Hello Anna, well done on keeping your grand mother at home and not having to use a care home, I know this can be very difficult. I can only be honest with you and say sadly in my opinion that Pneumonia could be what brings about your grand mothers demise, it can be treated with antibiotics, maybe IV which would involve a hospitalisation for her. Some do recover. I also wonder if the doctors would want to activley treat her, due to her age and Alzheimer's. I'm so sorry if that sounds harsh but these days that is often the case. I wish you luck Anna and hope for a good outcome for you and your grandmother.
As previously shown in a number of studies, steroid treatment in different settings such as sepsis is not beneficial in all cases. The effect of steroids is probably multifactorial and depends on a variety of factors such as genetics, comorbidities, and the severity of the inflammatory response. However, as demonstrated in this case, steroid treatment may significantly reduce mortality in certain cases, yet our findings cannot be generalized to nonbacteremic pneumococcal pneumonia and prospective randomized trials are needed to determine which patients would benefit most from this treatment in both the adult and pediatric population.