Staff from my wife's care home called to say that she had a fall in the early hours. She has a lump on her head, which has been getting bigger. She is not lifting her head. How serious this might be I don't know. The visiting nurse advised ringing 111. They advised calling an emergency ambulance. We are now waiting for that to arrive - me at home - and to get advice from the paramedics.
At my request her care plan is for care at 'home' (ie her care home), where possible. Until I know what is wrong it is difficult to decide what to do next. Hospital would not be a good environment for her and I have a strong presumption against this.
In this situation, it doesn't seem wrong to hope that it is either something minor or sufficiently serious to dissuade medics from carrying out procedures that needlessly prolong her life. Something in-between that is 'fixable' but leads to trauma and more confusion would be the worst outcome. Fixing injury but further diminishing her already diminished life so Alzheimer's can take over again would seem heartless.
Ensuring that she is comfortable and in a familiar environment with staff who know and care about her is what I would wish for. But it may be out of my hands.
At my request her care plan is for care at 'home' (ie her care home), where possible. Until I know what is wrong it is difficult to decide what to do next. Hospital would not be a good environment for her and I have a strong presumption against this.
In this situation, it doesn't seem wrong to hope that it is either something minor or sufficiently serious to dissuade medics from carrying out procedures that needlessly prolong her life. Something in-between that is 'fixable' but leads to trauma and more confusion would be the worst outcome. Fixing injury but further diminishing her already diminished life so Alzheimer's can take over again would seem heartless.
Ensuring that she is comfortable and in a familiar environment with staff who know and care about her is what I would wish for. But it may be out of my hands.