Long-Term Care Assessment

I’ve been wanting to write much more lately, but somehow, I can’t get myself to actually sit down and write. I remember originally posting twice a day almost everyday when I started this blog, and now I’m barely writing twice a week.

I still need to update you all on the meeting with the long-term care funding person. She wasn’t the physician but the one actually making the decision on funding. The physician may still need to contact my psychiatrist in order to advise this person on funding.

She asked a lot about my level of independence in various situations. Like, she asked whether I can cook or clean the house. I was expecting her to ask about much more basic self-care skills like showering. She did ask about those too. I don’t know whether it’s a good thing or bad that she didn’t go into that much detail about my basic self-care. I mean, those are things I at least try to do myself, even though I fail miserably at them. I thought it should be obvious that I can’t cook or clean the house.

The funding person asked multiple times whether I’d had independence training. I couldn’t go into too much detail about that, but I did make it clear that I got tons of it. I also think I explained that the skills didn’t generalize to a new situation, such as living independently.

The funding person said she may want me to get some type of test for emotional development. There is a questionnaire called SEO-R that I think support staff or others involved with the client fill out to determine at what level a client is emotionally. I googled the descriptions of the different developmental stages. In some respects, I would really be like a 6-month-old, while in others, I’m closer to 7 years. I didn’t recognize myself in the most advanced stage, which corresponds to children age 7 to 12. There is probably a stage for adolescents too, but this scale was originally intended for people with mild intellectual disability, who by definition don’t reach this stage. I know the whole concept of mental or emotional age is ableist, but as long as it’s not used to actually infantilize clients, I think there is some use to it.

The intent of this scale being administered in my case is to maybe qualify me for an intellectual disability care profile. The funding person wasn’t impressed with my IQ anyway. I mean, it was measured as being 154 some twenty years ago, but was measured as at least 35 points lower in 2017 and with a ton of discrepancies. Like, I scored high on calculus, but slightly below average on comprehension. Besides, I didn’t say this, but only the verbal part of the IQ test could be administered because of my blindness. I liked it that this person didn’t see me as some sort of genius.

At the end, my support coordinator tried to explain what we’re going to do with the funding if we get it. She explained about the living facility we visited last week. I got a little unquiet at this point, so the funding person offered to talk to my support coordinator on the phone later. She never did. I don’t know whether that’s a bad thing or not.

I’ve been really stressed out these past few days. I dream almost every night about possible outcomes of this assessment. Like, will I get funding based on blindness or intellectual disability? Or will the funding people decide mental illness is my primary disability and deny me funding because I need treatment for that first? And if I get funding, will I get into the place I visited last week? I hope I will, but I’m not getting my hopes up too high yet.

Now my support coordinator is on vacation and won’t be back till the 27th. I think the funding decision has to be made by then. My support coordinator asked me to text her when I heard about the decision, so that she can bring cake if I get approved. Again, not getting my hopes up.

How My Friends and Family Would Describe Me #Write31Days

Welcome to day ten in #Write31Days. Today, I’m writing on how others see me. The prompt from The Self-Exploration Journal I’m basing this post on asks how my family and friends would describe me. They probably assume that my family are mostly supportive. My parents are not. But it still helps to look at how tey’d describe me to get to know myself. I am going to list a few qualities I’m told I possess.

1. Strong-willedness. Most of my family and friends agree that I’m pretty strong-willed. This can be a positive thing or a negative thing. I tend to fight fiercely for what I think is right. On the other hand, what I think is right is not always what others want.

2. Intelligence. My father pretty much reduces me to the three digits of my measured verbal IQ at age twelve. It’s 154, if anyone’s interested. My IQ was measured again last year and was down to 119, but my parents feel I wasn’t trying my best then.

3. Determination. Some of my friends view me as quite a go-getter. Other people tend to think I’m quite the opposite. It tends to depend more on their view on my disabilities than on me.

4. Humor. Way back in like 2005, my psychologist asked for my parents and sister to each come up with three qualities of me. My sister came up with my sense of humor. It tends to be pretty dark and cynical. I remember, when I had just been hospitalized on the psych unit, already cracking jokes about the differences between the patients and the staff.

5. Manipulativeness. I just had to list this one. Particularly my parents describe me as manipulative. In a sense they’re right. Then again, what strong-willed, determined person isn’t manipulative in the face of authority figures telling them what is best for them? I think that being manipulative isn’t necessarily a negative thing. All communication is in some ways manipulative, as its aim is to influence others. So can I just say I possess a bit of healthy manipulativeness?

What qualities would your friends and family say you possess?

Some Kind Words Meant the Best Part of My Day

Boy, am I feeling awful right now. I ate a whole bag of sugar-free candies (a small bag, but still) and now I’m having the worst bowel cramps in the history of this body. A part of me is still not convinced that I should never buy these candies again, as this part believes with their laxative effect, I’ll actually lose weight while indulging into my sweet tooth, so a double win. I have already banned myself from buying candy containing sugar, as that’d mean I’d eat a whole (usually much larger) bag too and I’d have the added drawback of it containing like 1500 calories. My goal is to be healthy though, not skinny and awful-feeling. That same part of me disagrees, but well.

To cheer myself up and to find inspiration to write a post for today, I looked at some question of the day posts on other blogs. On A Writer’s Life, last Monday, the author asked a question that could fulfill both these purposes. They asked about the best part of our day.

I had a pretty boring day today. I didn’t do much that was truly exciting. That is, I exercised on the elliptical for the first day in a while, but that’s while I was already suffering from the aforementioned bowel cramps. At day activities, I did a few things I enjoyed, but nothing that stood out majorly.

However, some kind words from my day activities staff did stand out. Yesterday, I had been taken home by taxi as usual. The drivers know the day activities in this area well as they regularly drive clients there. As such, they know that my group is for pretty severely intellectually disabled people. The driver who drove me home yesterday asked what I, being of at least average intelligence, do at that group. I did go into an explanation, which I later felt maybe I shouldn’t have. I mean, she’s just a driver, not one of my staff.

I also worried that my real staff would soon enoug find out that I’m too good for that group too. So today I asked one of the staff at my group. She said: “Because you can talk so well, people may get that impression, but we know better.” It didn’t sound like it was a blow to my self-esteem at all. She didn’t mean it to highlight my social and emotional difficulties, which are the reason I’m at this group. She just said that they’ve gotten to know me well and we’ve together decided that this is the right froup for me. Phew, was I relieved.