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I have taken her to E.R for fall before and after xrays they said she had fractures in spine, but they couldn't tell if they were old or new... sent her home with hydrocodone which produced week of hallucinations and no sleep. Back to E.R for that. We have forty stairs to home entrance. Is it ok to call 911 to have them transport her? Dad had heart attack on June 27th, home 2 days and massive stroke on 4th of July, that was an eye opener, he is fine, tpa done, all functions returned. So we have had paramedics here twice already and mom fell 1 day after dad home from stroke...she wouldn't wait the 3 seconds for assistance. She has dementia, stubborn and deaf as a post! I am rambling.

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A hospital visit is a great time to tell the doctors, social workers, etc. that mom's home is not safe and you will not pick her up and bring her home. If she has dementia and they're willing to agree she's not competent you can have her placed somewhere directly from the hospital.

If that's not appropriate for you right now it's something to keep in mind in the future.
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I am so sorry that you are struggling with all of this. It’s exhausting!

I agree with Daughter. It’s time to consider alternative options. Speak with a social worker and Council on Aging to help you plan their future care.
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Wow, you've got a lot going on with your parents!! Yikes.

Personally, I try to save the ER for what I consider to be life threatening events. If she's been home for 2 weeks and not getting better, have you brought her to her regular doctor? Or at least called them for advice?

Forty stairs??? That's insane! I don't know any 90 yo that could do that safely! Probably time to move into somewhere easier to access. Maybe assisted living or at least an independent living elderly apartment.

With all those stairs, maybe you can't get her to your car safely? Probably not. Oh boy.

I hope they tried her on a new pain med after the hallucinations. Had she ever been on it before? Or maybe the dose was just too high?

Your parents may not want to ever move, but it might be time to consider their safety vs the plan they made when they were young and able. Heck, I NEVER want to be in a nursing home but OTOH I also want to be safe. Can be a very difficult but necessary trade off sometimes.
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Of course it’s okay to have her transported to ER. Make sure mom’s medical info is updated with the bad reaction to hydrocodone. Your parents have had a LOT going on recently, real signs of decline and fragility. Accept that the falls are inevitable and will happen no matter what’s done to prevent them. Consider getting more help than just you and if it’s realistic for them to remain in a home with so many stairs. Signs are pointing to it being time for a new plan. I wish you all peace
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