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Elderly parents

Beyond furious with hospital discharge

32 replies

TonTonMacoute · 12/05/2022 17:47

MIL has just been sent home from hospital after an operation and a period of recovery. We went over to settle her in, did shopping and so on. We spent a while putting all her meds into the dispenser had a cup of tea then left her, she was totally exhausted and couldn't wait to go up and have a sleep.

Within an hour she rang us to say she had fallen and couldn't get up, luckily we are very close by so DH is over there with her, waiting for an ambulance.

DH had been telling staff at both the hospitals she was in that she lived alone, has Alzheimer's and should not be discharged until an appropriate care package was in place.

They have completely ignored him. We checked her discharge paperwork and it states that they asked her if she wanted help at home and she said no - and they just took her at her word.

They clearly hadn't checked her notes, or it wasn't in her notes, that she lacks proper capacity to make decisions, during her hospital stay they had to put her under a Deprivation of Liberty Order for a time as she was being so difficult when they stopped her anti-psych medication.

DH has been telling them over and over and over again that there was a big risk sending her home they have ignored him and this has happened and I am just fuming about it. It was completely avoidable and now she's headed straight back to hospital again!

OP posts:
BlanketsBanned · 12/05/2022 19:57

TonTonMacoute · 12/05/2022 19:40

It happens all the time Blankets, it's so depressing.

I know, I have seen it from both a professional and personal view, this would be a failed discharge, you could get in touch with PALS to ensure this doesn't happen again, I hope she is ok.

TonTonMacoute · 12/05/2022 19:40

It happens all the time Blankets, it's so depressing.

OP posts:
BlanketsBanned · 12/05/2022 19:31

That is dreadful but the same happened to my relative, if she has not injured herself then maybe she could be discharged straight to a respite carehome.

TonTonMacoute · 12/05/2022 18:30

Sadly your MIL is not the first person who this has happened to and she won't be the last.

I know this only too well sadly. When you get to my age half of your friends are going through it all too Sad. I've got to the stage that, when a friend tells me a parent has just died I have to stop myself from saying 'Lucky you, and them!' at least they are spared this terrible treatment. It's truly worrying when you think how many thousands of elderly, and their families are all being treated in this way at the moment.

The ridiculous thing is she can afford to pay for care, instead she is going to be blocking up a hospital bed for goodness knows how long!

Thanks for the replies - just wanted to let off steam really before my head explodes with rage.

OP posts:
PermanentTemporary · 12/05/2022 18:07

Yeah mental capacity assessments are frequently done really badly but they don't have to be. I've seen them done well. Unfortunately if starting from the viewpoint of 'how can I get this patient off my caseload" the capacity assessment is likely to be flawed.

DPotter · 12/05/2022 18:03

Ah the solid concept of 'capacity'

Sadly your MIL is not the first person who this has happened to and she won't be the last. We were told by Social services that if someone can express an opinion then it has to be respected even if you, they and everyone else on the planet thinks it's totally wrong. Yes- there are exceptions but they are limited and rarely happen. You hear about it all the time - elderly relative is offered home support but declines as a) doesn't want it b) says my son / daughter will help me. Son / daughter lives 300 miles away

PermanentTemporary · 12/05/2022 17:51

That's absolutely shit. Sorry to say this but I would get a formal complaint off to PALS pronto. If there's a copy of the discharge letter around, copy in the doctor who signed it.

Key phrases: unsafe discharge; diagnosis of dementia; mental capacity assessment of ability to decide on discharge destination.