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caw249 Asked August 2023

My husband fell and broke his knee. They found blood clots in his lungs and can't operate until we deal with the clots.

He was transferred to a skilled nursing and rehab for PT so he can learn to use a walker and just wait bearing on one leg. Problem: he was fully aware and functional until he went into the Skilled Nursing Unit. It's been a week and he is completely confused. Doesn't know where he is. I spoken to the staff but they have no suggestions. They offer no help. My family doc says could be delirium due to the change, but is no help as she does not go to the rehab facility. Has anyone else experienced this. Any suggestions as to what I should do.

ventingisback Aug 2023
Please check they’re not over-drugging him. That can also cause mental confusion. But if they are over-drugging, they’re unlikely to ever admit it.
ventingisback Aug 2023
Blood clots in lungs can be very serious. I hope your husband will be OK: knee, blood clots, mentally.

I hope you will be OK, OP.

(((HUG)))

(Ventingisback)
Geaton777 Aug 2023
Your wrote in your profile that your husband "is 73 years old, living at home with age-related decline, alzheimer's / dementia, and mobility problems."

Cwillie suggested to check for stroke (which might have caused his fall and may be connected to the clots in his lungs) and I agree.

Does he have a medical diagnosis of dementia?

Have they ruled out a UTI (was he catheterized)? I'm assuming they discounted pneumonia, so he's getting enough oxygen presumably. Also discount dehydration (is someone with him to make sure he is drinking and eating enough)? Does he have an IV in, can he keep one in? Could it be any meds he has been given that he's having a reaction to? Sometimes certain antibiotics don't play well with seniors. You will need to push the staff to work through possible other causes for his delirium. I wish you success in getting an accurate diagnosis and best care for him. Also, take care of yourself!

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BarbBrooklyn Aug 2023
Start by getting him tested for a Urinary Tract Infection --these can cause all kinds of psychiatric-looking symptoms.

You might consider having him re-admitted to the hospital to find out what else might be going on-stroke is one possibility.

cwillie Aug 2023
Has he had a CT scan to rule out stroke?

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