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Advice re discharge from hospital options

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Hi elderly my mum, 94, recent diagnosis of demntia was coping ok till recent fall and currently in hospital. Rapid deteriation totally confused, can’t feed herself all within a few days. Worried that not getting best care in hospital and looking for options to get her discharged to a care home for a short period to get her best possible care ,as worried dehydration and infection playing a big part in her behaviour. Can anyone advise on options and who to talk to. needs to be within state funded facility as she has no assets. Her daughters live 100 miles away and regular visits and communication with hospital proving difficult , we don’t know where to start re looking at options for her….and are so worried her stay in hospital is having a detrimental effect on her well being. Any ideas welcome. Thank you


  • Hi elderly my mum, 94, recent diagnosis of demntia was coping ok till recent fall and currently in hospital. Rapid deteriation totally confused, can’t feed herself all within a few days. Worried that not getting best care in hospital and looking for options to get her discharged to a care home for a short period to get her best possible care ,as worried dehydration and infection playing a big part in her behaviour. Can anyone advise on options and who to talk to. needs to be within state funded facility as she has no assets. Her daughters live 100 miles away and regular visits and communication with hospital proving difficult , we don’t know where to start re looking at options for her….and are so worried her stay in hospital is having a detrimental effect on her well being. Any ideas welcome. Thank you

    Hi, You don’t mention if your mother’s fall caused some injury which necessitates a prolonged stay in hospital. The hospital will not want her in a hospital bed any longer than necessary due to lack of bed space, especially at this time of year. There may also be other reasons to her confusion i.e. a UTI (urinary tract infection) which will need to be treated, plus any other medical condition she may have exacerbated by the fall. Has your mother been assessed by Social Services for a Package Of Care? When she is ready for ‘safe discharge’ from hospital, they may send her home with Reablement (A service designed as a period of up to 6 weeks ‘free’ care) which they will use as an ‘assessment tool’ to decide what she can do by herself and what help she may need in future. She has to be medically fit to be discharged, and I have to say a Care Home would not want the responsibility, you would probably be looking at a Nursing Home which is very costly. If however her care needs are primarily health, then she may be entitled to NHS CHC funding (Continued Health Care) However this is complex and her needs would be assessed by a multi disciplinary team of health and social care specialists involved in your Mother care. Social Services will assess her needs and put in an appropriate level of care, which can be visits to her home of up to 4 times a day. They try and avoid at all costs Care Home admission, unless the POC (Package Of Care) is greater in cost than a Care Home admission, especially as she is state funded. The trend is to treat people in their own home. Your mothers age may have some impact on this. My advice would be to talk to the hospital, they will be the ones arranging discharge plans. Sadly there is not much choice if you are funding your own care. Its a tough time for you, and I hope you get things sorted.

    Thank you so much Forvtaking the time to reply. Info very useful thank you

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