Hi, New to all of this so I'm sorry for the long and completed story regarding my father who was diagnosed with vascular dementia in July but for the past 5 years they thought he might have Lewy Body Disease.
He had been in hospital for 4 months until May then discharged to a care home where within 3 months he had either attended a&e or been admitted to hospital. Almost from the start they had problems with him refusing, food, drinks, medication & personal care. Very abusive behaviour & sexual speech.This lead to confusion, dehydration & AKI which had also occurred while he was in the hospital the first time.
At the end of August he was rushed to hospital again with dehydration, chest infection, delium and AKI. He is still there at present.
He has a list of other medical conditions including COPD, Frontal lobe infarction, CABG, Pacemaker & Diabetes.
Whilst in hospital a CHC assesment was arranged as they say he now needs 24hr nursing care, but a few days before it was due a DOLS had to be put in place for his not complying with anything ie food, drink, medication, turning in bed etc.
The DST was completed last week which i attended my father refused to attend.
At the end of completing the DST they said he hasn't reached the cretia but will get FNC instead, There was a number of inconsistencies ie they said he was eating and drinking fine. He had taken all his medication etc, which i of course pointed out so they said they would check.
I have now received the completed DST forms. It has gone to the CCG for final decision and i of course am building a case for appeal.
His score was 3 high, 3 moderate and 5 low. I believe 2 of them should be severe based on medical evidence which they have overlooked.
My main question is although they have given him a High for behaviour i believe it should be severe. The problem i have and believe me I have searched and searched the internet for an answer is, the difference between the two is do with planned interventions. High says usually responsive to to planned interventions and Severe says outside the range of planned interventions. There lies my problem. Is a DOLS classed as a planed invention or not.
If anyone has an answer to this i will be forever gratefully. Thank you for any help received.
He had been in hospital for 4 months until May then discharged to a care home where within 3 months he had either attended a&e or been admitted to hospital. Almost from the start they had problems with him refusing, food, drinks, medication & personal care. Very abusive behaviour & sexual speech.This lead to confusion, dehydration & AKI which had also occurred while he was in the hospital the first time.
At the end of August he was rushed to hospital again with dehydration, chest infection, delium and AKI. He is still there at present.
He has a list of other medical conditions including COPD, Frontal lobe infarction, CABG, Pacemaker & Diabetes.
Whilst in hospital a CHC assesment was arranged as they say he now needs 24hr nursing care, but a few days before it was due a DOLS had to be put in place for his not complying with anything ie food, drink, medication, turning in bed etc.
The DST was completed last week which i attended my father refused to attend.
At the end of completing the DST they said he hasn't reached the cretia but will get FNC instead, There was a number of inconsistencies ie they said he was eating and drinking fine. He had taken all his medication etc, which i of course pointed out so they said they would check.
I have now received the completed DST forms. It has gone to the CCG for final decision and i of course am building a case for appeal.
His score was 3 high, 3 moderate and 5 low. I believe 2 of them should be severe based on medical evidence which they have overlooked.
My main question is although they have given him a High for behaviour i believe it should be severe. The problem i have and believe me I have searched and searched the internet for an answer is, the difference between the two is do with planned interventions. High says usually responsive to to planned interventions and Severe says outside the range of planned interventions. There lies my problem. Is a DOLS classed as a planed invention or not.
If anyone has an answer to this i will be forever gratefully. Thank you for any help received.