My mom's NH always seems to call when I'm driving! She has CHF, vascular dementia from a stroke a year ago and had a pacemaker put in two weeks ago because her heart rate dropped to 37 and wouldn't be budged by medication. I was not so sure about doing the pacemaker, but my brother and I (he's POA, we both on all the HIPAA stuff) asked her if she wanted it and she said yes. The NH did a chest Xray and determined that she had a pleural effusion (which she's had before) and possibly pnemonia. They gave her antibiotics and lasics for the accompanying edema and PE; took another chest film today; the effusion is better, but now they can see more clearly that she still has pneumonia. So my quesiton is, why does she get pneumonia? Is there something that we/they should/could be doing to prevent this? Is this just the inevitable course of events with the diagnoses that my mom has? They've put her back on antibiotics, more diuretics, etc.