A week ago, I took my Mom to the ER because she was panting from minor exertion and was pretty weak. Dr at ER diagnosed "very mild" pneumonia and put her on Levaquin antibiotic for 5 days.
Over the next 3 days it was increasingly difficult to get her up and transfer from chair to seat on walker, to commode, up from bed and so on -- her knees are very bad to start with, she seemed to have put on several pounds of water weight, and she was quite weak and wobbly. I was having to support as much of her weight as possible and it was difficult.
Last Tuesday afternoon (5 days ago), she fell while I was trying to get her up from the commode. She bent over double, could not push herself upright, and I could not hold her weight in that position, so she went down on her knees. Not hard, as I was able to provide a bit of support as she went down. But when she fell, her left lower leg was scraped by something on the strut of her walker, and she ended up with several bad skin tears there totalling a wound of about 8 inches long by about 4 inches wide. Bled a lot. I called 911 and put pressure bandages on, and she was taken to the local hospital ER. It took a med tech there at least 45 minutes to carefully place the pieces of torn skin back in place and suture them with Steri-Strips because her fragile skin won't hold for stitches.
I could not have her back home because I can't lift her and she could not stand long enough for me to transfer her. I had already called Hospice to have them come out and evaluate for a hospital bed, so I insisted the ER call Hospice to come and get her. The nearest Hospice location is about 45 minutes away. A nurse came out, evaluated her and arranged for her to be transported in to their Palliative Care Unit for further eval and until arrangements could be made for the hospital bed. Usually that is a 2-day stay, and she was discharged today and their transport brought her home. The hospital bed is to be delivered tomorrow morning.
But now here's the thing: now that she's home, she can stand with enough strength to get her up and transfer her with no more difficulty than I was having before she ended up being so weak and short of breath last week. Makes me wonder how small really was that "very mild" case of pneumonia. I remember kind of wondering why the ER doctor didn't hospitalize her anyhow, given she is a 96 year old woman, but I didn't ask.
Should I cancel Hospice and the hospital bed? She says she doesn't need it and doesn't want it ... well, this evening I would agree she doesn't need it per se, but she might need it in another couple of days. While she was at the Hospice unit, they didn't get her up to walk, they cared for her in bed. So she had nearly 3 days of being off her feet, resting her knees, etc. Here, she will be using those knees and legs several times a day.
What to do, what to do?