Discussion
Recently a family member was very sick and has spent 12 weeks in hospital, he has gotten fed up with being in hospital and, depsite protests by his wife, decided he wants to come home.
His wife needs to be at work, long hours, long commute etc. But he is still so weak he cant get up to toilet/shower etc and still has drains in
He is s stubborn bugger, but we cant get through to him that hospital is the best place until he has recovered sufficiently to care for himself.
So, my question is, should he be at home, what kind of care can be arranged for him? Private or NHS and where to look to arrange this? (Hampshire area)
I'm seeing them tomorrow to suss out whats going on properly. I assume they have a community nurse arrnaged at least.
Any help very much appreciated. (just telling him to stay in hosp isn't going to work)
Thank you
His wife needs to be at work, long hours, long commute etc. But he is still so weak he cant get up to toilet/shower etc and still has drains in
He is s stubborn bugger, but we cant get through to him that hospital is the best place until he has recovered sufficiently to care for himself.
So, my question is, should he be at home, what kind of care can be arranged for him? Private or NHS and where to look to arrange this? (Hampshire area)
I'm seeing them tomorrow to suss out whats going on properly. I assume they have a community nurse arrnaged at least.
Any help very much appreciated. (just telling him to stay in hosp isn't going to work)
Thank you
Hampshire have a rapid response team that will put in care for 6 weeks post discharge whilst other care is arranged. I'm guessing this wasn't sorted as he effectively self discharged.
As said above, I'm guessing the district nurses are involved. They should be able to instigate this for you, if not then gp and social services.
As said above, I'm guessing the district nurses are involved. They should be able to instigate this for you, if not then gp and social services.
Thanks everyone, I'll ask if the rapid response has been arranged, he's only in his 40's.
My Mum works for SS (oop North) and I was planning to call her tonight and pick her brains.
Basically he had a blockage/stone form in his pancreas which necrosed, sent him into sepsis. He has been very seriously ill and has a long recovery ahead.
His dietary needs will change forever and "inside" has been eating chocolate/icecream and god knows what else, so he is now very underweight.
He'll need physio and dietary counselling.
I'm frustrated because he's a very difficult patient
basically he is going to discharge himself, if he hasn't already. Silly man.
My Mum works for SS (oop North) and I was planning to call her tonight and pick her brains.
Basically he had a blockage/stone form in his pancreas which necrosed, sent him into sepsis. He has been very seriously ill and has a long recovery ahead.
His dietary needs will change forever and "inside" has been eating chocolate/icecream and god knows what else, so he is now very underweight.
He'll need physio and dietary counselling.
I'm frustrated because he's a very difficult patient
basically he is going to discharge himself, if he hasn't already. Silly man. I'm certain you'll find private care but may take some ringing around. If you look here
http://www3.hants.gov.uk/adult-services/care-servi...
you might find some helpful advice
http://www3.hants.gov.uk/adult-services/care-servi...
you might find some helpful advice
K77 CTR said:
Rach, good luck with everything. My only concern is his age, as he's under 60 and not disabled/ learning difficulties I think you might struggle to get care put in. I think you are going to come up against some hurdles within the NHS, I hope I'm wrong and that everything works out.
This sounds right, it's a shame it isn't the hospital trying to free up a bed by discharging him.Private care will probably be available, but will cost.
Rach* said:
My Mum works for SS (oop North) and I was planning to call her tonight and pick her brains.
What did your Mum say?I've dealt with this for a couple of elderly people and the drill for them is that the hospital social worker does an assessment, a care plan is devised and put in place and then the person is turfed out.
However in those cases there is always a great urgency to get the person out of the bed. These days, if someone is being kept in hospital then the hospital must regard that as essential. I would guess that discharging yourself against medical advice would go down too well with social services who would be taking over the "duty of care" aspect and they might be extremely reluctant to get involved.
Also, social sevices will only fund care if the person has limited income and savings. So it may well be that the person in the OP would have to pay for care anyway. Medical / nursing care should be provided free, but again the self-discharge may mean the authorities don't want to get involved in that.
I know it doesn't help but I know where he's coming from!! Briefly, I got septicemia from a Hickman line while I was having chemo, which had me in hospital for 3 weeks. I was discharged early when they found an oral antibiotic they thought would be effective rather than the intravenous they preferred, and it was basically cos I was such a nuisance - I HATED being in hospital - I suffer badly with clinical depression and being stuck there without my support (husband) under constant threat by the nurses of being moved out of my room into a ward ( I can't work in an office because of peopel so a ward was going to crucify me mentally).
About 2 weeks after discharge the septicemai hadn't cleared and caused an abcess on my gall bladder which exploded so anothe remergency admission, this time I lasted 10 days before same scenario, and then about 2 weeks after that the sepsis returned so another 2 week stay, this time cancelling a holiday I'd arranged for between chemo and radiotherapy.
It could be argued if I hadn't insisted on early discharges the other things may not have happened but at least I was happy in my own bed inbetween times. Occuptaional therapy can provide things like bed lifts and raised loo seat/ shower seats et al - but if he's as bolshy as me which he sonds to be you'll be amazed what he can do - I vaguely recall showering myself in hospital cos I didn't want to be washed - standing there yabbering at myself running a temperature of 104.6 under the shower - but I did it against all odds!!
More power to his elbow!!
About 2 weeks after discharge the septicemai hadn't cleared and caused an abcess on my gall bladder which exploded so anothe remergency admission, this time I lasted 10 days before same scenario, and then about 2 weeks after that the sepsis returned so another 2 week stay, this time cancelling a holiday I'd arranged for between chemo and radiotherapy.
It could be argued if I hadn't insisted on early discharges the other things may not have happened but at least I was happy in my own bed inbetween times. Occuptaional therapy can provide things like bed lifts and raised loo seat/ shower seats et al - but if he's as bolshy as me which he sonds to be you'll be amazed what he can do - I vaguely recall showering myself in hospital cos I didn't want to be washed - standing there yabbering at myself running a temperature of 104.6 under the shower - but I did it against all odds!!
More power to his elbow!!
Thanks everyone, you sound like peas in a pod BroomyLady 
I went to visit at home yesterday, there were concerns about his mouth after being in a coma, high dependency and the massive amount of antibiotics.
They have in place daily physio and the district nurse if needed. He can only manage a few steps before being utterly exhausted.
One of our regular posters gave me some excellent ideas for home help and devices which I passed on.
Mentally he is much happier at home and not he'll be eating properly should be getting stronger quicker.
The people in the beds beside him sound delightful
Thank you for all your kind messages and fantastic advice
P.s Deva, yes, social won't be a huge amount of help because they are ok financially and he is so young. But we'll see this week.
I went to visit at home yesterday, there were concerns about his mouth after being in a coma, high dependency and the massive amount of antibiotics.
They have in place daily physio and the district nurse if needed. He can only manage a few steps before being utterly exhausted.
One of our regular posters gave me some excellent ideas for home help and devices which I passed on.
Mentally he is much happier at home and not he'll be eating properly should be getting stronger quicker.
The people in the beds beside him sound delightful
Thank you for all your kind messages and fantastic advice
P.s Deva, yes, social won't be a huge amount of help because they are ok financially and he is so young. But we'll see this week.
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