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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here-yesterday was another heck of a day.

Dad has been just out of it, talking incoherently, involuntary movements-we see him daily (Mom does, on workdays I don't because of my schedule except I saw him Thursday after leaving work in a panic because of his decline) and Mom sent me a pic of a wound/scrape on his shins. He doesn't walk-how does one get those? I believe it was a fall! No one said anything to us. I called the facility (I was at work, I work most Saturdays) and they were like, oh we'll investigate and the wound nurse will look at it Monday.  'it's Saturday' I was enraged!

Work was over, I left and immediately went to the facility. They were like, oh we'll check him for a UTI monday 'again, it's saturday'. My poor mom was overwhelmed and my dad was clearly suffering-I said, I'm calling his primary dr. Dr said 'take him to 'local hospital' ER and don't bring him back there!'  I then told them to arrange transport or I was calling 911. I wasn't 'asking' I was 'telling', I was furious. They did and we went to the ER where he was found to have a UTI and was admitted! He did not have a stroke or seizures, thankfully.

Needless to say he is NOT returning to that facility. I'll work with case management to figure out something else. I don't know how much capacity he will regain after the UTI is cured, but once we have that baseline we'll figure out next steps. [/quote]

You are doing the advocacy job very well.  My father's skilled nursing doctor (we had to use their doctors) said my dad could not have an infection because he had just finished a course of antibiotics.  We got him to the hospital...with a UTI, pneumonia and sepsis.  I hope he continues to respond and rally.[/quote]

Ironically, he has rallied so well that at midnight, he decided to 'go home' and fell out of the hospital bed! They did have it set to the lowest level and pads on the floor and an alarm, and they called me at midnight to say they think he's fine but will do a catscan. In my state, they cannot restrain patients into bed. Mom is going to talk to the hospital today about sedating him at night or something and I'm taking my bleary-eyed self to work.[/quote]

This is a problem.  While I understand the laws against restraints...it means that many elderly people have to be sedated when they are in bed since there is never enough staff for a person to sit with them.  This leads to sedation during the day as well...more time in bed....pressure sores...less use of muscles.  I do not have an answer but just keep it in mind.[/quote]

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