Guest guest Posted April 29, 2008 Report Share Posted April 29, 2008 I talked to Dr. Holm this morning, the geriatrician Mother has only seen only twice. I asked him if Mother was in the dying process because yesterday she said she was dying, that she needed to go home, she needed to leave. Today she refused to take her meds and she is not eating or drinking a lot. He feels she is not in the dying process but has severe depression from the stroke she had 3 weeks ago. He did increase her Effexor last week but I have seen no improvements. He gave me some options because the director of the ALF and I were thinking about bringing in hospice. Dr. Holm said he wants to increase her anti-depressant again, put her on a feeding tube and IV for hydration. Another option which he said is very effective and brings patients out faster from their depression is electric shock therapy (EST). He also suggested sedation or bringing her in the hospital as an inpatient. I jumped at the inpatient option because Mother would be under his observation and he could see if she is making any improvements. I know Mother will not be happy about going to another facility but in the long run it is the best option for her since she is in an ALF with no nurses on staff. She probably won't be able to get in for another day or so but I am hopeful for her. Dr. Holm said that he is not playing God, and that the treatments will not prolong her life but his goal is to give her the best quality of life that she deserves. He thinks that she may have possibly had another stroke so he will check for that, too. He understands that Mother's PCP has given up on her so he has stepped in to help. What an answer to prayer!!!! Blessings, Eileen in MN Quote Link to comment Share on other sites More sharing options...
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