Night at the ER
Well, I am eating my words from a recent post where I said I wanted to avoid ER visits for my mom at her stage. How do you avoid this when she trips and takes a header into the corner of a countertop? When the facility calls and says she's in the ambulance, just two hours after I had dinner with her?
Here are the blessings: although she has a huge goose egg on her forehead and a laceration on her temple, she missed her eye and the CT scan showed no brain bleed. Although she is complaining of upper thigh pain, both xrays and CT show no fracture. She is groggy from pain meds and not cooperative when awake, and there is no way I can try to get her into my car. So the ER has called for non emergent transport back to her facility. Likely this won't happen till later in the morning. Good, she can sleep ... and I won't.
But when we get back to MC, what will prevent her from doing this again? Nothing. Or maybe she'll just refuse to walk since her legs hurt (I'm guessing she landed on top of her walker). And it's the weekend...it'll be the med tech on duty's call if they send her back to ER for some minor complaint. Sigh.
Thanks for listening to my late night ruminations ....
Comments
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Sorry you and your mom are going through this. Im glad her injuries were not too bad. I hope she bounces back quickly. I alway feel a bit on edge waiting for this kind of call. Mom does ok getting around, but really should use her cane. Unfortunately she can’t understand why she would need a cane. I feel like it’s only a matter of time.
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Thanks. She is back at her MC and napping now. Yes, I know that falls become more likely with progression of dementia. The MC staff is attentive but they certainly can't provide one on one supervision all day and all night. And of course it is no use to tell mom to wait for help. Even if she agreed to do that, she won't remember it in five minutes.
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There’s really no way to avoid the ER in this situation unless hospice is already on board. Then, you’d have called the hospice nurse to come to the facility and evaluate her first. So don’t feel like you ‘ had to eat your words’. You just did what you had to do.
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I’m so sorry. @psg712 there is really no good answer. My MC forced me to get a 1:1 aide because of this. Falls are definitely part of dementia progressing: I’m so resentful at my MC forcing me to get at 1:1 aide during the day (it costs a fortune on top of MC, which costs a fortune) but I guess this is why. My mom still had a fall and ER visit before the aide got there two weeks ago. There’s just no good way to do this. Not that I’ve found. I hope you can get some rest. Thinking of you. I wish I had something mor helpful just know you’re not alone.
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So sorry about your Mom. You are correct. There is no way to prevent falls in late stage dementia unless they become bedridden and even then they could try to get up and fall. My husband fell face first out of his wheelchair at MC when he tried to bend over and pick up an object he thought he saw on the floor. The nurse was right there within arm's distance but couldn't stop it from happening. 😓
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It’s all so hard. So sorry this is the situation for you and your mom right now. Like others, I see nothing you could have done differently, and no protective measure is foolproof. Hang in there.
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Thanks everyone for your support. I know that none of us can "fix" this problem but it sure helps to have this community of friends who understand. I appreciate you!
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Getting hospice on board has helped tremendously for our family. Mom still falls but most times hospice can come and evaluate and even take x-rays so she doesn’t have to go to the hospital. ER visits were horrible for Mom and caused so much stress. Now we have more eyes on her and they have been such a blessing.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
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AL = Assisted Living
POA = Power of Attorney
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