Mum visited the orthopaedic surgeon yesterday RE the shoulder she injured in a fall last August. The outcome wasn't very good, as the specialist said mum needs a shoulder replacement. He went on further to say that everything was against mum, her age (83) plus the risk factor in using anaesthetic and the possibility of the trauma worsening the dementia. His main concern also was mum's ability to be able to cope with the physio after the operation, which is crucial. Mum wasn't having a very good day, even though she was on her best behaviour she was quite vague to the point of been clueless at times. So this is the care plan, regular pain relief. The possibility of a cortisone injection which may or may not work and he seemed to think that more likely it wouldn't. Ideally he would like to give mum stronger pain relief but is hesitant because of the drowsy affect and greater chance of having a fall. Try to get mum to use a walking frame as she has started to shuffle at times. If any further injury occurs then the shoulder will have to be replaced he can't understand that mum never complained years back about her shoulder as the damage has been there for ages and the fall just worsened it. The care home is going to encourage mum to use a walker and this is going to be a very difficult task I thanked them and said, all you can do is try. Mum is passed been able to rationale, when I pointed out how the others managed so well and felt safe against falling, she said they were only acting for attention and that they should be on the stage. Mum has had two falls since the August fall and has no memory of this. We can only try, if I was a betting person I would put my money on mum not using the walker. Regards Taffy.