Things are moving fast....FiL has shown he has significant problems since he was sent home, and even 4 carers a day isn't going to do it. BiL has finally admitted how bad he is and wants him in care asap as my OH (who has been looking after their dad since he arrived) will be coming home at the end of the week and he doesn't think he will cope on his own. So I have been nominated to research homes to visit and what to look for.....but I don't know where the line comes between CH and NH....ideally I'd look for one which will go from mild to problematic to eliminate any further move, but there seems to be very little with a separate dementia unit (I'm assuming they take the more challenging residents) and I'm not sure how much nursing is done in a CH before it requires a NH.
His main problems are double incontinence (and a refusal to use incontinence products); arterial ulcers on his leg; bed sores; lymphedema (was bad but I think has been controlled while in hospital); he has little mobility (a few steps with zimmer) and is showing signs of not eating much agin and possibly developing swallowing difficulties. Plus COPD, PAD and CAD (sorry, peripheral artery disease and coronary AD.....so many abbreviations these days I go cross-eyed!) not currently a problem. I have a feeling that most of these could be managed in aCH with a DN visit for dressings, but what about the incontinence....would that mean a NH or even the 'heavy duty' dementia unit as he is unwilling to co-operate?
Once I know what I'm looking for I can send a short list for BiL to visit....I've already done a list of how to evaluate a Home....thank you TP! As he's self-funding is he entitled to help from the SS to help find a place? Should we asking for another Needs Assessment to confirm this is best for him (tho I believe they did that on discharge a couple of weeks ago and said he was fit to live alone....got that one wrong!!) I'm the one doing all the research and advice, while OH is the one on the ground, trying to organise things and do repairs etc and convince BiL. What trips me up every time is that everyone says FiL has capacity, so everything is his choice. Trying to do LPA this week before OH comes back, fingers crossed he goes with it cos if he doesn't we may be stuck!
edited to add his social boundaries are few....he swears, has rages and thinks it's ok to use his 'bottle' in company....I'm assuming these aren't going away, and would not be acceptable in a CH?
His main problems are double incontinence (and a refusal to use incontinence products); arterial ulcers on his leg; bed sores; lymphedema (was bad but I think has been controlled while in hospital); he has little mobility (a few steps with zimmer) and is showing signs of not eating much agin and possibly developing swallowing difficulties. Plus COPD, PAD and CAD (sorry, peripheral artery disease and coronary AD.....so many abbreviations these days I go cross-eyed!) not currently a problem. I have a feeling that most of these could be managed in aCH with a DN visit for dressings, but what about the incontinence....would that mean a NH or even the 'heavy duty' dementia unit as he is unwilling to co-operate?
Once I know what I'm looking for I can send a short list for BiL to visit....I've already done a list of how to evaluate a Home....thank you TP! As he's self-funding is he entitled to help from the SS to help find a place? Should we asking for another Needs Assessment to confirm this is best for him (tho I believe they did that on discharge a couple of weeks ago and said he was fit to live alone....got that one wrong!!) I'm the one doing all the research and advice, while OH is the one on the ground, trying to organise things and do repairs etc and convince BiL. What trips me up every time is that everyone says FiL has capacity, so everything is his choice. Trying to do LPA this week before OH comes back, fingers crossed he goes with it cos if he doesn't we may be stuck!
edited to add his social boundaries are few....he swears, has rages and thinks it's ok to use his 'bottle' in company....I'm assuming these aren't going away, and would not be acceptable in a CH?
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