Funding of adult care plan for an elderly person in receipt of benefits.

Spoonie_Turtle

AsifM068 said:

lisyloo said:

AsifM068 said:

diystarter7 said:

AsifM068 said:

diystarter7 said:

AsifM068 said:

elsien said:

I think you said that you had, but has your mum spoken to the GP  about the changes? Just to rule out any physical health triggers.

Mum is undergoing blood, urine tests and probable MRI scans for dementia. The district nurse asked me yesterday about mum's diet but nothing food wise has changed and I am limiting anything spicy etc - I think its just old age has lead to mum's poor bowel control but it's all very new to me so I'll just wait for the doc and nurses findings.  

Hi

Along with everything else that has been posted here and from you are now saying - has a continence assessment taken place? If not ask gp, her nurse to make one I'm not sure if one can self-refer. They will advise, help, recommend etc, etc.
I district nurse may have made the referral but ask. CN will develop a care plan to manage best as what they see and know as it stands. Again, its all with mums consent

Does mum have diabetes?

Good luck

Mum is borderline diabetic and her bowel issues have been referred to the incontinence team by our GP. The district nurse did mention yesterday that mum maybe entitled to free pull-ups as part of her prescription as mum and I currently self fund the pull ups and new bedding etc. 

Hi
Thnak you annd that is good re borderline, Being diabetic long term and diffuclt to mange etc leads to a massive of problems and that was what I was fearing but its not and thats great.

CN may be able to help with mattress protectors ask.

Re carers allowance, read up on the min hours you need to dedicate etc and decide what impacts these may have on your financial situation etc

About completing the carers allowance, if you need help, ask on MSE

As time goes on you guys may want to consider an alarm system andthese things often provided by the coucil after an assessment cann be a simple alarm pendant connected to the service that alerts who is needed via a pendant or wristwatch pendant to much more complex systems to monitor falls etc and if the customer has left the bed and not back in etc etc - send off for the info so you have it in the back of your mind - may cost or not as in the past there was a financial assessment element for this as well but could be different in different parts of the uk.

if mum has poor/limited  mobility outside and she does not already have a wheelchair for outside use, you could apply ask your DN about this

If you drive and take mum to appts, does mum  have a blue badge for mum as she could use that give to people that take her out in the car/etc.

Good luck


ps

https://www.gov.uk/carers-allowance

Thank you for this; I don't drive and rely on mum's niece for transport. Alarm / link line being explored whilst I type - thank you  friend.

Blue badge can still be used taking mum somewhere.

Mum's niece is a blue badge owner as her own elderly mother (92) is severely disabled.

Doesn't work like that.  Niece's mother has a Blue Badge, only niece's mother can use it.  Your mother should get her own to be sued used whenever she goes out anywhere.

xylophone

Your mother should get her own to be sued whenever she goes out anywhere.

Defeating the object?

AsifM068

Hi forum; some positive developments.

Not sure if I have made this clear previously but mum's problems stem from when she attempts to change her nappy for herself however this is something I have been doing myself in the AM and PM for the past two days without issue. The trick is to stop mum attempting to change her nappy as she has dementia and oftentimes will forget instructions almost instantly. To counter this, I have posted A4 size notices around mum's home that state that she is not to attempt any nappy changes by herself and to be fair, so far so good but it's only been two days so I am monitoring closely.

Today Adult Social Care contacted me for the first time to discuss our situation; now, if the only issue is mum's  incontinence  management and I can get on top of that through visual reminders for mom and with the help from bowel incontinent services (who also contacted me today to schedule an appointment for mum), I said to the social worker that I want to hold fire on a care assessment for the moment as all other aspects of mum's care is not an issue to me; this was deemed a sensible approach by the social worker on the understanding that I would contact Adult Social Care if mum regresses and I can't cope.

Thoughts please?

I have explained all of this mum this evening and she understands clearly the situation to date. Mum knows that I have struggled in the past two weeks to contain / manage her issues and that I am seeing the GP tomorrow for my mental health which I am already medicated for.

There's been talk of care home's and such; that may lay somewhere further down the line, I don't know, but for now, mum is staying put in her home, for that is our wish.

lisyloo

xylophone said:

As  the OP's mother is already suffering from dementia, it may be that care in a nursing home where assistance with personal needs will be easily available day and night will be required?

A high level of personal care does still not require a qualified nursing professional.
When my MIL went into a home she was borderline and first assessed as residential (later changed to nursing).
We were keen for her not to be moved as this is traumatic especially for someone with dementia.
If there happens to be a residential place in a mixed home then that's all well and good.
However my point still stand that the local authority will not pay for needs in excess of the assessment.
The assessment will deem what the needs are and the nursing part is funded by the NHS (FNC = funded nursing care).

lisyloo

xylophone said:

A live in carer is wonderful for the wealthy.

And even where it might be contemplated ( the  care home fees for the lady to whom I referred were well above average wage!)  the carer has to have holidays etc so needs cover but even beyond that and even with a hoist, it is difficult  for only one carer to cope.

Yes agree. Even if someone only needs assistance of one (rather than two) then one person cannot be available 24/7, that's impossible.
It's an expensive option - I'd say the preserve of the wealthy or perhaps those who don't have long to live or a critical health insurance policy.

lisyloo

"Things change within a second and people become very unwell and then make a recover to what they were before."

That's not my experience and that of anyone I've ever met.
more often than not elderly people do not fully recover and come back up to a lower level of health than they enjoyed before.
Happy to agree that experiences vary, but I've spoken to many experienced professionals on this subject.

lisyloo

"The comments about "wonderful for the wealthy" are hurtful and insulting to the many ordinary families that
pool their resources/money to employ a live-in carer as they love their parents."

I apologise if that upset anyone.
For clarity I was referring to paying for professional carers which I believe is more expensive than a care home due partially to the fact that one person cannot cover 24/7 but also the costs for insurance, travel, sickness cover etc.

I think the OP is doing a wonderful job and much more than many would.

I don't really see a reason to be upset because I've said professional live-in carers are expensive.

diystarter7

lisyloo said:

"The comments about "wonderful for the wealthy" are hurtful and insulting to the many ordinary families that
pool their resources/money to employ a live-in carer as they love their parents."

I apologise if that upset anyone.
For clarity I was referring to paying for professional carers which I believe is more expensive than a care home due partially to the fact that one person cannot cover 24/7 but also the costs for insurance, travel, sickness cover etc.

I think the OP is doing a wonderful job and much more than many would.

I don't really see a reason to be upset because I've said professional live-in carers are expensive.

Hello
Thank for coming back and being clear,
Even then, the people I met, they were certainly nowhere near "wealthy" but the exmaples I gave are ordianry people employing self employed, via agency carers and yes you need loads and loads of money to do that but from what I seen, wealthy they were not just loving, caring and worried and not wanting a parent to go in a home and keep them in their home for as long as possible

Thank you again, I understand what you were now trying to say.

OP has been helped to an extent and that is what counts.

Thnaks

diystarter7

lisyloo said:

"Things change within a second and people become very unwell and then make a recover to what they were before."

That's not my experience and that of anyone I've ever met.
more often than not elderly people do not fully recover and come back up to a lower level of health than they enjoyed before.
Happy to agree that experiences vary, but I've spoken to many experienced professionals on this subject.

Hi
Sorry, I was not clear, when I said a second, a bit longer than day, a good example in females, UTI or in seconds, severe vertigo exacerbating an already frail persons ability to self care/toilet, etc.

Thnaks