The whole problem is not just that one spot with the perforated ulcer, but the entire condition of that GI tract system. IDK if they totally were against operating and possibly what they would find, as well as surgery with her age. I have been surprised by some surgeries with individuals over 90, and if it was factors related to recovery from the ankle that had the perforated ulcer or if her system had become ‘fragile’ and not recoverable.
The decline, the shock of it all, the lack of options when one has a clear mind is heartbreaking.
Whatever adjustments she can personally make to have her care needs met when she does have people in the room – she wants to eat in the dining room, but they brought lunch to her room. When they distribute the meal trays, they don’t have two people to get her situated – she has to have been ready and then with the plan to have all meals in the dining room. At this point, she is barely eating and has little strength, so the meal tray was brought to her. That also coincides with the goal to have her gain enough strength for her to stand in order to transfer - a one assist maneuver.
Hard to know what pain level she is having with the ulcer, as well as pain with eating/drinking or she has adjusted to eating very little for perhaps a variety of reasons.
The information about a Hospice that offers PT and OT - perhaps another Hospice can get hired that will offer these services. That is a light of hope in this situation IMHO.
). After a few touch and go days, it was determined that the root cause was acute kidney failure (cause unknown). She has somehow made a miraculous recovery and came home in mid-February and is doing quite well.
