Seeking perspectives from nurses and family members/caregivers with relevant experience as we try desperately to inform ourselves and make the best decision for her well-being and quality of life going forward.
My mom has multiple health conditions including high blood pressure, a-fib, (controlled with medication), COPD (without exacerbation, treated with oxygen and nebulized albuterol), rheumatoid arthritis, osteopenia, and vascular dementia that began after a stroke 7 years ago and has impacted her ability to speak and communicate her wants, needs, and experiences, such as pain.
She still had some mobility with a walker during the 5 years I took care of her, but within weeks of moving to the nursing home when we lost our place to live she began to lose her abilities as the staff slowly curtailed her activity until they had her (safely, I'm sure they felt) diapered, in a wheelchair, and unable to make herself understood. (In addition to some speech issues -- a holdover from the stroke -- the facility lost both her upper denture and lower partial).
Therefore because she was already wheelchair-bound, and because she is frail and has these health issues, the orthopedist assigned to her case feels that "this is a fracture pattern that can be treated nonoperatively." She would be bed to chair and non-weightbearing on the right lower extremity. If she did have significant pain and was unable to mobilize it and this poses significant risk then surgical stabilization with percutaneous pinning could be performed. The risks of surgery include but are not limited to bleeding, infection, neurovascular injury, wound healing problems, nonunion, loss of reduction, implant failure or migration and need for additional procedures. For the time being, we felt that a period of new management was reasonable to see how she does in terms of pain, as well as her medical conditions. A family meeting (my brother, who is power of attorney, will be attending by phone, and I will be attending in person, a meeting with the hospital's Palliative Care unit).
To be continued after my phone charges...