She had the surgery on May 10. The surgery was very long and extensive, but went well enough. She came to the room that evening, and I could already see the anesthesia effects on her. Making weird motions with her hands, saying a lot of weird things. She was happy and ate some Jell-O.
yesterday I showed up and she started fussing to go home and demanding pain pills from home. In spite of the fact the nurse is already giving her pain pills. She then began fighting with the nurses over the dosage and refusing them when they were trying to give them to her.
A rehab doctor came and evaluated her when I questioned her discharge. He said because PT wrote that she can walk with a walker, that insurance will not pay for rehab.
This has not worked out how I was initially told. I was told she would be in the hospital a week with this and then go to rehab. And the day the surgeon operate it, he kept talking about. She would be out in a few days. What happened to the week?
The hospital is an hour away. I had just gotten home last night when the nurses called me. She was upset and demanding her purse. I have her purse with me for safekeeping. She demanded her purse because she wants pain meds that she thinks are in it. I removed the pain meds. She had found some cigarettes in one of her other bags at the hospital. I did not realize were there. they had had a sitter with her all day due to agitation, and I told them I thought it was dumb. They were about to discharge someone home that requires a 24 hour sitter. The rehab doctor told me ideally she would have supervision at home either from family or a caregiver. I said I am the only family and I cannot stay awake 24 hours per day. I don’t care what PT says. She’s a fall risk. Add some strong pain pills and muscle relaxers and she’s more of a fall risk.
In last nights fit they were helping her to the bathroom, and she said they were trying to hurt her. They offered her a walker and she refused it because it was not her walker. Never mind that she normally never uses her own walker. She threatened to pee on the floor. She told me she was in a weird building and asked who all these people were? I informed her she was in the hospital and she refused to believe that. They said they might have to restrain her.
I called a few hours later, and she had settled down, but was refusing some medications. I finally had a talk with a nurse who listened. They are having a case management meeting this morning. I wonder if this big episode will get her into a Jeri psych facility or get her a neuropsych evaluation?
I told this doctor months ago about her problems and that she would display drug seeking behaviors. I told him that day also that it’s guaranteed she would get delirium.
"Ideally"-- just say "No, I can't possibly do that". You have zero obligation to agree to discharge, pick mom up or stay with her.
Tell them it will be an unsafe discharge as mom will be home alone.
Consider not visiting the hospital. It appears to agitate mom.
This could just be me, but I’m having trouble following what you want to have happen: you want her in rehab, you don’t want her in a facility, she’s drug-seeking, she needs special drugs, you’re trying to make her understand things, you’re angry the hospital staff don’t realize she’s out of it …
Do you see what I mean? It kind of makes sense but it’s also crazy. I think the doctors and other health professionals are confused about this whole situation too. And meanwhile your mother seems sadly irrational and as difficult as ever.
My mom was in a NH for 4.5 years. I still took her to dermatologist visits for excisions.
You know you can not care for her. No one can care for someone Mentally ill. What I would do in this situation, allow the State to take over. You are not going to be able to continually deal with this.
Are you going to be involved in that meeting? Will her Dr. have some input?
Medicaid will pay for her care in a NH if she fits the criteria. I think this is ur opportunity to have her placed where she will be safe and u do not have to worry so much about her. You can't fix this.
I was going up today but not now with no discharge. I think it would agitate her. Nurse says she’s fine now with a sitter. Let’s see what the evening brings as far as behavior.
Having to parent a parent is just plain crazy-making!
Patient lives alone.
Requires 24/7 supervision on discharge.
"The rehab doctor told me ideally she would have supervision at home either from family or a caregiver".
Fulltime supervision from family not possible.
** If this is the reality - speak it loud & clear *
I see you have & resulting in;
"He replied “Ok let’s plan for rehab since she won’t have that social support at home“.
Job well done 👏✔️
Rehab will be loathe to accept without firm discharge home or LTC plan. Home will be presumed.
That is what you want after rehab, home, yes? Otherwise, suggest involving the Social Worker now for alternative discharge plans.
I’m still not sure how that would work out because she is still currently refusing. She has not been declared incompetent. She is being referred to as “mildly confused “in her medical record.
What’s also funny is that in the record? The doctor is telling her that I’m adamant that she goes to rehab. And my mother stated “she can go be adamant in someone else’s life. B*tch. “
sad and funny part of that statement is that she would totally say that about me behind my back even when not confused.
I am actually OK with her going home after rehab if her mind is better and she’s capable of managing her medication‘s. She’s fixated on pain meds, but only has about two weeks worth of post discharge. But she’s on other medicines as well. I would like to see her strength and balance to get better in rehab before she goes home. PT right that she’s OK, but yet they also write that nurses are assisting her to the bathroom.
I hope the geripsych admission comes through and that she can get the help she needs.
If people are competent and independent, they need no propping up. Sometimes we need to let our loved ones fail in order for them to get the help they need.
I advised you to get it in writing. Did you? If you did show her the paper she signed.
Mom decided to go ahead with the surgery knowing you would not be taking care of her should she need assistance and she may have to go into a facility. Which shocker she does.
Now she is calling you a bit-h because you are trying to get her in rehab and doctors are also going back.on what they said.
Please for your own sanity dint take her home and dont cave and agree to help her for even a minute at home. Stand firm and fight to get her into rehab and then a facility after that. Once she leaves the hospital it will be 1000 times harder to get her placed.
She would probably qualify for at-home services--PT, OT and nursing services for a few weeks.
If I recall correctly, you have been estranged and no contact with your mom for several years prior to this. Frankly, given her issues, it may need to go back to that situation.
I need relief from this hell.
Hope you can rest and relax!
So if she messes up her meds , it’s her choice not because she’s got delerium.
Her mood is a bit hyper and irritable at times. She’s getting around the house pretty well.
She was giving the Tymlos bone builder ink herself before. It’s on hold now till her post op.
She bagan smoking like a chimney right when we got home.
If her C3-C7 fusions don’t take I guess we go thru this again.
Please look after yourself. I know how stressful this is. Mother had hip surgery and wanted my help. I refused. She had discharged herself early from rehab. She was in an ALF at the time and had enough help there.
In a much earlier post, you said you didn't mind going to her house during the day, but that you wouldn't sleep there. Is this still true? You told the dr. that you can't watch her around the clock because you need to sleep, right? They don't care about that...we read plenty on this forum about 24/7/365 caregivers who are sleep-deprived. But you in essence told him you would be with her at least part of the time.
Were you giving her those special osteo shots once/day?
What is your plan if she does get released, even if it's AMA. Are you going to be able to wash your hands of her?
If her C3-C7 fusions don’t take I guess we go thru this again."
OEdgar, I hope you mean "if these fusions don't take because of her non-compliance with instructions, I guess I understand that her health isn't something I can fix."
Honey, you can't care more about someone else's health than they do.
As some one else suggested, I’d prob get proof she agrees to rehab. She won’t sign , or would scoff at doing it in writing. She’s a career paralegal. I would at least video the discussion.
Today I bright food, listened to her scream hatefully at AT&T, changed her dressings and helped her shower. I inhaled her awful smoke all day.
Crossing my fingers she gets over this surgery. We’d actually gotten her life pretty stable.
"I bright her home, made her food, and left!"
and then yesterday:
"Today I bright food, listened to her scream hatefully at AT&T, changed her dressings and helped her shower. I inhaled her awful smoke all day."
Why did you bring her home?
And look at the mission creep already. You're now spending all day with her, changing her dressings, and helping her to shower.
I thought you weren't going to do all of this?
I still anticipate that all of this ease up, when she can drive again. And when she no longer has dressings.
Did the hospital set up any home health services for mom?
Was a neuropsych suggested in the discharge papers?
I seem to recall that a SW or RN had opined that mom needed AL BEFORE this surgery was on the horizon.
Please accept our questions and "nudging" as concern for your health and for "mission creep" which we see a LOT of.
((((Hugs))))
The surgeon asked how she was doing at home. He commented and seemed puzzled that she would have these periods of confusion and agitation, yet answer their neurological questions normally. And she was much better the day I picked her up. And by the time I got her home honestly seemed with it.
she had really stabilized before the surgery. We had her money stuff mostly straight until she decided to change banks. But once again, I think all of that is mostly worked out. Her utilities are no longer in danger of being shut off. I have online access to most of the important accounts, such as utilities, so I can check on their payment status. I have immediate power of attorney, and have turned it into one of her banks. I haven’t yet giving it to the bank with her safe deposit box is. We have the roach problem under control at her house. I really felt like things with her. We’re turning into a manageable status. And I knew the surgery would de stabilized things.