82 year old dad in hospital for 3 months because of low blood Pressure - starting to think he’ll never come out

[OctoberSunday]

He’s been discharged twice and ended up back in hospital within hours. They’ve said his low blood pressure is ‘incurable’ but other than that he’s medically fit to leave hospital. So they discharge him and he ends up back in - a ‘failed discharge’. He can’t sit or stand without going dizzy and is wearing nappies as he obviously can’t get to the toilet. He’s caught pneumonia and numerous infections whilst in hospital. I just don’t know what to do anymore. We’ve tried getting Occupational Health involved, rehab etc, and my poor mum is beside herself. We’re now thinking he may be bedbound and need a nursing home. They have set up a 4 times a day care package for him once home but even if he does make it home will this be enough? Does anyone have any advice? Thanks

Sounds like an awful situation for you and your parents. A nursing home may be worth looking into, as four visits a day may not be enough.
It seems crackers to keep discharging if it's been unsuccessful so often. You may need to get tough and refuse to have him home as it's unsafe. Stress the safety aspect and remind them of the failed discharged, ask what the plan is now that discharge has failed yet again.

Hopefully someone with more experience and knowledge than me will come along soon.

Have they identified a cause?
I was going to suggest my standard advice of increased salt and fluids and wearing compression leggings, but if even sitting makes him dizzy it's clearly well beyond that and I'm sure the hospital have considered all the usual things.
Bed rest and a place in a residential home is probably the only way to get him out of hospital, but you'd need ASC on board and for the medical team to back you up.

My Dad was in this position exactly a year ago. He was so poorly, that me and DH travelled almost 400 miles to his bedside in hospital. He looked so ill, I was 99% sure it was the end.

He didn't die though. The hospital released him to a care home, and he was there about 6 weeks. Then he went home and was immobile for several months, with carers going in 4 times a day. He lives alone, so no Mum there to help.

It's actually been okay. He can now get himself in to a wheelchair, so has gained some mobility as well. Currently doing really well and back to his usual self.

Following a serious infection my 86 year old father was suffering from low blood pressure drops with several hospital stays. He would present okay sitting but standing it would immediately drop - the hospital said the biggest drop they’d seen.
I paid for a private cardiologist and they found his heart rate was going down to 27bpm and stopping for several seconds at some points. We then paid for a pacemaker to be fitted which was prohibitively expensive, but I figured would be the same cost as 3 months in a care home so would pay for itself. He is no longer falling over and can potter round the house without me grabbing a chair to save him from falling.

We had similar with my elderly father. Can your Dad have everything downstairs OP - bedroom, bathroom etc? We moved my Dad's bed downstairs into the lounge once he was discharged and we had 4 carers come in to wash him, dress him, prepare food for him etc. He was desperate to get out of hospital and we knew that he wasn't going to get better by being there. His lounge looked like a bed sit for a while (we also had a commode which the carers dealt with.) He was literally bed bound for a couple of weeks. He slowly got better (he had pneumonia and infections.) He was also on cancer meds that caused his blood pressure to be low and he has a few dizzy spells. He stopped taking it and his BP is much better. It's about getting the balance really, some meds give with one hand and smack you in the face with the other especially with elderly people who have lots of medical issues. At least if your Dad is home he may feel better? And there'll be less chance of him catching anything else. It might be worth a try rather than keep him in hospital with little quality of life. You can always review things after a couple of weeks. He may even start to feel a little better by being at home. Make sure the care package is all sorted though before he is discharged. Edit to say he also lives alone.