My Mom has been a resident in a nursing home since March. Today the head nurse caring for my Mom called me to update me on how my Mom was doing. She told me that an infectious disease doctor was called in to run some tests on my Mom as she’s had an infection in her stool for more then 2 weeks now. She’s been quarantined and on antibiotics when she was first diagnosed with this infection. Since it’s been 2 weeks an infectious disease doctor had to be called in to run further testing. Another thing the nurse told me was that my Mom is considered a code patient. She wanted to know if my Mom has ever spoken to me about this. I was a bit confused because the nurse went from your Mom is doing well considering her other medical issues to my Mom is a code patient. Can someone please help me understand this? I’d appreciate any information anyone can give me. Thank you in advance.
If your mom does not have a DNR or POLST I strongly urge you to get one and if she is aware go over it with her and if she wishes sign the document.
Chest compression's WILL break ribs and most likely the sternum this will be very painful, if she survives and the recovery is difficult.
CPR works great on TV and on healthy younger people (frail bones and CPR do not mix)
If your mom is not cognizant it would be up to you or the person that is her Health Care Advocate.
And the DNR or POLST should go with her everywhere she goes. If something happened while she was out and 911 is called without the document present they still must do all that they can do.
A NO CODE BLUE order may also be called DNR or "Do not resuscitate" order, meaning do not try to bring my Mom back if she dies. Generally these orders are asked for by ANY hospital or nursing facility on entry. They all, today, no matter the condition want to know who will make decisions for you if you cannot, and whether or not you are a DNR.
This is something to discuss with your mom as well as her doctor. And if she is cognizant this is a decision she can make.
edit...I just saw another post and you state your mom is in her 90’s. Given that I stand by the suggestion that she have a DNR or POLST.
Does your mom have her mental capacity? If yes, this is solely her decision. If no, it is something that you should research and decide if you want her to go through the "treatment" of full code.
Is her infection C-diff? That is tremendously hard to clear up and the antibiotics are brutal on frail systems.
I think taking her future quality of life into consideration is very important when deciding whether to resuscitate or not.
Best of luck making the decision, it is soooooo difficult to have to make for another.
And if she is as you say of sound mind then it is her decision to sign or not either document.
She should know though that signed or not most likely she will die when it comes to a point in time when she needs CPR or other "life saving measure"
My Husband was much like your mom he never wanted to discuss what he wanted. And this was LONG before he was diagnosed with Alzheimer's I would kid about it when we first met and he would just say..I don't want to talk about it and that would end the (one sided) discussion. Luckily his sister mentioned to me one day what he had told her, he wanted to be buried next to his mom. DONE!
You can not do any more for her than what she wants done. So you have done the best you can do try not to let it drive you to distraction.
A nurse had that conversation with me when my grandfather was dying in a hospital in 1983! That was before people routinely had a directive, and my step-grandmother hadn't even thought he would die (even at 88 years old). The nurse took me aside and told me that in the absence of any other instructions he was a code patient, and if he started to die, they'd have to do CPR on him and would likely break his ribs.
I was horrified and talked to my grandmother immediately. It was very difficult for her to make that decision so quickly, but thank goodness we did, because he died peacefully an hour later.
Hopefully, hopefully the specialist can get this under control. I would talk to them about adding probiotics to the meds. The c-diff antibiotics are brutal on the gut and can make her feel worse than the infection. Adding a good probiotic can help her feel better.
I have to say that you are really blessed that your mom was independent enough to keep on keeping on. She is of an age where not much is going to help what ails her, so sucking it up and depending on her faith is actually an awesome testimony. Believe me when I say that it is far better than hearing every little thing that is going on as though the next breath could be their last.
Can I recommend sending her a card every couple of days that has scriptural verses in them. That should help her calm down a bit.
My heart goes out to you for the suddenness of all this. It can't be easy for any of you. Great big warm hug!🤗
Praise The Lord for saving your life!