Hospital want to discharge 90 year old

Person_one

getmore4less wrote: »

Access the drug charts and learn to read them especialy if pain medication is in use, you have a right to see them.
(they are often at the end of the bed but some places try to keep them hidden)

No you don't. The patient does, but nobody else. Confidentiality.

getmore4less

LondonDiva wrote: »

Is your FIL competent? If the information he is giving the ward implies that he can cope with support or flatly states that he wants to go home, their hands may be tied as to the extent of support offered.In which case it will need to be about the support he and your MIL will need to cope.

This is why it is so important to be on the case to stop it, if it is inapropriate.

if pain medication is involved it can be extremly difficult to get this managed at home.

One thing to remember for someone that is approaching EOL especialy if they are of good mind(as many cancer patients are) is they may be scared of dieing alone so be seeking the comfort of home and family so make every effort to fullfill if you can.

getmore4less

Person_one wrote: »

No you don't. The patient does, but nobody else. Confidentiality.

Above was access to drug charts.

LPA/patient says ok, should be no problem for drug charts.
(been there done that, as they say)
if you want(and you do) to see them ask the patient if the hospital kicks off you can't.

One of the down sides of hospital for pain control is that self medication for pain is not always available as it is at home, asking takes time (buzz responce times) if on the case you can get try to get this resolved as ther ewill be records ro refer to.


full notes might need screening but that is different.


I was suprised by the number of errors we found during the time we monitored.

Mojisola

Person_one wrote: »

Its rather insulting to imply that the bolded is why elderly patients are cared for, even as a joke.

It wasn't a joke.

geoffky said that older people who were bed-blocking would be left unattended - and he's obviously seen some very poor care while in hospital.

Ward managers need to get people who no longer need nursing out of the hospital in order to meet targets. If there are older people on the ward because their outside care has not been organised, those people still need looking after.

If they were left without care, they would deteriorate and would then not be well enough to leave hospital so it's in the manager's interest to make sure they are cared for.

There are clearly several hospitals round the country where care is well below any acceptable standards but in these, no-one is getting proper care, not just elderly bed-blockers.

C_Mababejive

OP needs to get a MacMillan team on board to assist and to act as a buffer between OP and the hospital. He does need to leave hospital as they will likely kill him off in there. But he needs to go to another care facility. That doesnt mean a private nursing home run by some shark. Maybe he could go home for a while with the right support. That doesnt mean a care agency staffed by kids who drop by once a day.

madelaine

Before your Father in law is discharged, has he had a CHC assesment, if not, why not, google continuing healthcare, either England or Wales, whichever is appropriate, a proper discharge procedure must be carried out.

pollypenny

My 86 year old aunt broke her hip on a trip to Belgium.

The consultant said it would be no problem;

operate tomorrow, get her on her feet the next day, a few days with us and two weeks in a convalescent home.

That latter is the key and a crucial missing part of our hesalth service. We used to have convalescent homes, didn't we?

In fact she was taken to an English hospital by ambulance, where they couldn't wait to get rid of her, in spite of her living alone, with no family within 100 miles.