This afternoon I visited and she had better cognition but was still confused eg 4 men were in her bathroom last night breaking in to rob the hospital.
Has double-sided chest, back and leg pain, can not get out of bed or walk or move herself from lying down, very full chest, continual coughing up of muck and wheezing. Tells me she is 'fearful of the future' would rather be dead, does not want to go back to the care home but has nowhere else she could go. Feels very dirty - no shower or bath but hands and face have been washed. Teeth not cleaned since she went in- Monday night. I asked if it was possible for her to have a shower at some point. Nurse said 'Oh I don't know about that- I'll ask.'
Another member of staff- who looked like a nurse came and said said 'How can I do that. There are only 2 of us washing patients. Anyway she can't stand'.
I said 'Could she go in a chair'
Staff ' I haven't got a shower chair.Where do you think I'll find one of those? I suppose she could sit on a commode but it's got a hole in the middle. I'll see what I can do tomorrow'.
I asked about her teeth and mouth being cleaned.
Staff to aunt 'Have you not got a toothbrush and toothpaste? You can do it yourself'.
Me 'But she can't get to the bathroom.'
She then got one cup of water and another empty cup and said 'Swoosh with one after you've cleaned and spit into the other.'
Me 'Her toothbrush has disappeared. It was in her washbag bag.'
Somehow it is in a corner of the room, on the floor and filthy. She gave her a little tooth rush and left. My aunt cleaned her teeth- she could hardly hold the brush.
I cleaned up after her. Threw the plastic cups away, cleaned table with sanitiser, Disposed of a bowl of phlegm filled paper tissue.
Someone arrives to take her bloodpressure. Again it is 179/99. I am told again 'That's ok'.
Suddenly a consultant arrived and told her she is well enough to leave this afternoon. She said she does not want to go. She feels awful and needs help, can't walk, has not been to the loo for a week, is confused and needs to get better.
He says 'I know you don't want to go but you are much better today and we need this bed for people who are queued up in the corridor. 'Aunt says she can not go home and does not want to return to care home. He says she does not need to be in hospital any more but must continue with antibiotics as her lungs are still showing pneumonia.
I ask about the pains - dismissed as pneumonia effects. I ask about her chest and say I am concerned by how weak she is and am worried she will not be monitored closely and cared for medically in care home. He says the best he can do is a different care home. Nurse says she has not been to the loo. He says 'I'll leave you to discuss what she would prefer and go and see about her bowels.' (As if they are in another part if the building and need retrieving.)
Aunt says she will return to the care home if she has to as she had to pay £2600 upfront on Sunday night when she was admitted for 2 weeks fees and won't get it back.
I have no idea whether they will move her tonight. When I left her room there were 6 staff in nursing type uniforms chatting in the centre of the hub,outside her room having a laugh- they had all been there at least 15 minutes.
Everyone was nice. The ward was much cleaner than the previous ward (although her bathroom was not clean at all) Still I felt no one really wants to 'care for' elderly patients. The idea she might need a shower or her teeth cleaned in 5 days was a nuisance.
I think she could, with physio and care regain her strength to go home but it is not going to happen and she knows that herself. The care home will not do it. The hospital have no facility to do it. She'll end up in permanent care and just degenerate physically, lose all of her mobility, and get another chest infection and die. Someone will wheel her from her room to the dining room and back 3 x a day. Meanwhile they will charge her £1300 a week for the privilege of sleeping in a lumpy bed, in a room with rickety old furniture and having a shower once a week.
It's horrendous.