My Nan, the hospital doger!

are you in the uk?
google your local rapid response team. Their role to to treat people at home and avoid wherever possible hospital admission
they can come out within two hours and do a full assessment.
They have advanced nurse practitioner s who can take bloods prescribe put a treatment plan in place whilst liaising with her GP
she looks like she needs bloods and diuretics to offload some fluid from her legs possibly antibiotics as well.
honestly they can sort it out fir her no problem

If you haven’t got a walk-in centre near you to take her to today, I’d ring 111. Looks infected, and likely to need antibiotics. If she’s also got pitting oedema, her heart meds need review, and her renal function. 111can get a doctor to call, her, and can also get a doctor to visit.
My mother is a nightmare to get medical review, she puts it off and makes excuses! The only way I can get her to call sometimes is to tell her that by calling now, she can nip the problem in the bud, and hopefully avoid a bigger issue that may need hospitalisation.

Sepsis is a real danger. You could try asking your Nan if you can do one of the above, as you want to avoid her getting sicker, and needing more long term treatment, or a hospital stay.
She sounds wonderful, by the way!

Most GP's and some A+E depts will do a video or phone consultation with photos.
Then you can get a medical consultation without Nan leaving the house.
If she needs IV antibiotics these can be arranged by the hospital or GP to be given by the district nursing team.

Many elderly people are hospital dodgers, I recently had to take my Mum to A+E for getting part of her hearing aid stuck, she didn't tell me for a month! and was so worried about going she couldn't eat her tea the night before.

Tell your Nan she's precious ❤️

@Trethew 🎩

She needs to see her GP. Both legs are oedematous (you say she has heart issues), the puckering looks like indents in the oedema from the crochet blanket as spotted by @Trethew

The redness fits with stasis dermatitis which is typical in chronically swollen legs. The 'clear water' is likely to be oedema leaking out of her legs.

So she needs a review by her GP of her heart medication.

Could you convince her to go to A and E or out of hours but sit in the car with you whilst someone else waits inside for her with the photos?
Any cottage hospitals in your area?
Antibiotics now may keep her out of hospital.

the strange dents match the crochet blanket visible in the background. Well spotted!

The left leg is oedematous and the strange dents match the crochet blanket visible in the background. Her circulation is very poor. Go to GP

Looking at the pictures they look like ulcers & she has varicose veins on the leg without the scarring.

If her skin is already damaged & has scar tissue it could be more susceptible to infection. Does she have varicose veins? It could be a varicose ulcer or cellulitis. Ring 111 or if she won't let you could you get some sterile dressings & dress it until Monday? If the district nurse comes she will dress it & bind her leg up but I suspect she needs antibiotics. Can you see where the fluid is coming from? Can you bathe it with cooled boiled water & then put a dressing on with one of those tubular bandages over it. She needs her leg up as much as possible.

No medical expert but I'm sure I was reading a thread on here the other day about cellulitis and the leaking fluid being a symptom of it?

I agree needs to be seen by healthcare as it doesn't look good at all!

That looks like a major infection & something you can't leave until Monday.
You need to take her to A&E tomorrow or a ooh clinic.

You can't contact district nurses directly unless your name is on the system. You have to go via the GP. I found that out just this week.

GP will do home visits, just not that many of them. They can refer to district nurse team - if you google your area and NHS trust and search for district nurse I bet you will get a phone number. Sometimes having a chat with a sensible experienced nurse is a shoot cut to getting some help.

I'm not a medic but having had cellulitis I am concerned she could be starting that or at least is at high risk for it. If so, she needs urgent antibiotics.

If she absolutely won't go to hospital or see a GP, either her own or OOH, I would tell the surgery what's going on first thing Monday. They should be able to get someone from the visiting team/a district nurse out to have a look. Don't minimise it (and it really would be best if she's seen before then) Any sign of a temperature or her feeling more unwell, however cross she is, call an ambulance.

Good luck (())

Call GP to refer to community nurse team

Hi OP, do you think these could be leg ulcers? they look similar to ones I have seen before and would explain why one is on the leg that's previously been fine.

If so they would be treated by the district nurse, and wouldn't need a hospital, maybe just investigations to rule out underlying causes. I would hassle the GP rather than go to A&E if she is not actively unwell.

Can you ask HQ to amend your title to dodger? Sounds like nan has dubious weekend hobby!
😄

Honestly, I'd say she needs A&E.