How Your Life Can Change in the Blink of an Eye!

Nurses General Nursing

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Since 1998, my mother has been plagued with numerous health problems, but we had been able to manage. My father has been partially paralayzed from a CVA since 1990. Last Thursday night, I got in from clinicals and talked to my mother and everything was fine. On Friday afternoon, I get a call that she has fell and is sick and needs to go to the ER. When I got there, she wasn't even able to walk through the house with my help, so I called an ambulance. She was diagnosed with pneumonia, and I was told that she would probably have to stay for about 5 days. I spent the night with her on Friday and she was very coherent. On Saturday, at midnight, the nurses call me and tell me that she is very disoriented and trying to crawl over the rails of her bed. They had to place her in restraints. Well, fast forward and in 1 weeks time, my mother is unable to stand on her own, and doesn't know who I am at times. I have no brothers and sisters to help out. I remember my mother making me promise that I would never put her in a nursing home when I was a little girl. If there were any way in the world that I could keep her home with me then I would, but I have to work to pay my bills, and neither my father or I can afford to have 24 hr. care. My husband works, but we have loans from where I'm in nursing school, and I have to get a job as soon as I graduate in May. My heart is just breaking at the thought of all of this. It just goes to show how one's life can change in the blink of an eye. Last week, anytime that I wanted to pick up the phone to talk to my mother and tell her what was going on in my life, I was able to. Now, she doesn't understand much of anything that I say. I have always heard people say that you don't realize what you've lost until you lose your mother. Now, I really understand what they meant. My mother's body is still here, but she's some place that I just can't reach her. It doesn't make it any easier that my parents live in another state. I keep hoping that the physicians are going to discover the reason for her mental state, but so far, they have just decided that it's dementia. I could really use some support from others that are going through or have been through problems like this with their parents. Thanks for listening to a very long post.

Specializes in Orthosurgery, Rehab, Homecare.

I've seen trouble with Mental Status changes and Ultram in a couple of patients, both older. Not sure that's it of course, just a thought.

~Jen

How are things going? Anything come w/ the lumbar?

Best Wishes

Is any of her lab work off? That can cause confusion, also a uti can cause delirium. Elderly get confused so quickly and it can be all kinds of things. It doesn't sound like dementia to me. The Tramadol can cause confusion also. She will need rehab and tell her its skilled care, not nursing home so she will not think you are dumping her in a nursing home. You do have to take it one day at a time and it is amazing how sick they become so quickly and rehab so slowly. Hang in there. Did her pneumonia resolve yet?

Thanks for all of your replies. The day after the lumbar she was more like her self, but she was just really mad at me and my father because she was there. She still wasn't able to walk or even stand on her own. Three days after that, it was like the lumbar had never been done. She kept thinking she was at home and couldn't understand where my father was at, thought someone had stolen her coffee table, and couldn't understand where the chargers were at for her cordless phones. I went over her meds. She is only taking Tramadol PRN and hadn't had any since the lumbar and wasn't on anything for her nerves. Her antibiotics had been DC'd and the pneumonia seems to have resolved. I talked with her neurologist and she didn't give me any hope at all. She seems to think that the radiation that my mother had to her brain several years ago is causing some of the dementia. She also said that her NPH had gotten a lot worse and that my mother isn't strong enough to survive an operation to put a shunt in. When my mother was diagnosed with small cell lung cancer in 1998, the physicians told us that they didn't feel that she would survive more than 1 year. She had been cancer free since 1999 and her physicians told us that she was a walking miracle. I keep thinking that maybe the cancer is somewhere else and they just haven't found it, but they had done CT scans and MRI's. I'm just afraid that this time she won't come out of it. Thanks so much for all of your replies. This board is a great comfort to me.

Specializes in Maternal - Child Health.

My prayers to you and your family.

Specializes in OB, M/S, HH, Medical Imaging RN.

I am so sorry for what you are going through. When I was a little girl I also told my parents that I'd never put them in a nursing home. Now as an adult with elderly parents that reality looms over me. I realize that promise was made by a child with no knowledge of the vast range of changes that life brings to us but rather by a child who only knows how much she loves her mother.

I am very fortunate that both of my parents enjoy good health in their 80's but being a nurse I know how quickly that can change. I have discussed these issues with my parents, briefly, because it's hard to deal with. My parents have voiced that as long as they have their minds they don't want to be in a nursing home. Assisted living ok but no nursing home. If they develop alzheimers or dementia they both agree that they should be put into a nursing home. That doesn't make it any easier but I do know their feelings.

You need to try to release yourself from that promise you made as a little girl. Your mother would understand. There are good nursing homes. I have visited many of them as a HH nurse and some are really quite home-y and the residents receive excellent care as well as rehabilitative therapy. Going into a nursing home doesn't mean you can't ever leave there. Patients can recover and return home. I've seen it happen often. Nursing homes used to be all doom and gloom but that has changed for the most part. You have control over which facility she goes to, visit them on the off hours, when administration is not around to get a real feel for the place. Ask others who have parents in nursing homes for advice. I truely cannot imagine what you are going through but I feel your pain. God Bless.

This book has a chapter on all the health problems that can cause delerium. From electrolyte imbalance to infection to endocrine disorders. It should help communicate with the physician or find another doctor.

The author went through this. There are many many resources in the book and you can even call her.

Elder Rage, or Take My Father... Please!: How to Survive Caring for Aging Parents

http://www.amazon.com/Elder-Rage-Take-Father-Please/dp/0967970318

Here are more resources:

http://www.whyy.org/widerhorizons/caregivingresource.html

Specializes in OB, M/S, HH, Medical Imaging RN.
This book has a chapter on all the health problems that can cause delerium. From electrolyte imbalance to infection to endocrine disorders. It should help communicate with the physician or find another doctor.

The author went through this. There are many many resources in the book and you can even call her.

Elder Rage, or Take My Father... Please!: How to Survive Caring for Aging Parents

http://www.amazon.com/Elder-Rage-Take-Father-Please/dp/0967970318

Here are more resources:

http://www.whyy.org/widerhorizons/caregivingresource.html

Spacenurse, awesome post, I'll keep that information as well. Thanks.

Keep us updated on your mothers condition. I will keep you all in my thoughts. I know how difficult it is on you and your family. My mother is a terribly brittle diabetic, with dementia, osteoporosis with fractures, legal blindness and no appetite. Caring for her at home is challenging for my dad and brother...

Specializes in nearly all.

Normal pressure hydrocephalus mimics alzheimer's. If she is not being followed by someone with special experience with this disorder, you need to find someone!

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