Feeling Discombobulated

On one recent visit to see Momma at BeeHive, I stopped to chat with one of her bevy of sweet caregivers. With a note of concern in her voice, her nurse informed me that they found mom sitting on the floor twice the day before, but weren’t sure whether she had fallen or if her story of being down there on purpose was the truth. I was neither surprised nor alarmed, as I know my mom’s ambulatory skills are precarious at best. Momma didn’t appear to have any injuries and they were able to help her get back into her wheelchair or bed.

I further learned Momma had not been cooperative this particular morning and had no interest in eating breakfast (a common theme) or coming out of her room. I expressed my thanks for the update then headed toward mom’s room to check on her. Expecting to find her awake and futzing around in her room, I found her lying on her disheveled looking bed and it appeared as though she had been crying. Her face lit up momentarily when she saw me, then the smile abruptly broke into a quivering lip, soon accompanied by a free-fall of tears. I sat on the edge of the bed and rubbed her legs, casually examining them for telltale bruising or other evidence of injury from her suspected falls. Momma lamented she didn’t feel right in her head – something was terribly wrong – that she felt discombobulated. Her right knee was her chief complaint in the pain department making it impossible for her to get out of bed. It did look a little puffy, but there was no bruising that I could discern.

Comforting her as best I could for a few minutes, I thought I should try to get her up and ready for joining her new friends (new every day) for lunch. When my attempts to get her out of bed for lunch failed, her resourceful CNA brought in her lunch, playfully waved the delicious aroma of chicken toward her and cheerfully convinced mom to sit on the edge of her bed and try a few bites. Success! Between bites, mom peppered me with questions about where she was, how she got here, when her parents were coming to get her, what was happening in her head, and other such concerns. I tried all the reassuring answers and diversion tactics I could muster.

When she had consumed about half of her lunch, she wanted to try to get out of bed again. I parked her wheelchair at the end of her bed and came alongside to assist her in standing. Pain prevented her from standing and pivoting to sit; rather, she skootched as close as she could to the wheelchair, then began sliding her bottom off of the bed and plopped onto the chair. All I could do was try to keep her from hitting the floor. Definitely NOT an approved transfer technique, but her unorthodox methods proved successful.

Using her feet to propel herself, Momma navigated herself to her window to watch the birds at the feeder. Pointing at a visiting woodpecker, she proffered, “That looks a little familiar, but everything looks so strange.”

Next, she baby-step shuffled her wheelchair to her nightstand and gazed at her nursing school graduation portrait. Carefully lifting her baby doll up off the bed, she sat her baby in her lap, pointed to the portrait, then whispered in Dolly’s ear, “That lady looks so familiar, but I can’t remember where I know her from. Do you know who she is? I can’t remember her name.”

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