First, she got out a sheet of paper with the each of the letters of the alphabet a separate box. Another box read, "end of word." She wrote a sentence and had Dad read the sentence with her. She encourages him to use his voice and all his words sounded pretty much the same, but at least he's using his voice! She then had Dad point to each letter on the sheet that corresponded with the letters in each of the words in the sentence. For instance, he would point to each of the letters "t-h-e" and then touch the box that said, "end of word." Then he would point to each of the letters in the next word and then touch "end of word" when he finished that word, and he did that until he had done the entire sentence. His recognition of letters has greatly improved since she has started this exercise! She explained a lot to me about aphasia and how it is a learning disability like dyslexia. Many stroke victims end up with a form of dyslexia and she sees a little bit of that when she works with Dad.
Then she got out little colored tiles a words or punctuation marks on each tile. With the tiles she made the sentence, "The little brown cat ran up the big tree." She had Dad read the sentence and she mixed up the tiles and told him to arrange the sentence! He gave her a hearty, "HaHa!" He then proceeded to arrange the tiles. He would get the tiles in the wrong place but would proof-read his work and correct it! He had the sentence correct except he kept calling the cat "the brown little cat" and he had "the" and "big" backwards. Marge told Dad that there was an error at the end of the sentence and he re-read it and fixed it! She gave him positive feedback and then mixed the tiles up again! Once again, he gave her a hearty laugh! It's obvious he likes working with her! He worked to set up the sentence and, once again, he transposed "the" and "big." She told him there was an error and he fixed it! She had him work with the sentence about six or seven times until he got it all right!
Next she got out a bag of six sets of Scrabble tiles. The three of us made sure all the letters were face-up on the tiles. She said Dad liked words about the rodeo, so that was our word for the day. She and Dad spelled "RODEO" out with the tiles and then we took turns finding tiles to spell words that we could play off of "RODEO", as if we were playing Scrabble! It was so much fun! Every once in a while Dad would get a little stuck with spelling, so Marge would put out 3 or 4 tiles and let Dad pick from them, rather than from the huge pile. He gets a little confused or overwhelmed and she helps him but doesn't just give him the tile. On one of Dad's turns he pulled an "R" then an "E" and an "M" and was adding it to the "U". Marge could not figure out what he was trying to spell! I said, "I know what you're spelling, Dad!" it was "REMUDA!!!" WOW!!! Marge got so tickled because she didn't even know what a remuda was (a herd of horses)! I explained it to her and Dad was nodding his head and pointing to her while I was telling her, as if he was explaining it to her himself! What a hoot! Before we knew it, the hour had flown by and it was time for physical therapy!
The physical therapist spent the 30 minute session today showing me stretches for Dad's legs, knees and hips. What I realized, while I was working with her, is that Mom has so much to focus on during each day with the house, preparing meals, laundry, etc. that she doesn't seem to be able to work in any home therapy. It's just too much for her. At this point we are very grateful that Dad can go to therapy 3 times each week. I don't know what we're going to do when Medicare decides to cut back on that. I wish so whole-heartedly that we lived close enough that I could go over on the days he doesn't have therapy and work with him. I'll have to figure out something!
Lisa spent some time this weekend visiting with Mom and asked her what was her biggest stress. Mom said it still was deciding what to cook and the actual chore of preparing meals. Lisa and I worked together and found a restaurant, Noon Spoon, in Marble Falls that will deliver lunch. So today I called and talked to the owner, Jennifer, and pre-arranged lunch to be delivered at 11:30, so it would be there when Dad and I got home from therapy. Dad had a dental appointment at 12:40, so the window of time that we had to eat lunch was pretty small. The food was delivered promptly at 11:30, as ordered, and was waiting on us when we returned from Burnet! I had ordered 2 sandwiches and a quart of soup. Mom saved the soup for their supper and we thoroughly enjoyed the sandwiches for lunch! Would you believe they will deliver the food from Marble Falls out to Mom and Dad's house for only $5.00?! I told Mom it was so worth it for her to take advantage of that! I will keep urging her to order lunch (they have a different hot-meal special every day of the week, sandwiches, salads, etc) on the days that Dad has therapy. That should help her a lot! I was so impressed when this afternoon the owner of the restaurant called me to see how Mom and Dad liked the food! She also offered to talk to Mom and have a customized menu for them!!! What a blessing she is going to be!!! The trick will be to get Mom to use her services!
After Dad's dental appointment we got back to the house and he went straight to his bedroom chair for his nap! Mom and I spent a little time checking her emails and going over a few things the therapist had told me. Bless Mom's sweet heart, caring for Dad is a full-time job despite her usual house-keeping chores. Hopefully we kids can keep figuring out ways that she will allow us to help her! Please keep our precious Mom (and Dad, of course!) in your prayers! "Give her the reward she has earned and let her works bring her praise at the City gate." Amen!