I have an official review with mums care home tomorrow over Zoom, with some difficult subjects to discuss!
Although they review care internally on a monthly basis, I think it is three monthly with us at the moment. Mum has only been in there since December 14th, so it is still a settling in period by all accounts. They have confirmed that she does need supervision and 24 hour care and is not able to do her daily care or toileting independently. She is putting on weight, eating well and looks so much better. Following on from the deprivation of liberty order, tomorrow we have to discuss end of life care plans and wishes and DNAR ( which I am taking to mean 'do not resuscitate'?). It's that that has floored me! I know that it has to be discussed but I am finding it difficult to get my head around. Also one member of staff let slip previously that her previous GP records ( she has moved counties, so now registered with new GP's etc), indicated that she had not been receiving adequate care and it appeared that ' they had not done enough for her'. With that in mind, and following on from a thorough medical review with new gps, I will be discussing their findings tomorrow. Communication from the previous gps was very poor and I had to fight to get any info about anything! I am happy with her care so far in the home and the last two visits have been a success. BUT - I don't know what to say about the end of care plan tomorrow, my mind is frozen! Any advice would be most welcome!
Although they review care internally on a monthly basis, I think it is three monthly with us at the moment. Mum has only been in there since December 14th, so it is still a settling in period by all accounts. They have confirmed that she does need supervision and 24 hour care and is not able to do her daily care or toileting independently. She is putting on weight, eating well and looks so much better. Following on from the deprivation of liberty order, tomorrow we have to discuss end of life care plans and wishes and DNAR ( which I am taking to mean 'do not resuscitate'?). It's that that has floored me! I know that it has to be discussed but I am finding it difficult to get my head around. Also one member of staff let slip previously that her previous GP records ( she has moved counties, so now registered with new GP's etc), indicated that she had not been receiving adequate care and it appeared that ' they had not done enough for her'. With that in mind, and following on from a thorough medical review with new gps, I will be discussing their findings tomorrow. Communication from the previous gps was very poor and I had to fight to get any info about anything! I am happy with her care so far in the home and the last two visits have been a success. BUT - I don't know what to say about the end of care plan tomorrow, my mind is frozen! Any advice would be most welcome!