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My mother fell about 5 weeks ago and went to the ER and they said nothing was broke and she was fine. They sent her home in pain with no meds because she refused them. The next day she was in extreme pain and her regular Dr. prescribed some pain meds. My mother couldn’t walk because of the pain and when she went back to her Dr. for a checkup about a week later they did an xray and found a fracture. Fast forward to last week and she suddenly became extremely confused and having hallucinations of people in her house, making messes, and taking over. I sent her to the ER by ambulance and after blood work and every scan they can do they said she was medically fine. They did start antibiotics the first day in case of a UTI, but the bloodwork came back normal, but 48 hours later there might have been something on the culture they said. Everyday the hallucinations got better until the fourth day when they released her and I took her home. It took a little bit to get her settled at home but then she was up cleaning because there was so much to do. My mother worked until she was 84 and is still very active and keeps a clean house. She does have macular degeneration so her eyesight isn’t the best. Saturday morning she called me at work twice because she could find her phone charger and seemed a little confused. A few hours later I went to check on her and she seemed basically fine. Had a normal conversation with me and my boyfriend and I said I would help her put her meds in her pill box since she has trouble seeing clearly. She was able to tell me how many of each pill she took a day, if she took them in the morning or evening, and could tell me what each one was for when I read the names to her. Sunday morning I get an early morning phone call that she had slipped off the bed and couldn’t get up. My brothers picked her up off the floor and she was a little confused but ok. She called me 15 minutes later hysterical that the people were back and she was locked in the house and her life was in danger. She then preceded to yell at people to get out of her bed. An ambulance took her back to the ER. She told them in the ER that she thought she was at the police station and then preceded to tell them she had been in jail all night. My mom hasn’t ever been to a jail in her life. They ran all the tests again and they say she’s fine. The nurse called and said it was probably dementia. Does it really happen that fast? Can there be some other explanation for the sudden hallucinations? She can go from totally clear headed to crazy in no time. Sorry for the ramble, but this is just coming out of left field and I’m stunned.

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Delerium.

Delerium is a state of worse-than-usual mental confusion, brought on by some type of unusual stress on the body or mind. It’s sometimes referred to as an “acute confusional state,” because it develops fairly quickly (e.g., over hours to days).

"The nurse called and said it was probably dementia".

Seems to be a gap in many hospital nurses educatuon on this. On dementia vs delerium.

"Does it really happen that fast?"

Dementia? No
Delerium? Yes

"Can there be some other explanation for the sudden hallucinations?"

Yes. DELERIUM.

https://www.healthdirect.gov.au/delirium

https://hms.harvard.edu/news-events/publications-archive/brain/delirium-dementia-brain

https://my.clevelandclinic.org/health/diseases/15252-delirium
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NeedHelpWithMom May 26, 2024
How common is delirium?
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Suz,

I am so sorry that your mom is having hallucinations. Sounds awful.

I have never had a UTI so, I don’t know how long it takes for antibiotics to work.

Did she test positive for a UTI. UTIs can cause unusual behavior.

Are you going to take your mom to a neurologist to see about dementia?

My godmother had macular degeneration. She also had Alzheimer’s disease.

Some medical journals report that macular degeneration may increase the risk for dementia. So can cataracts and eye issues that are associated with diabetes.
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I am not making a diagnosis or suggesting this is what's going on but for informational purposes, look up Charles Bonnet syndrome. My dad had macular degeneration as well.


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC437154/
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Adding to my earlier post.

What did the staff at the hospital recommend for your mom?
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Suz, my mom is also 88 in February she also hurt her back. Wouldn't go on pain meds the doctor told her to take Motrin and 3 hours later, Tylenol, that helped her a lot.
After a week of pain and X-rays, they diagnosed her with degenerative back. She got in house therapy, but I'll tell you her brain hasn't been the same since, she is getting more and more frail and making up stories, all she talks about is her childhood. No clue if her stories are true. Mom is not near in the mental shape your mom is, no hallucinations or anything.

My feeling is as my mom and yours that are moms had dementia before the pain and the pain just made it so much worse, and set them way back. Way back

Best of luck to you, this just really really sucks. I was up and down all night with worry. Having a few bad days myself. But now I have support from this forum it's easier to pick myself back up.

We are here for you , best of luck
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