Caring for my 89yr old MIL who broke her hip in February, she wasn’t a candidate for surgery. It breaks my heart to see her in such pain. What should we expect to see? Will she get stronger? The bone hasn’t attached, so it’s just kinda floating.
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If she has osteoporosis, the hip may not mend. Then, she will be most likely in a bed or wheelchair for the rest of her life. Please make sure they are stabilizing her hip in some way and that she gets pain medication. If her usual doctor feels unable to deal with her pain, ask for a pain specialist. The biggest problems with being bedridden is developing pressure wounds or developing pneumonia. The best way to prevent pressure wounds is changing her body position every 2 hours and that will not be comfortable unless done with a specialty bed. She can exercise her lungs using an incentive spirometer frequently as well as taking deep breathes and coughing when she is awake.
If she can get in for a hip "nailing" and she has good bone growth, she will be back on her feet again. In either case, spending some time in a rehab facility will be most helpful for her.
If your mother cannot be operated on to relieve the pain, I highly recommend advocating for her to have some type of pain relief - no matter what it takes! It broke my heart to watch my mom suffer in pain....and for what? She was supposed to die within 6 months. Prior to hospice, she was never addicted. The pain medications just allowed her to function...to call her friends, sit up and watch TV, take a walk, etc. The only people who become 'addicted' are those who experience a 'high' on opioids and usually have some type of genetic pre-disposition, etc.
since she’s in a lot of pain. If it’s broken then it won’t self heal. From my knowledge, hip surgery & rehab much easier than knee surgery & rehab. Was she walking before the hip fracture? She can get surgery & rehab to walk again. Hugs 🤗
My mom never had any pain whatsoever. Only when she couldn’t get up off of the floor we knew it was serious. But everyone is different. First time she ever had surgery. Only in the hospital two times to have her kids. Dr determined she could handle anesthesia so went forward with it.
Rather the surgery than lying in bed the rest of her life. She was always really active. Best of luck to you.
She is now in an inpatient hospice as she requires more care than could be done in AL where my dad wanted so ge could be with her. She is in a great deal of pain, is refusing anything by mouth and is basically unresponsive. The hospice doctor gave her a week to 10 days max.
It is heartbreaking, but her living will said she did not want to be kept alive by any artificial means, so we are honoring her wishes. She also told us she did not want any treatment that would cause her pain.
I cannot imagine my mom being alive for months with this level of pain, so, Anonymous, if you can discus with your MIL, what does she want?
I would think your mother needs some kind of treatment that promotes healing the break. Without surgery it is unlikely to heal in a normal position, but even bones that heal out of alignment greatly reduce the pain from simple movement. With unaligned healing, she may never be able to walk unassisted again, but at least her pain should be greatly reduced. Because of her age, your mother may have been written off as likely to die from pneumonia before the bone could heal. Since she cannot be really "fixed" you may have to be fairly aggressive seeking a doctor to just treat her. Many surgeons are not in any way physicians and really don't like treat people who will have ongoing issues.
She was still eating, drinking and talking and had developed terrible bed sores. I had a meeting with hospice and told them she doesn't want to live like this. They put her on a fentanyl patch and she was so out of it couldn't even speak. After 2 days she went peacefully in her sleep.
If general anesthesia is the issue with your MIL, I had my right hip replaced with a prosthetic one under ONLY an epidural! I chose Propofol to knock me out during the 90 minute procedure, or else I could have stayed awake like some people choose to do. An epidural creates none of the same 'waking up' issues as general anesthesia does for many people.
Please get her into see a bone surgeon right away and if that doctor concurs, then she'll need hospice for pain management, at the very least. Seems inhumane to me to do anything less.
Wishing you the best of luck and sending hugs and prayers your way.