My mom is 93, post stroke, vascular dementia, CHF, repaired broken hip. Wheelchair bound, pacemaker. Family hx of melanoma and has had melanoma herself, 20 years ago; also breast cancer survivor.
Mom has been in a NH since 2013, after hip repair. Has survived a couple of bouts of pneumonia, fluid in lungs, pacemaker done in 2014 because heart rate dropped.
Mom has been facility bound since her last hospitalization in 2014. Last Fall, she saw a spot on her nose; dermatologist came into the facility to look. It looked like a melanoma to us all. Had mom transported to his office for an excision all biopsy. It was a basal cell; cells at the margin were cleared up with a chemotherapy cream. We all breathed a sigh of release.
This spring, mom decided that she had something " like leprosy" and was afraid she was going to pass it on to niece's unborn baby. Dermatologist came in to look pro forma, saw something suspicious on mom's forehead. So today, big production, mom in ambulette, the facility didn't want to send an aide, but I insisted, because mom needed to be flat on the exam table for this procedure. I'm 63, i can't lift like I used to. Took the aide and 2 receptionists to get mom on the table.
Biopsy done ( 3 stitches). Of course there's also something suspicious on the other side of her face..not enough time to do that today...
To boot, the pacemaker folks want mom transported to the clinic to have her pacemaker checked-- they won't do it in-house because mom is not "facility bound".
Where do I draw the line at dragging my mom, with compression fractures in her spine, in an ambulette over bumpy roads? When is less care actually better for her?