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Old 08-28-2012, 01:11 PM   #1
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Here I go again!!

Hi guys, so here I go again, this time my mother in law!! She fell down last night, got her feet tangled up in her blankets and down she went... Broken hip.. We are just waiting on the surgeon and then a hip replacement will be done.. My mil has Parkinson's but no decemtia or signs of alz,.now you who know me know I went thought quit a bit with my own mom, I am scared that the surgery will affect her in ways that will affect her, and of course always in the back of my mind is alz... So this time I am a little more prepared for this, but very scared about the outcome.

Hugs to all Judy
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Old 08-28-2012, 03:35 PM   #2
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Re: Here I go again!!

Sorry that your MIL fell and broke her hip. It is hard for her! However she has a major disease Parkinson's so that is bad enough. I think she probably has no dementia.
My late MIL broke her hip once falling off her bed one night. That year she had some successful surgery (not hip replacement but the repairs) and next year she got cancer and passed away. Maybe her surgery made her weaker. (She had other cancer 25 years earlier but was cured.)

I would not worry about dementia at this point. But hip replacement is a big thing. Make sure she recovers well. Surgery is usually ok if nothing goes wrong. However I don't know about the impact on Parkinson's.

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Last edited by ninamarc; 08-28-2012 at 03:38 PM.

 
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Old 08-28-2012, 04:19 PM   #3
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Re: Here I go again!!

Judy, that is all you can do... be prepared for whatever comes your way while hoping for the best. She may wake up and be just fine. With no signs of dementia at this point it is a good thing. Many with Parkinson will eventually develop some level of dementia but in my experience it is not as dramatic as Alzheimer's. They are different diseases. I have a good friend with Parkinson (92 and has cheated death 3 times in the last year) who is showing a little forgetfulness but that's it. So hold out hope that all will be well. I do hope she does well and let us know the outcome....

Love, deb

 
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Old 08-28-2012, 04:37 PM   #4
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Re: Here I go again!!

I'm sorry to hear about a fall resulting in a broken hip. For so many elderly, it seems to mark the beginning of the end. If I may ask, how old is she that they are doing a hip replacement? I suppose there isn't much of an alternative...guess I don't know how the medical establishment used to handle a fractured hip prior to replacement becoming commonplace.

I worry about the effects of anesthetic as well. My mother had a knee replacement and was never the same afterward. She never fully emerged from the anesthetic to regain the clarity she had prior to the surgery.

I wish you and your MIL the best and hope things work out well for all concerned.

 
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Old 08-28-2012, 04:44 PM   #5
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Re: Here I go again!!

So they had a major emergency and now the surgery has been postponed until around midnight, mil is doped up on morphine and is sleeping peacefully, her leg is in traction to keep the stress off of it and to help with pain management. So it is a hurry up and wait game!!
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Old 08-28-2012, 05:18 PM   #6
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Re: Here I go again!!

Insist on a spinal nerve block and Versed to put her under. Much better for an elder person then using general anthesetic--and the spinal lasts for about 8 hours, so when she wakes up she won't be in pain.

 
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Old 08-28-2012, 05:31 PM   #7
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Re: Here I go again!!

The hip replacement is actually a great advantage over other techniques because of the shorter healing time and quicker mobility. Hurry up and wait is the usually story in an emergency situation. At least your MIL is comfortable and sleeping. You are the one that is going to be worn out in the morning!! Hope you get some sleep at some point soon.... and all goes well.

Love, deb

 
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Old 08-29-2012, 09:34 PM   #8
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Re: Here I go again!!

The surgery is over, they ended up putting a rod in her leg as she really cracked and broke her thigh bone and a couple of pins in her hip, she was up and took a few steps with the nurses help today, looks like maybe up to 6 weeks in the hospital, she already has an infection at the site of her IV, they changed that to the other arm and she is receiving antibiotics to fight the infection, so it all starts over, at least this time we have Leroy's sister to help and I don,t have to it on my on. We are not looking to far forward as to what kind of care she will need when releases as she already lives in an assisted living complex so we will just have to play the waiting game for now and concentrate on the now..

Hugs Judy..
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Old 08-30-2012, 06:16 AM   #9
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Re: Here I go again!!

As Mom's ortho told us... the more metal the quicker the recovery. But he was a specialist that actually designs those metal parts and pieces for bone repairs. I do know the advantages of the metal inserts. Mom broke her leg, foot, ankle... everything between the bottom of her leg and the middle of her food. The first assessment was for 12 weeks in a hard cast.... after surgery. With a few special pieces of metal she was up and walking in 3 weeks. The inserts support and get them moving while they heal.

Sorry she ended up with an infection, but hopefully they caught it quickly and it will clear up soon. Just keep your eyes on the incisions for signs of infection as well. Hope it is smooth sailing from here on.

You are wise not to over think what is to come. She may be up and about, back to her previous antics, quickly. It may take her time to recover to a new normal. You just don't know. So for now focus on her comfort and healing. We not only can't change what will be... we usually worry about the wrong thing You will figure out the future as it comes. You have already proven your strength and resilience... and it will serve you well.

Glad you have help with your MIL. Having been on this journey before you will be a great asset to her. Hang in there... it may not be as bad as you imagine. I will keep you all in my thoughts and prayers

Love, deb

 
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Old 08-30-2012, 10:20 AM   #10
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Re: Here I go again!!

So the day starts, can I tell how cantankerus my mil is... The food is awful, the people are out to get her, she will not take her meds because they are trying to poision her, and on it goes, I can not help but compare my mom with my mil, what different personalities they have, where my mom was mostly sweet and obliging, my mil is suspicious and paranoid. She is not a happy camper for sure, she is still mixed up as to why she is here and tells me constantly that she wants to go home...I know a lot of this is due to the pain meds and stuff and I am humoring her with the tomorrow,tomorrow, tomorrow...have to remember all the tricks that I used with my mom and apply them...

So here is one of her finds, she told me how the lady across from her pooped in a bowl and then the nurses took it and used it to make her sandwiches, and that is why she is not going to eat anything they bring her,,,I think she was really trying to tell me her food taste like s$&t..hahahahah
Hugs to all.. Judy
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Last edited by jagsmu; 08-30-2012 at 10:24 AM.

 
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Old 08-30-2012, 12:03 PM   #11
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Re: Here I go again!!

It is so true that the elders with dementia hate the hospital. The hospital is not dementia-friendly. It is noisy and the nurses are busy. There are orderly and visitors and etc. Too busy and noisy for her to be rational. It is funny she can compare the meal to the thing.
My late FIL would say he wanted to run away at night but he worried about having no food! He would wake up all night wanting to escape with his caregiver. In the day he became psychotic and agitated. That is why he had to end up in the NH instead of hospital. It is more peaceful to be in the NH or his own home. The last hospitalization made him think people were to kill him like the pets.

Hang in there and agree with her. Maybe you can bring some food for her from the home.

Take care,
Nina

Last edited by ninamarc; 08-30-2012 at 12:04 PM.

 
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Old 08-30-2012, 06:57 PM   #12
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Re: Here I go again!!

Jags, it is still early to make comparisons. Give the anesthesia time to get out of here system and yep, the medication she is on is not helping the situation. But be watchful... you know the signs. Don't you wonder what she saw or heard that her brain twisted to make her think the food is ........

Love, deb

 
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Old 08-31-2012, 12:15 PM   #13
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Re: Here I go again!!

Judy, hope your MIL is recovering well. Some people are just bad patients, plain and simple. Your MIL sounds like one of those. For that matter so is Lucy, who is hell on the staff when she is unhappy.

Sounds like MIL has a certain degree of hospital delirium, which is not unusual for someone in more senior years. There should be no cause for alarm if it clears up in a week or so. When Lucy had her general anesthesia recently upon her tib-fib fracture, I swore she lost the other half of her brain cells. She was trying to use ginger ale as rubbing alcohol, and she became combative when the hospital staff insisted on dosing her insulin instead of letting her self dose. This lasted for about 3 days. At one point, she was so aggressively combative toward the attending and nursing staff that I thought for sure they were going to commit her directly to psych ward. Fortunately for her, she got better and finally stabilized into the state she is in now. Overall she is in about the same state she was before the fracture. Maybe just a bit worse.

Oh... last thing... if MIL is still in the hospital, keeping her on a low flow oxygen via nasal cannula may help with clearing up temporary confusion, especially after surgeries. How is her reading on pulse oxymeter?

Last edited by Luau; 08-31-2012 at 12:19 PM.

 
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