Free Fallin'

Mom fell and suffered an acute subdural hematoma. There is also swelling at the front of her brain and a couple of other subdural hematoma's that appear to be a couple of weeks old. This seems to coincide with the onset of her increased agitated state. All very scary.

While in the Emergency room Mom experienced aphasia and was unable to communicate with or understand what was being said to her. I'm sure this was very scary and confusing for her, it certainly was for me. On the other hand, she didn't seem to have much awareness of being in the hospital and only seemed interested in going home. She kept taking the heart monitors, blood pressure cuff and even her hospital gown off and trying to get out of the bed to leave. Eventually, she had to be medicated to calm her down, but would try to fight through it after an hour or so. She definitely has a strong will.

I am not aware of any falls prior to her anxiety attack on 8/27, but she obviously hit her head twice - hard enough to cause significant injury. I do know that she hit her forehead on a shelf in the bathroom at the Psych Hospital on 8/31 because the staff called me and told me. It left a nickle size bruise that I saw when I visited her on 9/1.

The Neurosurgeon ordered another CT scan the morning after her fall. He adjusted the VP shunt back to where it was immediately after it was placed at surgery, then he will slowly readjust it again.

The day after her the fall she was calm in the morning and seemed to understand she was in the hospital, but became highly agitated in the afternoon and had to be restrained. She no longer understood she was in the hospital. Two days later, she was calm again, but doesn't have awareness of being in a medical hospital. I can't imagine how difficult it must be to try to determine any progress from this type of head injury when the patient is suffers from Alzheimer's and is often unable to tell you how old she is, what year it is and the like.

She is unable to look at me without begging me to take her home, and doesn't seem to be able to have any other conversation with me. :(

This turn of events does help to piece together all the changes in Mom's behavior over the past weeks. But what does it mean for the future? Will she heal, will her agitation abate over time? Will she need a wheelchair or walker - will she accept one?
The things I'm reading about this condition are very frightening.