EMI/Dementia?

[alfjess]

Hi

Thanks everyone.

I haven't heard anything to-day from CPN or Psychiatrist.

I did phone the care home and Mum is just the same.

I will phone the CPN tomorrow to see if ant decision has been reached

Thanks again for your support
Alfjess

 

[Greylin]

Care home thinks Mum won't settle - next step?

Hello, I'm new. One week ago we moved my 89 yr old Mum into a lovely care home near my house and I've been able to call in on her daily instead of trekking up motorways every weekend to visit her in the sheltered accommodation where she was becoming less and less able to look after herself.

The care home manager asked to speak to me today and in the nicest possible way said she was concerned that it isn't going to work out. Mum is declining to go to bed at night and wandering around a bit; and is also unfortunately proving unkind and hostile towards the lovely people who are trying to care for her. The district nurse thinks she should be assessed for EMI with a view to possibly moving to a home that can cope with her if this trial period doesn't work out. I'm going to go along at around 10 pm for the next few nights to see if I can get her into bed in the hope that a proper routine might settle her, but I doubt that will help with the personality difficulties.

So now I've come up against the problem that others seem to have had, which is: EMI falls within the classification of dementia and http://www.csci.org.uk isn't all that helpful at distinguishing between the two. Does anyone know where I can find a list of "just" EMI units, rather than homes dealing with lesser forms of dementia? I would be grateful for any information or bright ideas - thank you.

 

[Sandy]

Hi Greylin,

Welcome to Talking Point (TP).

I'm sorry that you're having to re-consider the current home's ability to meet your mother's needs. Did they do much of an assessment on her needs/abilities before she moved there? Does your mum have a formal diagnosis and is she on any medication for dementia or related behavioural issues (agitation, etc.)?

I ask these questions because when my mother-in-law first moved into a residential home she was not yet on Aricept and her ability to settle was a bit in question. Once she was seen by a local consultant and put on Aricept, things calmed down a lot (but reactions to that medication are quite individual).

This is a previous post that might be a bit helpful when looking for homes on the CSCI website:

http://www.alzheimers.org.uk/talkingpoint/discuss/showthread.php?p=162991&highlight=csci#post162991

If you search now on CSCI, say for care homes without nursing registered for dementia (EMI) and a certain quality rating in the Reading area, you will get something like the image I've attached.

The result table will have in red text the types of residents the home is registered for. In this example, the first home takes only people with a diagnosis of dementia (single registration) and the second takes both people with dementia and those who have only "old age" as a need (dual registration).

In some ways, if your mother is in the early/middle stages, a dual registration home can be better as there will be more able residents to socialise with - but you really need to make lots of visits to see for yourself.

Take care,

Sandy

 

[Margarita]

The care home manager asked to speak to me today and in the nicest possible way said she was concerned that it isn't going to work out. Mum is declining to go to bed at night and wandering around a bit; and is also unfortunately proving unkind and hostile towards the lovely people who are trying to care for her

and is also unfortunately proving unkind and hostile towards the lovely people who are trying to care for her

My mother is now showing those symptoms at day center.

So social services has told me that as my mother needs are higher then a Demetria registered residential care home could provide for her .

she needs to go into a dementia nursing home, formally know as a EMI .

So Like sandy has said you need to look on that site, but I would say for a Demetria with nursing .

Does your mother have a Social worker ?

Welcome to TP Greylin

PS

Click on the part that says

Care homes with nursing (nursing homes)

Then click Dementia (EMI)

 

[fredsnail]

I'm in the same boat with Grandad - he's currently in hospital but his home have refused to have him back due to wandering and requiring a higher level of care.

Good luck with the hunt.

fs

 

[Greylin]

Welcome to Talking Point (TP).

Thank you to everyone who welcomed me.

Did they do much of an assessment on her needs/abilities before she moved there?

No - we chose a home that handles "dementia" but no assessment was made of her before she moved in. Now they think her form of dementia may be more than they can handle.

Does your mum have a formal diagnosis and is she on any medication for dementia or related behavioural issues (agitation, etc.)?

No, not yet. This morning I asked my own GP for her advice, which was to get Mum psychiatrically assessed as soon as possible to avoid her having to be cared for in a hospital ward while waiting for a more suitable care home place to come up.

I ask these questions because when my mother-in-law first moved into a residential home she was not yet on Aricept and her ability to settle was a bit in question. Once she was seen by a local consultant and put on Aricept, things calmed down a lot (but reactions to that medication are quite individual).

It's very helpful to know that - thanks. All the more reason to get an assessment done as quickly as possible. The home she's in at the moment is very highly thought of and we can see how well she's treated so if she could stay it would be perfect.

 

[Greylin]

So Like sandy has said you need to look on that site, but I would say for a Demetria with nursing .

Wow, that worked like a dream, thanks. I have located a nursing home close to my house and they have said I can put Mum on their waiting list as soon as I like. Then when a room comes up they will offer it to her but if she's not ready at that stage to transfer, they will keep her at the top of the list and offer her the next room that comes up - for as long as it takes. I'll be going for a visit next week. Thanks again Margarita and Sandy.

I hope your Mum's situation works out, Margarita.

 

[Clive]

Just remember that you need to keep in contact with your chosen home. I put mum’s name down on several waiting lists and never heard from the Home again. The EMI Home mum eventually went in told me they had a waiting list of thirteen… yet were able to assess mum and have her installed in the Home within 7 days when I said I needed somewhere straight away. I may have been lucky but it seemed to me that the Homes did not keep to their waiting list.

Clive

 

[Skye]

The home that John's in has three sections, residential, nursing, and EMI. John is in the EMI section, and he got in straight away.

I think this sort of setup would be ideal for your mum, Greylin. There are people with mild dementia in the residential and nursing sections, but as soon as the dementia becomes a problem thay can be transferred to the EMI unit without any fuss. There is even one lady who started in the nursing section because she is severely diabetic and needed to be stabilised.

Now that has been sorted, but the dementia has worsened, she still keeps her room in the nursing section, but comes down to the EMI unit during the day, where she is more secure.

I'd agree with your GP to get her assessed and moved as soon as possible, to avoid having to go into an assessment unit.

Good luck,