Dad had his first fall in MC last night, trip to ER.. going downhill fast.

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We took my dad to MC a week and a half ago, he had a horrible downturn and we were all not able to take our eyes off him for a minute.. he was falling, up all night.. you know the drill. The first week he had to stay in AL due to a GI outbreak, with a companion at all times. This week they were able to move him up to MC. ( He was on a month long respite trial). I really like it there, he is at least with other people with less stress.. and they were very good with his odd hours, etc.. Last night at 11 the phone rang.. he fell, no obvious damage but he hit his head, so they had to take him to the ER. Back by 430 am, all fine
I just can not believe how fast he has gone downhill. He is not swallowing his food, can barely walk. Today we sighned him in as a permanent resident.. so very hard for all of us but Mom the most. At least this way we can get him a swallowing eval, correct food, etc. I love this place. but it is still hard. They can take him all the way to the end (hospice) and we don't see this lasting very long. I thought I was ready.. but this is hard and trying to be calm for Mom is harder!
Thank you all for all your support in the past, and I know you will be a good support in the future.

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Dad was in the hospital the last 2 days.. luckily the Drs even said based on his wishes it is time for hospice, so we began it today. He is back in his MC, and they will keep him comfortable. I asked if they could wash him tonight as he smells a bit off from the hospital. No problems with that, and he has a hospital bed and is in his room, sleeping mainly. Mom is very emotional of course, and I am hanging in there.. Thank you all
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I'm so sorry to hear this, Pam. We never know what's going to happen. My dad's fall was relatively minor - more like a slide down the wall to the floor, not an actual fall, but it triggered a hospital stay, which triggered a nursing home stay for rehab, which triggered multiple infections, then an incarcerated hernia, then more antibiotic resistant infections (MRSA, e Coli, C-Diff, you name it, he had it) - which eventually took him from us, 6 months after his fall.

This is a horrible, horrible situation for you, I know, and I'm so sorry you have to go through it. Please know I'm thinking of you and sending good thoughts and prayers your way for strength and peace.
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The good thing is that you do recognise what is happening Pam even if you were blindsided. Io think this is absolutely the hardest time to get through. You want them to be at peace but you so don't want to loose them. Prayers for you all.
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Pamz, I really think that elderly patients can decide to leave when they want to, even with dementia. I don't think it is too soon for at least the Hospice evaluation process. They were very supportive to have around.
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i think the only thing we never considered was that he would go downhill so dang fast! That is the bad part. Almost feel like it came out of the blue, but perhaps we are luckier than someone whose loved on goes on for year's with IV's... etc. My heart breaks for them too. This stuff sucks!
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Yes Pams,, that and the POA were done years ago, my mom was in heathcare ( as I am) and they were very proactive. Also had to do an updated one for MC. Only treatments are to be for comfort. The ER trip for head strike during fall is MC requirement.. they would not have done anything for a bleed or whatever without our approval. I assume it is a state requirement or for lawsuit avoidance in case someone wanted to sue. (we would not, falls are part and parcil of this disease,, and he was just too fast for them) We just want him comfortable,, hospice is probably coming very fast, and this MC can provide that option. PArt of why we chose them.
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Pamz, do you you have a MOLST form on file? Mom here is not quite ready for hospice, so the hospice nurse advised a signed DNR with no transport to ER except for extreme pain. She gave us the MOLST (medical orders for life sustaining treatment) form because mom herself does not want further interventions.
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No fleuro Veronia91, just a lower key eval at this point, we agree no real point in extensive testing as we know where this is headed.. just want to do anything non invasive we can. We can't even usually get him to open his mouth at this point ( teeth are awful at this point.. sometimes they can brush the front..) No IV's either,, so ....
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I'm so sorry pamzimmrrt. You and your family will be in my prayers.
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Pam the speach therapist does the swallow evaluation. It is usually done under fleuroscopy and patient is asked to eat different textures of food. If he can't swallow there seems little point but it wont do any harm and he just sits there in his W/C so no stress.
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