Hello, my name is Rachel & my sister Rebecca & I, who are both RNs, are in search of a compassionate & dedicated caregiver for our father, who is 77 yo & battling an aggressive form of non-Hodgkin lymphoma called diffuse large B cell lymphoma. Start date would be the 2nd week of July (around July 6th) & schedule is flexible (occasional days & nights). Our father’s lymphoma was refractory to 4 rounds of strong first-line chemo & thus we have decided to pursue CAR T-cell Therapy at Johns Hopkins Hospital in Baltimore, MD. The cancer & bridging tx (radiation, daily steroids) have caused our father to become weak, requiring assistance of walker &/or wheelchair (for long distances) depending on weakness. CAR T can have major side effects or mild to none, dep. on the person. You would monitor for SE's r/t the NS & CRS: fever, nausea, headache, rash, rapid heartbeat, & low BP; confusion, seizures, & loss of balance. B/C of these risks, pt’s are advised not to drive & must also remain near hospital for at least 4 weeks after infusion, & have a 24/7 caregiver at all times to monitor for any SE’s. Housing has been set up in a suite-style hotel very close to hospital. Your responsibilities would mainly include: monitoring for SE’s r/t CAR T (if any SE’s were to occur, you would provide support by notifying us, so the hospital can admit him for closer monitoring, which is required if presenting with any SE’s. We will always be available), reminding him to take medications (already set up by day/time (usually he is good about this), do basic VS checks, & ensure hydration. Our father requires minimal assistance & is currently indep. with his ADL’s (showering, dressing, grooming, toileting, eating), however sometimes needs standby assistance when feeling weak, to prevent falls. However, this could change depending on how he is handling the treatment & he might also get admitted based on these changes.
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