They want me to put her in a Psch hospital to get her meds under control but I am afraid if I do this she will not get back into SNH becasue they only hold bed for 14 days and then you have to pay and she can't afford that. They crush up her meds and put in drink or pudding and she can taste it and won't take them and she won't swallow them. She yells and screams for hours they tell me and disrupts other patients. I am at my wits end to find a solution. I am her only living relative and don't know what to do.
Her cognitive function may improve some after the UTI is better.
Also, there is no other solution than to try to make her accept meds -- whatever it takes. My cousin (68 at the time) has early onset ALZ. She got a UTI and wouldn't take the antibiotics. Her son had to physically hold her while someone took them to the ER (she was clawing and fighting him). She ended up staying in the psych ward for several weeks but eventually took the antibiotics, cleared the UTI and was also put on meds for depression/anxiety.
If your sister doesn't go to the psych ward and at least get her UTI under control she will 100% have some other bigger problem, like sepsis, which can be life-threatening and for which she will need to be hospitalized anyway.
Are you your sister's PoA? If not and she doesn't have one, then she should be taken to the ER where you will go with her and ask for a social worker to talk about court-assigned guardianship. A guardian will manage her affairs financial and otherwise, and apply for Medicaid for her, etc. You will then not have to stress over her care and can just have your time together with her. If she doesn't have a PoA and you don't wish to become her guardian, then this is really the only other option.
Yes, she may lose her place in line for a bed. I can't imagine that there is a choice here.
With my Mom, they catherized her to get all the urine out of her bladder. The problem with older women, their bladder does not fully void. She was on IV antibiotics for 2 or 3 days. Then, she was placed on probiotics and cranberry tablets to help deter an occurance of a UTI. She lived about a year after this and did not have another UTI.
I don't understand a Psyhic hospital if the UTI has not been properly addressed. To me, if the UTI is not being cleared up by using pills, then they send her to a reg hospital. You have a right to demand this. You have a right to call 911 to take her but then may lose the bed. This is life and death. Sister can becone septic and that could kill her.