Who looks after an infirm patient?
Who looks after an infirm patient?
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Furbo

Original Poster:

3,895 posts

59 months

Saturday
quotequote all
My elderly stepmother is unwell. The medics think it is her heart, but they ve just found a urinary infection which may be to blame.

A month ago, she could walk a mile with shopping. In the last week she has become unable to walk, dress or feed herself.

Yesterday, some sort of acute response carer visited, did little and said, I will come for five days, after that you have to pay for a carer .

It appears that she should be in a hospital, but the NHS is trying to keep her at home, despite her being unable to look after herself.

This seems odd to me. Long-term care for chronic health issues I can understand, perhaps. But this appears to be an acute condition and I would have thought the NHS should be dealing with it. But I must confess to knowing little about these things.

Anyone know about this?

Nicetobenice

1,080 posts

5 months

Saturday
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It's extremely difficult to get ongoing care in this situation.

If you think she should be in hospital then you will probably have to take her to a&e.


Furbo

Original Poster:

3,895 posts

59 months

Saturday
quotequote all
Ongoing suggests long-term. Which I might expect not to be paid for, if she has savings. But an acute condition that they are supposed to be resolving?


Doesitdrive

1,501 posts

8 months

Saturday
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I have a friend, 90 years old, been a full time carer for his bedridden wife for 3 years.

They get 3 5 minute carer appointments daily, that is it.

Recently he was diagnosed with diabetes, 2 months after that a doctor came out, his legs were swollen. Weeping sores, did absolutely fk all.

Been in and out of hospital all week, may have heart issues too but the GP that visited did fk all.

Complaint going in, another consultant and the hospital appears to be backing the complaint, this Gzp should not be practicing, but I ain't holding my breath when push comes to shove.

Country is fked tbh.

Nicetobenice

1,080 posts

5 months

Saturday
quotequote all
Furbo said:
Ongoing suggests long-term. Which I might expect not to be paid for, if she has savings. But an acute condition that they are supposed to be resolving?
And you may well be correct.

Good luck with getting the argument resolved in the timeframe required - which is the issue at hand.

If she's in A&E she's there problem to solve. At home she has to solve the problem on her own.

You could escalate to the manager of the carer who came round as they will be following a procedure of sorts

It's an absolute nightmare and tbh the path of least resistance will be to pay yourself then you've got some control.


Actual

1,678 posts

133 months

Saturday
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The NHS, local authority, doctor, hospice all have roles to play but you won't know what services could be provided and who can coordinate until it is too late.

When my dad came out of hospital he had a week of visits from the Reablement Service (part of Adult Services) who were like district nurses.

We were then supposed to organise a carer to take over but this would be an impossible task for us considering our lack of experience and knowledge in such matters and the complete lack of available carers,

Adult Services stated that they would organise a carer... If we agree to enter into a contract with your care provider, you will be charged a one-off fee of £296 and then £6 per week thereafter to cover our administration costs.

This was stated as if we would never agree to paying these charges but considering a carer was going to cost around £1K per month or even £1K a week I immediately took them up on the offer.

Not surprisingly Adult Services with all their resources could not find or arrange a carer and so the Reablement Service continued.

During this time he was assessed for carer charges according to his income and these were reasonable.

As my dad deteriorated further a live in carer was arranged who would travel down from Manchester to his location at Southampton but they cancelled and he died later that day.

gr86_driver

142 posts

20 months

Saturday
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I think it's relatively common for UTI in older women to present as your stepmother's has. Assume she's been given antibiotics. Fingers crossed she will recover well and be back to her independent self.