For the first time I'm reviewing the records that were maintained in our home during my wife's arrival from a NH. They make very interesting reading as they record the Medication, Client handling Risk, Messages, Home Nursing Record, Activities of Daily Living, Intervention and Catheterisations.
Total page count 29 over a period of nine months i. e. April to December.
Somehow I suspect many will be familiar with the; Client Handling Risk; it reads;
Patent's weight:
Below; 7 stone score 1. My wife weighed below 6 stone. Score 1
Mobility: 0 to 10. Totally dependent/Comatosed. Score 10
Medical additional Risks. Score 2 to7. Alzheimer's Score 5
Mental State; Confused unable to understand; ) 0 to 5 Score 3
Environment; Attachments (IVI catheter) 0 to 5. Score 1
Total= 20
Scores; 0 to 8 = Low Risk. 9 to 15= Medium Risk. 16 plus High risk. For palliative care
One of many remarks caught my eye: "Husband caring for Jean and well understands she is dying."
Nine months later Clients Handling Risks = 9 to 15 Medium Risk.
During those nine months she was rushed to hospital a number of times and on each occasion I insisted on her having her home. In addition many emergencies occurred in that time frame until finally the Rapid Response Team left, soon followed by everyone else. Four years later she passed away!
I hate to think what would have happened had I accepted all or even some of the expert's advice about her care. Many of our disagreements are recorded and I well understand that. One remark highlighted with a 'star' records that I 'stopped administrating Fentanyl every 72 hrs on the 3rd of the Sept.'
A big pity no one asked how come you managed to provide a worth while existence in the 'final stage'. There is no quick answer but many complex ones. One stands out: tackle the many underlying causes for example: pressure sores, not eating etc., etc.
Total page count 29 over a period of nine months i. e. April to December.
Somehow I suspect many will be familiar with the; Client Handling Risk; it reads;
Patent's weight:
Below; 7 stone score 1. My wife weighed below 6 stone. Score 1
Mobility: 0 to 10. Totally dependent/Comatosed. Score 10
Medical additional Risks. Score 2 to7. Alzheimer's Score 5
Mental State; Confused unable to understand; ) 0 to 5 Score 3
Environment; Attachments (IVI catheter) 0 to 5. Score 1
Total= 20
Scores; 0 to 8 = Low Risk. 9 to 15= Medium Risk. 16 plus High risk. For palliative care
One of many remarks caught my eye: "Husband caring for Jean and well understands she is dying."
Nine months later Clients Handling Risks = 9 to 15 Medium Risk.
During those nine months she was rushed to hospital a number of times and on each occasion I insisted on her having her home. In addition many emergencies occurred in that time frame until finally the Rapid Response Team left, soon followed by everyone else. Four years later she passed away!
I hate to think what would have happened had I accepted all or even some of the expert's advice about her care. Many of our disagreements are recorded and I well understand that. One remark highlighted with a 'star' records that I 'stopped administrating Fentanyl every 72 hrs on the 3rd of the Sept.'
A big pity no one asked how come you managed to provide a worth while existence in the 'final stage'. There is no quick answer but many complex ones. One stands out: tackle the many underlying causes for example: pressure sores, not eating etc., etc.