To represent the Ohio adult care facilities industry.
To continue to improve the quality of service and care.
To provide training, technology and advocacy for this purpose.
|Success Stories - Ope|
Ope, who has schizophrenia, was referred to my Adult Care
Facility after he was asked to leave a homeless shelter here in
the Cincinnati area. His CPS worker and I knew one another
very well and, therefore, I was able to obtain a pretty good
picture of the issues at hand. So often the only information our
homes receive is that which is listed on one’s Plan of Care!
Besides being homeless, he walked most nights and there were serious behavior, hygiene, alcohol,
money management and incontinent (bladder
and bowel) problems. The only support was
from the CPS worker and his mother who has
numerous medical issues to deal with herself.
The CPS worker agreed to visit often and to
assist with monitoring closely. She was of great
help but left the Agency months later. I have not
had that support since.
There have been numerous diffi cult days. Ope
would urinate anywhere and everywhere including the sink.
Having an extensive bout of diarrhea, feces would be found on
the fl oors, walls, bathroom sink and naturally in his clothes. I
would purchase new clothes only to have him throw them out.
I was then informed that he preferred wearing clothes he found
on the streets or in garbage cans. The drinking only escalated
the problems. I was only getting two to three hours of sleep per
night and the majority of the other hours were spent cleaning,
talking and working with Ope. I told myself over and over again
that the $25.00 per day I was receiving for his care was not
worth my time, energy, stress level nor frustration. I was at wits
However, being a licensed social worker and independent
chemical dependency counselor, I felt empathetic. I began to
address each issue individually. Over some minor resistance I got
his community nurse and doctor more involved. I addressed the
alcohol, hygiene and behavior. Ope was prescribed medication
for his bowel incontinence. He was fi nally referred to a Urology
Center where we learned that Ope’s bladder was full of cancer
which was the direct cause of the urinary problem. Ope would
need to have surgery. In a panic I repeatedly stated that Ope has
no family support. His mother had been placed in a
nursing home and they were considering amputating
both of her feet. The surgeon was able to calm me
down as he placed both hands on my shoulders and
looked me straight in the eyes and stated “you are his
family, you’re all he has.” I was signed on as his next
The surgery was successful and Ope’s bladder was
removed. Ope and I kept every appointment and
although a nurse comes in twice a week, I am trained
and listed as his back-up in managing his ostomy care.
Ope refused radiation and chemo treatment.
The surgery was several months ago and yes, we still have our
share of problems and when I am down he lifts my spirits. Ope’s
comments (on more than one occasion), “Mr. Lumpkins, thank
you for all you do for me. You take real good care of us all and
I appreciate it. I know I would be in the streets if it was not for
As tears welled up in my eyes, I removed myself from the room
and told myself, “for the grace of God this too could have been
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