Move from care to nursing home?

[Scully]

Mum was diagnosed 4 years ago and I estimate from her symptoms she is now moving into middle stage. She is no longer recognising family members and their relationships, has stopped doing her crosswords, has deteriorating eyesight, refuses to wear her hearing aids, and is becoming paranoid (not trusting close relatives and carers).

She is bladder incontinent and the two care homes she has been in had/have difficulties in managing her bladder incontinence. She constantly smells of urine, wets the bed every night, stains her clothes and shoes, and puts her wet clothes in the wardrobe which pollutes the rest of her clothing. The GP has decreased her incontinence medication because it 'can deteriorate memory further'. She was meticulous about showering every morning but has recently started to stop. I am at a loss to understand why her carers cannot manage these basic issues, which undermine her dignity.

Do I need to consider moving her from a care to a nursing home? Will she receive better care?

 

[at wits end]

I certainly think she may not be in the right place. My gran is in a nursing home and is 'leaky'. She wears pads the whole time for spills,and is showered daily by the carers. She likes to hide her dirty clothes too so the laundry don't give her everything back at once, because once she's hidden something in her bag or drawer it all has to go back in the wash. They keep a supply of clean undies and nightwear in her drawer at the laundry room so carers can guarantee the things aren't soiled, then they have a rummage when I tempt her out for some fresh air.

I'd start by asking them if they can do more...

Sent from my Lenovo B8000-F using Talking Point mobile app

 

[Scully]

I certainly think she may not be in the right place. My gran is in a nursing home and is 'leaky'. She wears pads the whole time for spills,and is showered daily by the carers. She likes to hide her dirty clothes too so the laundry don't give her everything back at once, because once she's hidden something in her bag or drawer it all has to go back in the wash. They keep a supply of clean undies and nightwear in her drawer at the laundry room so carers can guarantee the things aren't soiled, then they have a rummage when I tempt her out for some fresh air.

I'd start by asking them if they can do more...

Sent from my Lenovo B8000-F using Talking Point mobile app

Thanks for this.

 

[wobbly]

hi, I was wondering how you were getting on as my dad is very similar, he no longer recognises us but knows as family somehow but not individually, I'm that other woman who comes all the time when mum goes without me....he is doubly incontinent and this has been a problem for the home as he can become aggressive when they suggesy helping him get clean etc, he hides dirty clothes and put clean on top of dirty to wear etc...he has recently been assessed as needing nursing care now because of this and we are waiting for aplace to come up.....

 

[Scully]

Registered Nursing Care Contribution

Further to my posts in March - we talked to the care home and they introduced a new regime to combat the incontinence. Things were improving but now Mum is occasionally becoming doubly incontinent. A single pad is not enough to contain the quantity of urine. She constantly has UTIs. She has self-inflicted scratches all across her upper back because, she says, she is constantly itchy. She is also severely confused.

I am still considering a nursing home, with specialist dementia nursing. Could anyone advise me when/if Mum would be eligible for the Registered Nursing Care Contibution to help with the costs? (She is self-funding).

Regards

 

[nitram]

The acid test for FNC boils down to whether or not your Mum has a variable and unpredictable need for nursing care.

For guidance, how often do the care staff have to call in the district nurse?

The FNC usually goes straight to the home and does not reduce the self funding fee.

 

[Scully]

The acid test for FNC boils down to whether or not your Mum has a variable and unpredictable need for nursing care.

For guidance, how often do the care staff have to call in the district nurse?

The FNC usually goes straight to the home and does not reduce the self funding fee.

Thanks