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My mother has severe congestive heart failure and increasingly worse dementia and a decision needs to be made about treating her. The cardiologist has been pushing to try putting in stents just so he can get her out of the hospital as quickly as possible and keep her from coming back. However, since her mental health is steadily declining to the point she is a risk to herself, I'm not sure that prolonging her life physically is the humane thing to do. He called today again to try and push me to make a decision about surgery and I pointed out several things about her mental health and said I wanted to consult the psychiatrist that has been treating her before making a decision. About half an hour later I get a call from my mother basically telling me that I had been listening to the bad people and how could I believe the awful things they say about her. How I was a huge disappointment and even though she loved me as her daughter there was nothing left for us as far as a relationship. I couldn't figure out what was going on and called her nurse only to find out that when the cardiologist called me he was standing in her room and never bothered to tell me that. So our entire conversation was overheard and she knows I have concerns about her mental health. She is in complete denial that she has any issues and now views me as a traitor. I'm her only child. She has no other family and if she refuses to have anything to do with me going forward. There is literally nobody to help her and I feel like it's all this doctor's fault. Not to mention the fact that she will die thinking that I betrayed her when all I've been trying to do is what best for her but she's incapable of understanding that.

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If mom has that severe of dementia, I hope and pray that you have legal paperwork that gives you power to make health decisions on her behalf. Since you have already said you need to check with her psychiatrist, do so. As an RN, stent placement is not difficult and the recovery would be fairly easy to deal with. She may do better and she could be moved out of the hospital. Ask for palliative care services referral no matter what you decide.
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Sat2018: Speak to your mother to say that you're always doing the right thing for her/her patient advocate and partner in her health needs.
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The doctor should have told her you were on the line so that you and she could both get the same information at the same time. Sometimes that avoids misunderstandings.

In this case it created a problem. You really don't want your mother to feel that her feelings are not being considered! She is the patient, after all, and upset. You might need to "eat a small helping of crow" telling her that you don't want any misunderstanding but as her MPOA, responsible for relaying the final answer, you feel the need of more input from both her and the Dr.s.

Perhaps you could suggest a joint conversation between her original doctor (who ordered the cardiology consult), the cardiologist, yourself and her! As before, you can arrange this per phone. That way the two Docs can clarify some things and hopefully convey that SHE is being heard. And you can repeat their words to her if necessary.

It's a tough choice. Stints help many people, though anesthesia may have mental side effects in the elderly. On the other hand, the prognosis is not good for CHF, and low oxygen in the blood may produce mental problems. Ask the docs about this.
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There is nothing you can do about your mother overhearing the conversation with her doctor. I also think he should have told you she was there. One thing about dementia, she is likely soon to forget what happened. She's also likely to go through stages, mostly declining, mentally and physically. Are you her POA for medical and financial matters? Does she have a living will, and do you know her advance medical directives? If she wants to do everything possible to stay alive, that's her decision. You should honor that choice. It's not uncommon for people with dementia not to know that they have it. Try to focus more on what her wishes are, rather than what you think she should do. Hopefully you'll be able to make up with her. You might have to apologize to her for misunderstanding her wishes. All the best to you both. I hope you can work it out with her.
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I would have the stents put in. It may make her feel better overall. There are always risks.

She may not completely remember your conversation. I would give it a little time and not bring it up again. I went through some similar. She will most likely forget about it. Just reassure her that you love her and are there for her and not dwell on anything negative. She may do enough of that with her dementia. I would suggest reading up on dementia and learning how to deal with it. It’s not easy, but knowing what to do and not do is really helpful. The more you baby them, agree with them, and act super sweet, the better they will respond.
All the best!
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I feel your mom feels you gave up on her by denying her the stents. My mother in law had dementia and broke her hip at 96. We chose to do the surgery because she would never realize she had to stay in bed if we did not. We knew the risk at her age but she did fine and lived and walked with out any aids for over a year. If someone had not rear ended the car she was riding in she probably would of lived longer.
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Maybe the doctor thought your mom should hear the conversation. She's the patient.
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This would be bound to come as a result of speaking around a patient and not TO the patient. I would simply tell Mom that you were trying to honor her by not putting her through something you feared might in fact KILL her while being treated. But that you had no idea she was hale and hearty enough to be listening in to every single word spoken. Apologize for yourself. Apologize for the doctor who apparently was under the same misapprehension, as HE was not talking to her but instead talking to her MPOA. Do understand that Mom's anger is also a result of her getting not quite enough or not quite normal levels of O2 to her brain.
The real message here is that MOM is still THERE and Mom wants to make her own decisions. Let her, would be my advise, and I wish you all the best.
You made an observation that the doctor wants her to have this to get her out of the hospital. Not true. The doctor will likely have to give her another day for this procedure. Otherwise, without it there is no reason at all for Mom to be in hospital; she doesn't need acute care, rather hospice if she is not getting treatment.
Go ahead with the treatment if Mom chooses. Without it her life is likely forfeit. With it she may have more time. Let her decide. I sure wish you the best. Nothing to do at this time but tell her you were mistaken in thinking she couldn't weigh in on her own decision and you apologize and hope she will forgive you and that you won't do it again.
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Don’t bother with the stents she will need blood 🩸 thinners and she should not go under anesthesia- Doctors are very busy . Get a second opinion. Personally I wouldn’t .
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AlvaDeer Jun 2022
Personally I wouldn't either, KNance, but I don't want my family making that decision when I am able to make it for myself. The patient has a right to hear, listen, weigh and decide while they are competent to do so.
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I haven’t read all of the answers however I hope that you have Bohls assets and healthcare durable power of attorney. If she truly has dementia don’t take anything she says Too seriously. Just know that what you say is the ultimate decision as your power of attorney and the decision on surgery is truly yours not some Doctor Who doesn’t know your mom doesn’t know where she’s at both physically mentally and no matter how upset she gets you have to advocate for her and what’s best for her. Just on the little tiny bit of information you gave I would think that you don’t feel she shouldn’t have a stand and go through them procedure and I might tend to agree with you. I say this based on my experience of getting a stent and also my experience of being my mothers healthcare power of attorney. Keep in mind that doctors will push for procedures for financial reasons and financial gain versus really what’s best for the patient. Not all of them but a lot of them. I know my mom’s doctor said that he wouldn’t recommend it because of her age and her health status.
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Martha007 Jun 2022
I agree 100%
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Don't give up. It is time for you & your Mom to have a conversation about her true condition so that you are both able to discuss the matters facing her. Eventually you may convince her.
My Dad also has dementia. We explained to him that his memory is not as it once was and that he needs more care than we (at 75 yrs old) can provide. He has been living in an Assisted Living facility for 6 months, getting excellent care and we visit regularly. He has made friends there & the structure in the facility has been good for his morale. He loves the food but does sometimes tells us that he will "talk to the office about leaving the "hospital" in a few days because there is nothing wrong with him," yet never actually follows through. Your Mom needs to know she has issues she is not aware of (dementia), that you love & cherish her regardless and will be there for her always. Maybe it will "sink in" at some point. I wish you good luck...I know it is not easy.
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It’s been a while since you posted, so I’m wondering how things went?

My father also suffered from anosognosia as a dementia patient. It’s very difficult for you as a caregiver - I’m sorry you have to go through this!

His dementia was always worse when hospitalized. Like your mother, he had arterial sclerosis as a Comorbidity, and probably suffered from vascular dementia, although we never had him formally assessed because he was so resistant to any suggestion of mental illness.

One of the things we did as a family was to offer him a choice. We had two assisted living places for him to choose from once he was discharged and in rehab. That really seemed to help as he at least felt like he had a part in the decision making process that way. For him, money was not an obstacle.

Prior to giving him the choice, he was very angry and unhappy. Once we found a good assisted living home - his choice - and tweaked his meds, he was much more content. It is such a burden for you to have to bear this on your own!

I was MPOA and he was moved from his current home closer to me during the end of his life, so I was his primary family caregiver. I found it so painful to have to deal with his resistance and anger. He passed two months ago while on hospice.

You are a loving and good daughter. You need to hear that because even though you rationalize and understand that mom is sick due to the dementia, it still scars you emotionally. You are already grieving the loss of the mother you knew.

Regarding the surgery, I’m curious about your mothers age? Dad could have had a procedure done to stretch the opening of his esophagus (he was having choking issues), but the doctor was very AGAINST doing the procedure because of his age at the time (90). We did discuss the procedure with him, and he took part in deciding not to have it done, although later I’m positive he had no recollection of the discussion.

I hope you are able to resolve this situation soon, and get mom into a good care environment. It’s so hard until you do! Dad bounced around from home care (with caregivers) to independent living with support, and finally to assisted living, once he was there, it was so much easier on me, as I could visit as family, and not have to do the physical part of the caregiving which he really resented.

One place I found tremendously helpful was the Teepa Snow website: Positive Approach to Care:
https://teepasnow.com/. I learned more from her and her team members about dementia care than I did from anyone or anything else.

Dad was also on hospice for a little over a year near the end, and they were amazing! Helped him get one last visit to his happy place (a lakehouse he owned) despite severe immobility and incontinence.

Hoping for a good resolution to your situation! Sending hugs, prayers, and positive thoughts your way: ❤️‍🩹🫂😔
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If she has dementia she sure is smart enough to call you to vent. She knew exactly who to pick on to vent. Im sorry that happened to you. If your mom does that again, hang up. I'd say I'm not tolerating this abuse. Then hang up. Follow through. You are not her personal whipping post because her life is not good. You deserve not to be yelled at, or her taking things out on you. Or saying vile hurtful hateful things.
Perhaps in a day or 2, she will forget what she said. People with dementia say all sorts of vile and horrible things. It is deliberately aimed at loved ones, because a staff member will walk away. A staff member will them to stop. They won't tolerate it. Why should you??? You don't have to take being berated or abused. Do not tolerate it! You wouldn't tolerate a stranger or coworker berating you. Do not tolerate your mother doing it. She is lashing out because she is hating she is old, knows something is wrong with her mind, and doesn't like what is happening. You are the easy target. She gets a reaction.

Does your mom have an end of life care plan? Did she say she doesn't want heroic efforts to keep her alive? What is her quality of life now? Stuck in a bed? Does the doc say the stents will let her live so many more years? She has congestive heart failure so it's not going to stop the disease.
Id go by what her directives say. If you can't decide, ask him what would he do if that was his relative. If he said I would do it, then I would, and let the cards fall where they may. If you cant make the decision, let him. My mom had congestive heart failure. She never wanted to go to the doctors. But at the end of her life she wanted more time. She got stents. Most people want life.

I had a woman with dementia say very vile things to me. She was just put in the nursing home and was lashing out. I kept telling myself she has dementia but it still hurt. I finally went (grey rock) not answering, not saying anything, not reacting. She did not get the response she wanted and stopped. They want the reaction.

Do not take it personally even though that is very hard not to. If she yells at the doc, he will walk out of the room. You stayed on the phone and listened to her say nasty things to you. Stop doing that!
Would you take it from anyone else? No, you wouldnt. You dont have to be nasty, just say im not listening and hang up, or walk out of the room. It will stop. It won't until you stand up for yourself.
Do not keep thinking about what she said. Her mind is diseased.
Every time it pops into your head tell yourself you are doing your best and say it's the disease, then put it out of your head. Give your mom some no contact time. Pamper yourself, and do something for you, no matter how little. You are doing your best. You are a good daughter. You have done nothing wrong. You know that.
Don't see her until you feel better and are stronger. You know you are doing your best. Let it go.
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When people talk about Hospice Care they seem to imply that Hospice is a place a patient can be placed, perhaps for free. Although some Hospice Services have "facilities," most Hospice services are provided for the patient in the home with family or hired care givers doing the 24/7 care giving. The difference is that Hospice will supervise and provide comfort medications and send a nurse a couple of times a week to check vitals and order medicine. There will also often be a visit or two each week by an aide who can help with bathing and check on needed supplies.

Hospice does not take over care giving.

There may be Hospice companies or arrangements where a patient is actually physically placed in a care facility, but that is not the usual situation.
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VegetaBohls Jun 2022
From the way that it sounds, she’s not ready for hospice care. Granted I don’t feel that a student given her mental abilities is the right thing to do especially since studies have shown they don’t typically extend a persons life. My mom has dementia that’s getting worse Parkinson’s disease a spot on her lungs and then a large day order Wes talking in her heart and the cardiologist said well you know we can manage may be some symptoms but at her age and health it’s really not conducive to do any type of procedures. However, as bad as it seems she’s not near the end of her life. Therefore, she’s not a candidate for hospice care.
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If she has dementia she sure is smart enough to call you to vent. She knew exactly who to pick on to vent. Im sorry that happened to you. If your mom does that again, hang up. I'd say I'm not tolerating this abuse. Then hang up. Follow through. You are not her personal whipping post because her life is not good. You deserve not to be yelled at, or her taking things out on you. Or saying vile hurtful hateful things.
Perhaps in a day or 2, she will forget what she said. People with dementia say all sorts of vile and horrible things. A lot of times directed at loved ones. It is deliberately aimed at loved ones, because a staff member will walk away. A staff member will them to stop. They won't tolerate it. A loved one, doesn't want to hurt their feelings, and feels guilty. Wrong!! You don't have to take being berated or abused. Do not tolerate it! You wouldn't tolerate a stranger or coworker berating you. Do not tolerate your mother doing it. She is lashing out because she is hating she is old, knows something is wrong with her mind, and doesn't like what is happening. You are the easy target.

Does your mom have an end of life care plan? Did she say she doesn't want heroic efforts to keep her alive? What is her quality of life now? Stuck in a bed? Does the doc say the stents will let her live so many more years? She has congestive heart failure so it's not going to stop the disease.
Id go by what her directives say. I'd ask the doc will it make her last few years more comfortable, or do nothing? If you can't decide, ask him what would he do if that was his relative. If he said I would do it, then I would, and let the cards fall where they may. If you cant make the decision, let him. If your mom hates doctors, and everything medical then no. Would your mom be combative in the hospital? My mom had congestive heart failure. She never wanted to go to the doctors. But at the end of her life she wanted more time. She got stents. Most people want life.

I had a woman with dementia say very vile things to me. She was just put in the nursing home and was lashing out. I kept telling myself she has dementia but it still hurt. I finally went (grey rock) not answering, not saying anything, not reacting. She did not get the response she wanted and stopped. They want the reaction.

Do not take it personally even though that is very hard not to. It is her knowing she is old and she can't do anything about it. If she yells at the doc, he will walk out of the room. You stayed on the phone and listened to her say nasty things to you. Stop doing that.
Would you take it from anyone else? No, you wouldnt. Don't take it from her either. You dont have to be nasty, just say im not taking this and hang up, or walk out of the room. It will stop. It won't until you stand up for yourself.
Do not keep thinking about what she said. Her mind is diseased.
Every time it comes into your head tell yourself you are doing your best and say it's the disease and put it out of your head. Give your mom some no contact time. Pamper yourself, and do something for you, no matter how little.
Don't see her until you feel better and are stronger. You know you are doing your best. Let it go.
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What about the stent operation to stabilize her and potentially to help the blood flow to her brain, which might help with her mental conditions?

After that, transfer to a nursing home would be the only option no matter if she wants it or not, since she is way too sick to care for herself.

(BTW, all nursing homes are not bad. My mother was in one for about 2 years. She had a pleasant roommate with whom she could talk and I had many conversations with the staff. The place was clean and I visited her 1-2x a week where I would take her to group room which had a piano in it, which she played. Of course they are not all good, but then you have a perhaps more tractable problem of finding a good nursing home. There must be rating sites for them, which they must be aware of. Medicare itself evaluates them, I think.)

Or if she meets the criteria, then hospice care: https://www.crossroadshospice.com/hospice-care/hospice-eligibility-criteria/

A pertinent subset here:

* Patient has been diagnosed with a life-limiting condition with a prognosis of six months or less if their disease runs its normal course
*Frequent hospitalizations in the past six months
* A change in cognitive and functional abilities
* Compromised Activities of Daily Living (ADLs) such as eating, bathing, dressing, toileting, transferring/walking, and continence
* Deteriorating mental abilities
* Specific decline in condition
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You're in a very difficult, stressful situation. Consider bringing in Hospice to evaluate and make their recommendation.
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Here's an article on the penalties:

https://www.google.com/amp/s/khn.org/news/hospital-readmission-penalties-medicare-2583-hospitals/amp/
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Do you have healthcare POA?

If not, and if your mom still has enough capacity to choose her medical course, she does not need to include you in these medical conversations.
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Sat2018 Jun 2022
Again, I'm being asked to make these decisions because she has been deemed unable to, and I am both her next of kin and her medical care advocate. The hospital would not be asking me to make the decision if not.
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Sat, can you request a different cardiologist? A second opinion is often advisable in the case of surgery on someone this old.

Have you asked the hospitality for a palliative care evaluation?

Get hold of the patient advocate at the hospital. Have her/him look over mom's last several discharges. Explain how non-compliant she is.

Background-- if a patient comes back to the hospital within 30 days for the same ailment, Medicare stops paying. The bean counters are almost certainly on cardiologist back about stopping this revolving door.

Getting her on hospice/palliative will stop this.
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Sat2018 Jun 2022
Thanks, I didn't know that about medicare. I was planning to call her case manager and inquire about hospice/pallative.
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I agree with CM. Ring up the psychiatrist and get a consult, perhaps even a 3 way conversation since you are not nearby.

Is there any way for you to take some time and travel there?

At one point, my mom with dementia was in the hospital and a very nice cardiology fellow (meaning post-residency training) was explaining that she wanted to do a pacemaker for my mom. I said that I needed to consult with my brother ( who was POA) and that he would be here later.

The fellow called her boss who stomped in and said "Ma'am, your mother will be dead in one hour if we don't do an emergency pacer".

Sometimes doctors are not so clear on what they are trying to communicate.
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Sat2018 Jun 2022
In the past 3 months I've already taken off almost 4 weeks to travel there when she was in the hospital the first time, and then to bring her home and stay with her after rehab. I can't take anymore time, especially this soon.

My problem with this cardiologist is that he is very pushy in that he tells you what he wants to do, but doesn't want to be questioned and basically dismisses your concerns and then gets exasperated and says well you need to make a decision. Every time I question what the benefit of the surgery would be it's always about keeping her from coming back to the hospital so quickly. If I ask but what if she won't take her meds again he says well she needs to take her meds and then starts pushing for a decision again.
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Is it possible that she has delirium that is often caused just by being in the hospital? Maybe the doc wants to get the stents in to make mom more mentally comfortable.

You could always insist on a nursing home, she needs more care than can be provided at home. And REFUSE to take her home.
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Sat2018 Jun 2022
Even when home she refuses to accept her diagnosis, won't let home health in, won't take meds, swore the last hospital transferred her to rehab in a train instead of an ambulance, calls me all through the night because she thinks it's daytime etc. This is not just hospital delirium. She does not live with me. I live in another state, and all attempts to get her to move closer were rejected.

As far as the cardiologist he doesn't want to hear anything I say about her dementia, just keeps repeating that medicine alone isn't working so a decision needs to be made and the stents might improve heart function enough to keep her out of the hospital longer.
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Re the Cardio Dr:
"pushy and wants me to give him a quick yes rather than give me time to make a decision which is in my mother's best interest, not his".

Wait. This IS reasonable. Wait until there is more stability, or at least until you get more facts & you have time to make a considered decision.

Your Mother has many health issues. The Dr is talking heart stent surgery here. Not treating a chest infection or UTI (sure start the usual anti until we get the labs back & swap to another anti if req'd).

Re: nursing home:
"rather lay in the floor and die" than go to a nursing home or assisted living.

If this is what she has ALWAYS said, consider the bases of it - she values 'independance' & 'quality of life' over 'longevity'.

However, if this is NEW, I'd guess it is probably fear based. (We all can be fearful of the unknown).

Trust your gut instinct. To act as your known Mother (pre-confused) would want. 🤗
You are doing wonderfully at being her avocate.
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Sat2018 Jun 2022
Thank you. I've been up all night just a mess over this. I only want to do the right thing for her, even if she can no longer understand that.
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Wait until tomorrow. Chances are she won't remember any of it.
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I expect the cardiologist believes that the stents would improve your mother's heart function and thereby improve the blood supply to her brain. You may find the surgery results in a significant improvement in her mental condition, as well as preventing her recurrent trips to hospital.

I think you're going to find it difficult to make a complaint about breach of confidentiality when the person who overheard the conversation was the patient. The doctor's duty of care in this is to his patient, not to you.

I'm puzzled, though - if your mother is already seeing a psychiatrist and has been co-operating with those consultations, how can she have been unaware that there are concerns about her mental health?

Are you sure it isn't your hesitation over the stents that she sees as a betrayal?

The other question I have is about your status as decision-maker. Given that the doctor needs your consent to proceed with surgery, I take from that that you have MPOA, yes? In which case, no matter how upset with you she is for the moment, your mother can't actually refuse to have anything to do with you because you will still be the decision-maker; so like it or not she will be safe in your hands in that respect. Only, not speaking to you :(

What do you want to do next? Have you contacted the psychiatrist?
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Sat2018 Jun 2022
She is seeing the hospital psychiatrist. They had to call them in when she lost it, fought the nurses and ran into the hallway swinging a metal rod. She thinks everyone is out to get her and are conspiring to make her look crazy, there is "nothing wrong" with her mind. They eavesdrop on her, spy on her and make up stories.

When I tried to talk to her about it on a more alert day after her first hospitalization she first tried to deny what I was saying, and then claimed she was being drugged if she did act that way.

I have requested to speak to the hospital psychiatrist treating her. I want to know if there is any chance of improvement via medication or if there would be a chance improving heart function would help.

Problem is unless she is deemed unsafe to live alone and made to go into some type of assisted living situation she will insist on going home which is a disaster waiting to happen. And now that I have been lumped in with the enemy she will refuse my help as well.
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Your mom needs her psychiatrist to prescribe calming medication ASAP. Her mental state is highly agitated and she needs to be calmed down right away b/c her delusions are getting very bad very quickly! DO speak to this psychiatrist right away to get his take on this stent surgery, also. She is certainly in no condition to have surgery right now!

The surgery is up to mom; does she want it? I agree with you that extending her life at this point seems inhumane. But what does SHE want to do? Is she capable of even making a decision in this state of mind?

I'm sure she will stop 'hating on you' in short order because her dementia will make her forget you're The Bad Guy. My mother with advanced dementia was always angry with me (an only child too) for one reason or another, but would quickly forget why in short order.

I agree the cardiologist was out of line doing what he did, morally; I don't know about 'legally' but that's water under the bridge now. I would be furious with him myself, though. He caused an escalation in a situation for no good reason, really.
You have your mother's best interest in mind, and extending her life with advanced CHF and dementia at play makes little to no sense.

I'd get the psychiatrist's input, a request for calming meds, and go from there. If I was in your shoes, and reading what you added on in the last comment you made, I'd get mom on hospice, nix the stents, and let her pass peacefully with hospice. This is a no win situation for her, and life extending measures would be inhumane!!!!! The best way to keep her OUT of the hospital is to get her on hospice in a hospice house. If you have medical POA for her, you can make that decision since she has dementia going on.

Wishing you the best of luck with a tough situation.
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Sat2018 Jun 2022
Thanks. I just keep telling myself that even though she feels betrayed I know I am trying my best to do right by her even if she can't see it anymore.
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1. Do you have other mental health concerns about your mom ASIDE from dementia?

2. Is this behavior (agitation, aggression, paranoia) usual for her or is this "new"?

3. Has she been tested for a UTI? These can cause psychiatric behaviors.

4. Has she been seen by psychiatry in the hospital?

5. Are you seeking hospice services or palliative care?

6. Does MOM want the stent surgery? Unless she has been declared incompetent by her physicians to make these decisions, the choice is hers. You, of course, are not obliged to care for her, either while she recovers or afterwards.

7. What are the risks of the surgery?

8. Why do you think the doc is trying to "get rid of her"? It seems like by treating, her, he is trying to extend her life. Unless she is on hospice, or palliative care, that is the doctor's obligation, to treat her and extend her life.
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lealonnie1 Jun 2022
The OP said the cardiologist is 'trying to get her out of the hospital as quickly as possible and keep her from coming back.' She said nothing about him 'trying to get rid of her.'
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Happened while I was in the hospital. I had a roommate and the doctor called his wife while in the room. I heard everything, and he heard when a different doctor talked to me as well as when I went to have a test done.
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Sat2018 Jun 2022
I'm sure it happens, but when you have a patient with dementia who is in denial that they have dementia these conversations should not happen in front of them. It only agitates the patient and causes issues like this one where she has now basically disowned me and thinks I've betrayed her.
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Do you have have a release of information or are you her medical agent?
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Sat2018 Jun 2022
I have her medical advance directive. So I'm authorized to make decisions if she is unable to.
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Problem is my mother believes she is of sound mind, but also believes she is being held hostage at the hospital and everyone is in on a conspiracy to make her look crazy. Yesterday she thought it was the 1700's, and last time they tried to take her for a procedure she fought the nurses and ran out in the hallway brandishing a metal rod and hospital security had to be called. You cannot have a rational conversation with her, and at this point she won't listen to anything I have to say because she thinks I betrayed her. I'm furious that the doctor did not inform me we were having this conversation in front of her.
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Cover999 Jun 2022
Lol that was probably something to see
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