Anesthesia, Resuscitation, and ICU: Q&A
in Health ·
Hi everyone.
My grandmother (91 years old) had a fall and broke her hip. On the first day after surgery, she was mentally doing great—she was totally with us, energetically explaining exactly how the fall happened, etc. It got to the point where we were joking at home that she felt "refreshed." She’s always been a very lucid, wise, and intuitive woman, though as people get older, they tend to drift off a bit into deep thoughts about the past (like she’s doing a full life review, wondering if 🙂 ). If she missed a connection in conversation, it was basically just because her hearing is a bit weak (even on the first day post-op, she "heard" something wrong while the nurses were talking)...
However, by the third day after surgery, she started having some strange ideas... she woke up convinced that someone she knew had passed away and that she had somehow received a liter of blood, among other things...
Today (the fourth day), my family says she was completely nonsensical, spinning made-up and disconnected scenarios.
I know postoperative delirium is a side effect in elderly patients, I know she's quite advanced in age, and I know there are cases where this becomes permanent and practically leads to death, but what I don't understand—how could she be so sharp for two days only to suddenly go off the rails today?
I'd be so grateful for any insight. I tried searching the depths of the internet, but the articles are all so vague, and the professional papers are packed with dense medical jargon that is totally foreign to me since I work in a technical field.🙂
My grandmother (91 years old) had a fall and broke her hip. On the first day after surgery, she was mentally doing great—she was totally with us, energetically explaining exactly how the fall happened, etc. It got to the point where we were joking at home that she felt "refreshed." She’s always been a very lucid, wise, and intuitive woman, though as people get older, they tend to drift off a bit into deep thoughts about the past (like she’s doing a full life review, wondering if 🙂 ). If she missed a connection in conversation, it was basically just because her hearing is a bit weak (even on the first day post-op, she "heard" something wrong while the nurses were talking)...
However, by the third day after surgery, she started having some strange ideas... she woke up convinced that someone she knew had passed away and that she had somehow received a liter of blood, among other things...
Today (the fourth day), my family says she was completely nonsensical, spinning made-up and disconnected scenarios.
I know postoperative delirium is a side effect in elderly patients, I know she's quite advanced in age, and I know there are cases where this becomes permanent and practically leads to death, but what I don't understand—how could she be so sharp for two days only to suddenly go off the rails today?
I'd be so grateful for any insight. I tried searching the depths of the internet, but the articles are all so vague, and the professional papers are packed with dense medical jargon that is totally foreign to me since I work in a technical field.🙂