Mom spent the afternoon with Elizabeth, one of her favorite caregivers. Mom and Elizabeth color together and Elizabeth loves our cats. We are lucky, Mom's other favorite caregiver, Terri, loves our kitties too. Tonight, however, Mom is fussy. I think she's sundowning. I hate sundowning. Mom has been in excruciating pain from her osteoarthritis in her hip. You can hear her joints and tendons snapping when she moves. It's sounds so painful. She's never been one to complain; that's how I know that it's hurting her so badly. The doctor has prescribed Tylenol. It doesn't seem to make a dent in her pain. Even Melissa the PT commented on how much pain Mom seems to be in. She is going to try to figure out if there is anything we can do for the pain. Mom's orthopedic surgeon said that unless Mom has a hip replacement she will be wheelchair bound. I don't think she'd be able to go through the surgery let alone the rehabilitation period. When she had her other hip replaced she worked very hard at her rehab, but it was not easy. I still remember how she was up and moving around the day after her surgery. It was one of the few times that I have seen her crying in pain. I can't imagine putting her through that now, when she is so confused. I wonder if being in an ALF would help her improve her mobility or would it make it worse?