Discussions that mention morphine

Alzheimer's Disease & Dementia board


My dad has been home with us for about a month, doing well-Stage 6. The past couple of weeks, he's had alot of trouble with his leg. Yesterday, he couldn't walk; I was unable to take him to the toilet or anything. Doctor came to the house for me, recommended that I take him to hospital, which was only possible by ambulance. Due to peripheral edema (probably Zyprexa related) they immediately started a diuretic (Lasix) IV; it was then necessary to catherterize with no sedation...that was horrible. Even in his excruciating pain, he remained compliant and polite; he of course pulled the catheter out; his 'urine' is straight blood, he has a UTI, and an underlying prostate problem that was discovered then. Another Venus Ultrasound was done of his leg, which again was negative. We were in the ER for 5 hours; he was finally given morphine for the pain caused by the catheter. We then moved him to the Med-Surg unit. Something in him snapped then, and he became combative. He was then given HALDOL-which never worked before and certainly didn't work last night, either. My 13 yr. old daughter was able to get him to take his Depakote and his normal Monday dose of 5mg Zyprexa, plus a PRN of 5mg Zyprexa. He was violent toward any staff, but fine with me, my husband and 2 daughters. We could not keep him in bed...they gave him more Haldol. He was falling asleep on the bedside commode, but each time we'd try to get him to the bed, he would wake up, and fight any staff if they were around. This mix of drugs rendered him completely senseless-he didn't know what he was doing-he took off all of his clothes, and would not get into bed, practically falling, etc. With my permission, male staff were brought up from the ER, and it took 8 people to medicate, sedate and get him into bed. They had to medicate him every couple of hours through the night, as he was trying to get up, and fighting anyone that was around. I know that the trauma of the situation,his terror and all of the drugs contributed to his behavior. It was devastating to witness, especially for my Sara Beth. We finally got out of there at 10pm last nite. I had to take him for medical attention, I just wish there'd been another way.....the guilt is always lurking in the back of my mind, as it has for every decision I've made.
I feel as though we were maintaining him well at home, and we had some good months left to share-I hope he comes back to us, I hope this doesn't push him further along...
Now, I have not been to visit him for fear of getting him worked up about going home. It is reported to me that he is not talking much to them, that they have been feeding him (he fed himself at home just Monday at lunchtime). Today he will be assessed by the Geriatric Psychiatrist to see if a stay in the Transitions unit will be beneficial, and assessed by therapy to see if he is capable of using a walker still. I do so want to go assess the situation, but I don't want him to see me and think he is going home..this is all so hard:(
Monday was definitely the worst day of my life, and in dealing with this disease and its fast progression with my Daddy, I've had some bad ones, as we all have...
Thanks for your listening ears....
imwarbaby