Well, I'm back again.
After all that, they decided that they didn't want to do a MDT evaluation after her carers said they'd be willing to take her back - personally I think they wanted the bed. Anyway, she came home (without her dentures) and with an enormous lump on the back of the head, and really bad depression. Tears all the time. Doctor put her on an anti epilepsy drug (after I pointed out she almost died from this seizure), plus an anti-depressant. The AD is working, but it will take some time to get the right dosage.
The primary result of this whole thing is that she's gone from the total oblivion of before about her condition, to an awareness of her lack of abilities, without, however, an understanding of why she is as she is (i.e. she's 89 and has had 3 strokes). Understandably this causes her to panic.
In a way, I'm glad she became depressed while I was there, otherwise I'd feel really guilty (well more guilty than I do already). As it stands, though, the terrible fear she's experiencing is not alleviated even when there is someone there. In fact, even when I was there (in the other room of her 1 bed flat) she twice tried phoning me in the US, because she forgot I was there.
Incidentally, while I was there, the doctor did another one of those mini mental state tests. It's very odd, but they don't show the problems that she has. Counting forwards, counting backward, spelling backward, even the remembering 3 things (she remembered 2) were fine. Yet, she can't remember where the bathroom is, or who takes care of her, or how to turn the TV on, or even, sometimes, that I'm her daughter. I'm sure this means there is a specific area of her brain that's damaged, compounded by her life long propensity to avoid thinking about things that are unpleasant.
All in all, she's like a lost depressed child, who doesn't understand what's happened to her. She says she wishes she was dead, and honestly, I can't help feeling that in some ways it was a pity that she had the seizure when there was someone there - from what I've been told, she would probably not have survived it. On the other hand, maybe she would, but with even more serious brain damage, so who knows.
I feel I need to at least try to make the attempt to work out the next stage of her care - she isn't far enough gone to make a dementia facility appropriate, yet much more of this and a care home won't be appropriate either. Financially, it's going to be a strain as well - we're currently paying almost $2000 a month for her to be in her own flat (but attached to a care home) - about 40% of which is coming from savings. I'm just not pleased with the available options though - too much or too little.
Jennifer