Post hospital discharge care?
Discussion
Last Thursday my father in law a 70 year old who lives on his own has broke his leg (fib and tib) and dislocated his ankle in a fall whilst walking his dog.
He had the leg pinned on Friday and has been in hospital since and is keen to get home.
He has been told that he can't put any weight on his leg at all for 6/8 weeks
Obviously we would have him come and stay with us but he's a private sort of bloke and would rather go home which I can understand.
The physios are saying that he can't go home if there's no one to look after him and we're his closest relatives and about an hour away.
At the moment I'm telling him to stay put and play the dodgery old OAP who can't fend for himself which tbh having seen it takes 2 people to help him move from the chair next to the bed back in to bed isn't too far from the truth at the moment.
So, I'm just wondering if anyone has any experience of what health trusts can do in situations like this with carers and who has to pay for them.
He had the leg pinned on Friday and has been in hospital since and is keen to get home.
He has been told that he can't put any weight on his leg at all for 6/8 weeks
Obviously we would have him come and stay with us but he's a private sort of bloke and would rather go home which I can understand.
The physios are saying that he can't go home if there's no one to look after him and we're his closest relatives and about an hour away.
At the moment I'm telling him to stay put and play the dodgery old OAP who can't fend for himself which tbh having seen it takes 2 people to help him move from the chair next to the bed back in to bed isn't too far from the truth at the moment.
So, I'm just wondering if anyone has any experience of what health trusts can do in situations like this with carers and who has to pay for them.
STAR team (Short Term Assessment and Rehab) or Reablement - they have different names all over but do essentially the same job - will provide care here. Social services rather than medics sort this stuff out. A delayed discharge for social care reasons will get the local authority a fairly steep fine which they'll be keen to avoid. They may want him to contribute financially to it, and indeed he may want to if he wants more pairs of hands around than what is offered (which, sadly, may be seriously minimal).
He'll get more mobile pretty quickly as he adjusts to cast/crutches/starts mending etc - he'll not be a "two person transfer" for long, I s'pect.
Wishing him a very fast recovery indeed.
He'll get more mobile pretty quickly as he adjusts to cast/crutches/starts mending etc - he'll not be a "two person transfer" for long, I s'pect.
Wishing him a very fast recovery indeed.
Not exactly the same but a similar situation for me.
I broke the neck of my femur two weeks ago, 3 pins holding together but the physios discharged me the minute I could tackle the stairs using crutches - 3 days post op!
Luckily (or unluckily) my wife is on maternity leave with our four week old boy - yeh great timing there! Otherwise I'd be stuffed, yes I can hobble around on my crutches but I can't carry anything, bend down, shower etc and no weight bearing on it until my 6 week follow up appointment.
End of last week I had a referral from the physio clinic so at least I begin that next Monday but I'm still looking at being house bound for some time.
Whilst in hospital I also had a few visits from the health therapists who were keen to find out what care I would have in place at home, height of chairs, beds and loos etc. They provided me with a raised toilet seat which has helped but other than thst nothing else as the wife is at home.
I'd imagine there should be something similar in place for your Dad's care but really it sounds like a few weeks in a care home may be best as it sounds like he'll be struggling with even the most basic of tasks.
Hope he recovers well.
I broke the neck of my femur two weeks ago, 3 pins holding together but the physios discharged me the minute I could tackle the stairs using crutches - 3 days post op!
Luckily (or unluckily) my wife is on maternity leave with our four week old boy - yeh great timing there! Otherwise I'd be stuffed, yes I can hobble around on my crutches but I can't carry anything, bend down, shower etc and no weight bearing on it until my 6 week follow up appointment.
End of last week I had a referral from the physio clinic so at least I begin that next Monday but I'm still looking at being house bound for some time.
Whilst in hospital I also had a few visits from the health therapists who were keen to find out what care I would have in place at home, height of chairs, beds and loos etc. They provided me with a raised toilet seat which has helped but other than thst nothing else as the wife is at home.
I'd imagine there should be something similar in place for your Dad's care but really it sounds like a few weeks in a care home may be best as it sounds like he'll be struggling with even the most basic of tasks.
Hope he recovers well.
littlegreenfairy said:
Here you have to speak to the GP to get continuing care within the community. I have to admit I've always had to nag to get help for patients but it is very much down to the area you are in.
nothing to do with continuing care as it;s a short term need and predominately social care / therapy rather than complex care the needs here is intermediate care
littlegreenfairy said:
mph1977 said:
nothing to do with continuing care as it;s a short term need and predominately social care / therapy rather than complex care
the needs here is intermediate care
Apologies for getting the terms wrong. I meant it as help at home. the needs here is intermediate care
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