dad been in hospital 8 days - struggling back home

dad been in hospital 8 days - struggling back home

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cheeky_chops

Original Poster:

1,605 posts

258 months

Tuesday 2nd May 2023
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My old man is a fairly healthy, active 84yo. Plays a v slow short course golf weekly. Looks after the garden/pool, drives etc

I got a call last tuesday from my mum - on monday my dad became sleepy then unresponsive, her and a neighbour bundled him into the car and she took him to A+E and he was admitted to ICU as critical. Turns out he had a uti, (he thought it was indigestion from a pizza ffs), but the uti turned to sepsis so the infection was rampant shutting his systems down. Wife and i jumped on a plane asap as they live in Spain. Luckily the antibiotics worked and he pulled thru but spent 3 days in ICU talking absolute sausages then 5 days on a general ward.

He came out today and we have struggled to get him into car/house/loo/bed.... He literally cant walk, cant go to loo, can barely stand at sink to brush teeth.

Any ideas on if/when/how he will start to gain mobility back?? Would a physio help? Weve been here a week but have usual work/kids commitments at home and im really worried how my mum whos 86 is going ot cope. We are having to man-handle him every where atm or he would be on the floor.

ps Feel pretty gutted tbh seeing my dad like this, gettting old if f***ing sh*t.

Scrump

22,943 posts

165 months

Tuesday 2nd May 2023
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Can’t advise on the health and recovery question but I am glad the antibiotics worked and your dad was able to go home.
Well done for getting over there and helping, don’t underestimate how important this is to your parents.

And yes, getting old is st.

paulmakin

689 posts

148 months

Tuesday 2nd May 2023
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i occasionally deal with the acute bits so not my field but I did find this -

"Those who enter the hospital and are treated for sepsis often find that they have significant skeletal muscle weakness for at least a month. This is not because of muscle atrophy. Rather, it is associated with impaired mitochondrial activity and persistent protein oxidative damage."

Quite common according to Endsepsis.org - around 60%

xx99xx

2,251 posts

80 months

Wednesday 3rd May 2023
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Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?


Fozziebear

1,840 posts

147 months

Wednesday 3rd May 2023
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My late father had this, went all dizzy, carer called 999 and hospital trip for 5 days, UTI and blood infection from poop in nail going into shaving cut. When I collected him from hospital he was still weak, I made sure he hydrated and ate real food (not hospital food) fish and chips etc, it took about a week for him to bounce back. If you can stay and help its best, you'll be surprised how they pick up with you around feeding them, Im sure my dad did it on purpose to fleece me smile

liam1986

2,121 posts

174 months

Wednesday 3rd May 2023
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xx99xx said:
Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?
He's medically fit. A hospital isn't a care home.

The Mad Monk

10,612 posts

124 months

Wednesday 3rd May 2023
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liam1986 said:
xx99xx said:
Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?
He's medically fit. A hospital isn't a care home.
He is in Spain.

Slow.Patrol

913 posts

21 months

Wednesday 3rd May 2023
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liam1986 said:
xx99xx said:
Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?
He's medically fit. A hospital isn't a care home.
Unfortunately this is very much the case.

My sisters and I had to provide care for my Dad who had cancer. I had to take holiday from work. I do think there is a discussion to be had to allow people to take unpaid "parental" leave to look after elderly relatives when they are ill. It might solve some of the hospital bed blocking issues.

Fozziebear

1,840 posts

147 months

Wednesday 3rd May 2023
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Slow.Patrol said:
liam1986 said:
xx99xx said:
Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?
He's medically fit. A hospital isn't a care home.
Unfortunately this is very much the case.

My sisters and I had to provide care for my Dad who had cancer. I had to take holiday from work. I do think there is a discussion to be had to allow people to take unpaid "parental" leave to look after elderly relatives when they are ill. It might solve some of the hospital bed blocking issues.
I spent a year bouncing between work/home/father, its exhausting and doing it solo hammered me, I was actually lucky to have a home care team in place for weekdays, 4 visits a day, but it still hit me hard.

Pieman68

4,264 posts

241 months

Wednesday 3rd May 2023
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It's awful seeing them getting older and their health failing. I feel your pain on that one as my Dad has been deteriorating since he was 57 (won't go into that as I don't want to come across as a topper)

UTI's can be a swine - I vividly recall my Granddad going into hospital with one and it sent him properly loopy

I can't help medically but hope your Dad makes a full recovery and is back on the course sooner rather than later

xx99xx

2,251 posts

80 months

Wednesday 3rd May 2023
quotequote all
liam1986 said:
xx99xx said:
Can't he return to hospital given that he cannot walk? Which begs the question why he was released in that state in the first place. Assume any kind of temporary care facility would need some weeks to arrange. What about carers at home, should be some people you can employ?
He's medically fit. A hospital isn't a care home.
True, but same happened to my dad (in UK). He was discharged covered in new cuts and bruises and couldn't walk. Ambulance dropped him home after a week in hospital and dumped him in his armchair. About an hour later he fell trying to get up and mum couldn't lift him. Called ambulance and a different team came out and said he should never have been released. They took him back in.

Phil.

5,139 posts

257 months

Wednesday 3rd May 2023
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OP,

My then 86 year old mother was admitted to hospital last year with an acute UTI, and the care home she was in also gave her Covid at the same time. She spent 2 months in hospital and another in a rehab hospital with daily physio. Prior to this she was fully mobile, now she is unable to move from a bed/chair without two people and mechanical assistance.

I would begin getting some full-time care, which can be undertaken at home but more often in a care home. I don’t know the cost of this in Spain but in the UK we’re paying £5k a month for a care home.

Planet Claire

3,349 posts

216 months

Wednesday 3rd May 2023
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Phone his local social services. If he needs support to get him back on his feet then the hospital should have liaised with social care and put in an Intermediate Care Service/Reablement. This is '"free" up to 6 weeks and it's to help people gain the mobility and independence they had prior to their hospital admission. Of course this service isn't always appropriate but it sounds like your father would be an ideal candidate.

HustleRussell

25,205 posts

167 months

Wednesday 3rd May 2023
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Planet Claire said:
Phone his local social services. If he needs support to get him back on his feet then the hospital should have liaised with social care and put in an Intermediate Care Service/Reablement. This is '"free" up to 6 weeks and it's to help people gain the mobility and independence they had prior to their hospital admission. Of course this service isn't always appropriate but it sounds like your father would be an ideal candidate.
The Mad Monk said:
He is in Spain.

Planet Claire

3,349 posts

216 months

Wednesday 3rd May 2023
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Opps - mis-read that!

KTMsm

27,683 posts

270 months

Wednesday 3rd May 2023
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Dad had similar - in the UK you can get nurses to come in 3 times a day to get them up and put them to bed etc

In Dad's case it was a downward spiral over almost a year of re infection - I'm not trying to depress you it's just that he may need much more care than you think

If Spain doesn't have similar care options you may want to look at moving them back - I know many do even if it's only because they want their family around them

Phil.

5,139 posts

257 months

Wednesday 3rd May 2023
quotequote all
KTMsm said:
Dad had similar - in the UK you can get nurses to come in 3 times a day to get them up and put them to bed etc

In Dad's case it was a downward spiral over almost a year of re infection - I'm not trying to depress you it's just that he may need much more care than you think

If Spain doesn't have similar care options you may want to look at moving them back - I know many do even if it's only because they want their family around them
If they are residents rather than citizens in Spain then it will be pay for your own care as in the UK. I don’t know the situation in the case they are citizens.

KTMsm

27,683 posts

270 months

Wednesday 3rd May 2023
quotequote all
Phil. said:
If they are residents rather than citizens in Spain then it will be pay for your own care as in the UK
Not sure if that's a typo - Dad's care was free on the NHS otherwise he'd have been blocking a bed in hospital

There might be time limits etc but each time he was released with (IIRC) district nurses coming out and it was free not even financially assessed

Phil.

5,139 posts

257 months

Thursday 4th May 2023
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KTMsm said:
Not sure if that's a typo - Dad's care was free on the NHS otherwise he'd have been blocking a bed in hospital

There might be time limits etc but each time he was released with (IIRC) district nurses coming out and it was free not even financially assessed
That’s a good outcome for you. When my mother came out of rehab hospital it was straight into a care home because home nursing wasn’t an option due to her needs. We are meeting the cost of the care home. The NHS support ended at this point.

The Mad Monk

10,612 posts

124 months

Thursday 4th May 2023
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cheeky_chops said:
Snip


Wife and i jumped on a plane asap as they live in Spain.
Unless the OPs Dad has moved to the UK since the thread started - or I haven't been paying attention. Then the fact that he is in Spain changes most answers - doesn't it?