why he would want her to be out of the house but medically, you do way more then a nursing home would. She would decline in a nursing home very quickly. You need to try to talk your uncle out of this. I am not sure financial aspect but Medicare would only pay for short-term nursing home stay (I think up to 30 days?), everything after that will be coming out of pocket. But don't quote me on this, I think it all depends on your uncle's financial situation, supplemental insurance if him and your aunt has any, etc. I can definitely understand how upsetting this is for you!
Let me know if I addressed all your questions. I have to leave the house for a little bit but will be back tonight to get back to you.
I think its your right to ask for the nurses that had flu shot and I also think you should say something about the comments she made. Unless asked, she really should keep that opinion to herself. I am surprised to hear that she would be so outspoken. In our hospital, if 80% of the hospital staff receives a flu shot, everyone gets 4 hours off so that encourages a lot of participation. I always get one and will continue to do so, I do believe they help.
I think next time your uncle brings up nursing home issue for your aunt, you should at least ask why and tell him that you take much better care of her than any (even most expansive) nursing home will. I don't think there are "free" nursing homes, at least something will need to come out of his pocket but from it sounds, he won't be able to afford a nice and expansive nursing home. This is something that you will need to take one day at a time, maybe it won't happen. You always need to stay positive :)
In terms of your symptoms, vertigo, which is what you are having, doesn't always come from middle ear problems, sometimes it just occurs from no specific reason at all. But if you have chronic sinusitis and allergies, vertigo can definitely be associated with them.
Meclizine, unfortunately, does not cure vertigo, it only improves symptoms once they are present. Some people can take Meclizine only as needed when episodes occur and other people need to take Meclizine every day because without Meclizine they have recurrence in symptoms. But Meclizine does not clear up inner ear issues.
There is no danger to take full tablet of Meclizine or 1/2 tablet two to three times daily when you have the symptoms. They only problem is that Meclizine can make you sleepy but if it doesn't, no problems taking it more often. If you take Meclizine at bedtime, you should take a full tablet.
Good morning Beth,
Let me know how the conversation with the social worker goes.
If 1/2 Meclizine doesn't make you tired, a full tablet should not make you so tired either. It may make you a bit sleepy but not to the point where you don't hear your aunt.
Yes, chronic allergic sinus problems can cause vertigo and symptoms will vary depending on how your sinuses are doing. Because all of the ear, nose and throat systems are connected, they are all dependent on each other. If you have chronic sinus problems, you should get some treatment such as nasal spray and anti-allergy medication (like Claritin or Allegra). It will help you with breathing better and hopefully minimize the vertigo symptoms. I doubt that the "hair" accident that you had have anything to do with your current symptoms. Misalignment in the neck, can!
I am glad you had conversation with the social worker. At least, now, you got it off your chest. I am glad the regular nurse told you she gets her annual flu shots, it really is the right thing to do when one works with elderly people so much.
I am glad you have no vertigo today. Vertigo can be very disabling. If you get it again, try full Meclizine pill but, in general, consider treatment for your chronic sinus issues.
No, I don't think its a concern. Your aunt has chronic swelling in her ankles and feet and sometimes swelling moves up to her legs if she has been sitting for a long time.
Most likely this is due to immobility and besides elevating her legs, there is not much that can be or needs to be done (especially if your aunt, herself, is not bothered by it). Giving her water pills will only make you work harder because her urination will increase and you will need to clean up more often. Sometimes wearing compression stockings (especially during the day) will minimize swelling so you can talk to her dr about presribing them. I would get the ones that are not very tight so that she is not uncomfortable. The stockings will help blood circulation and decrease the swelling. You will take them off at night.