My 97 year old mother fell the weekend after Thanksgiving. She fell straight down and sat down hard. She said she was ok but two days later her back was hurting terribly. X-rays showed a compression fracture of the first lumbar. She tried Tramadol but made her exceedingly drowsy so Tylenol 3 was tried but that seemed to cause more confusion. Fast forward to now. She can have nothing stronger than Tylenol arthritis. The drugs are out of her system but her mental status has declined dramatically over the last 6 weeks. She has gotten agitated and combative to the point of needing Ativan. She always sees rain and says it’s raining. She will ask the same questions three or four times. She has hallucinations and is always reaching for things that aren’t there. I’m at a loss. Before the first fall she only had age related memory loss but no diagnosis of dementia.