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Elderly parents

Dad deteriorating in hospital - just want him home

56 replies

Bedbouncer · 12/06/2022 21:34

Dad is 86 and had a fall which broke his arm a week ago. He was putting the lawnmower away after mowing the lawn, which illustrates how well he was. He was also still driving and mentally very sharp. Since being in hospital he has deteriorated shockingly- he struggles to string a sentence together and is hallucinating, which I assume is the effect of the painkillers, but the staff - who appear pleasant enough- assume that's just how he is, and don't take him seriously. He also hasn't managed to walk since being admitted and is complaining that some of the staff are rough with him. He lives about half a mile from me with my 82 year old mum, who is also still very sharp, but wouldn't be able to manage him by herself physically as he is. The hospital suggested discharging him to 'a rehabilitation unit for intensive physio', but the potential places they have in mind look more like care homes to me. I would be happy to move in with my parents for a few weeks to help while he gets back on his feet. I think he just needs to get off the strong pain meds - there's nothing wrong with his legs! I work from home, very flexibly and can work anywhere. But am worried I might be biting off more than I can chew. Due to speak to his occupational therapist at the hospital tomorrow. Do I say we want him home, or go for the rehab/care home??

OP posts:
SolasAnla · 12/06/2022 21:49

You want him to remain where he is.

You need to sort out the hallucinations first if its the drugs he need to be offered alternative ones.

If his speech is pattern has changed have the hospital investigated if he had a stroke etc?

Is it possible he has a UTI and needs antibiotics?
and /or
Is not drinking sufficient amounts is the hospital monitoring his liquid intake and output?

Why has he "not managed to walk" ?

How is he getting to the toilet or being showered?

Can he do it all himself Are staff having to supervise or even take over?

At his age the risk of developing DVT ( blood clots) is mitigated by physical activity has he been put on any blood thinner (injection / tablet) ?

Only once you are sure that he is back to being near himself should you look at moving him from the hospital.

hatgirl · 12/06/2022 21:48

Hospital acquired/induced delirium is very common, and unfortunately for some reason some people recover completely and others just don't.

Rehab units generally are in care homes. They are great for people who need a stepping stone between hospital and home, they are less good for people who are already a bit confused.

Ask the discharge team if he is on a discharge to assess pathway. If he is then ask if this can be for rehab at home rather than a rehab unit if you are sure that you can support him at home (essentially someone must be able to support him during the night).

Make sure that if he does go home that there is guaranteed review/follow up from the local authority within a couple of weeks of him being home in case things don't go well.

AluckyEllie · 12/06/2022 21:45

Can he wash and toilet himself? If not you need to think about whether you are happy to help with that or not. If not he would have to wait in hospital for a care package and so it would probably be better to wait for a rehab bed. Since a lot of the cottage hospitals and rehab units have been closed down care homes can provide short term rehab placements with physios etc visiting each day which might be what happens in your area too.

watcherintherye · 12/06/2022 21:44

I personally would get him home asap if it is at all possible. I think there’s an entitlement to a care package for 6 weeks on discharge, if I’ve remembered correctly. Is he drinking enough? It’s a common problem with elderly people in hospital and care homes. The staff simply don’t have time to make sure that drinks are within reach and being drunk. This can lead to UTIs (a symptom if which is confusion) and start a downward spiral.

Bedbouncer · 12/06/2022 21:42

But what if he just keeps deteriorating? It's horrible seeing him like that ☹️

OP posts:
KangarooKenny · 12/06/2022 21:37

Go rehab. If you can’t cope when he’s home you’re stuffed.

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