Who will give the injection.

[Burlea]

My Mil is in hospital with a water infection. She is also type 2 diabetic. She lives on her own. At the hospital they are now starting her on injections for her diabetes, (been on tablets for years.
Until Thursday morning she was capable to live on her own but now cannot stand unaided. My worry is will the hospital send her home even though she cannot stand without help. And who will give these injections, can we refuse to have home. She is nearly 91. Won't have carers in, we go every day. She could until Thursday make her own meals, drinks, go the loo and get in and out of bed with no help. She has always been very independent.
We are more worried about the injections and her blood sugar levels.

Should we see about getting her into a nursing home ourselves or take advice from the hospital.
Any advice on how we get any help would be appreciated.

Thank you.

I’m sorry you are in this situation. Definitely have a chat with the hospital about the likelihood of her being discharged and if she is, about the support she needs. If she does need a care or nursing home, in my (limited) experience the hospital will keep her until the suitable place has been found.

If she can't stand, (UK) they won't send her home without a care package. If they think she will improve it may be provided gratis for a 6 week period. If they assess it will be long term she would be liable and need a financial assessment.

Thank you for your replies, we already know she will have to pay for her nursing home as she owns her bungalow.
It's the responsibility of the insulin we are worried about. Yesterday it took me and our daughter to take her the loo before the ambulance got there. Today it's taken 2 nurses to get her to the loo.

District Nursing Team at her GP's should be able to call to her to administer insulin.

The nursing staff can organise DNs to visit and check blood glucose levels and administer Insulin at home

The hospital will not send her home until she is ready and you should ask for occupational therapist and physio assessment to identify her needs. She may need a care package where people come in to give The insulin injections etc. Good luck

District nurses - and they won’t discharge her from their service. My mum is much the same and will have the team in for the rest of her life.

we already know she will have to pay for her nursing home as she owns her bungalow. She may not have to pay for care in her home - the bungalow won't be included in the financial assessment if she's still living in it.

The free care for 6 weeks is called "reablement".

The hospital has a "discharge team" who you need to talk to. Their remit is to make hospital beds available, so be firm about stating her needs and that you are not in a position to provide support. If necessary talk about your fear of an early re-admission. As long as you remember the discharge team is working for the hospital not for you, they are a gateway to a reablement package, OT assessment etc, and can be very helpful.

It's worth putting in writing her state of health before hospital admission - the hospital staff can go only on what they see, and may assume that how she is now is how she's been for a long while. I had to make it very clear that a few days before admission my Dad had been taking himself off on the bus to do his shopping - they were just seeing a frail old man with no mobility and apparently demented, and assumed that that was who he was.

My mum has daily DN visits to do her blood sugar and insulin, and she has been massively better since they started doing it.
Now would also be the time to tell your mum 'the hospital' say she must have carers in. I put the blame on anyone in authority, and my dad (mum has dementia) will bow to that when I can say it till I'm blue in the face.