Wondering if there’s anyone out there who has experience of this funding.
Mum is going to be discharged from hospital into a residential bed at a local nursing
She is 92, has dementia , severe osteoporosis (back gone at almost every level ). Long standing wound of seven years on leg which prior to admission was being monitored on a daily basis by district nurse.
Admitted to hospital four weeks ago because of severe hallucinations. Seeing insects and red fish. Also saying pipes were leaking abdcthstcthe carpet was wet. In hospital also hallucinating. She was very dehydrated and has kidney damage. On admission she was still able to weight bear and .
She has been assessed using the NHS continuing healthcare check list. She scored one A and two Bs. The remainder being Cs . The A was for cognition. One B was for drug therapy and medication symptoms.
The other B was for skin integrity.
The Rationale for Decision was:-
Mary has a known demrntia and recent delirium. She requires support for personal and physical care needs. For residential care home placement with D.N support regarding skin care and non compliance of medication . Shecdirs not trigger for full health assessment not for FNC funding.
Knew the skin integrity section the assessor just mentioned her heel and sacrum areas and that there ‘was a dressing to left leg’. No mention of WHY the dressing was there! !! I spoke to the assessor 're this. The wound on left leg has been there for seven years. Will never heal because at home she continually removed the dressings. District nurses have been going in daily to monitor same. Tissue viability nurse has also been involved in the past and special treatment /dressings have to be applied to the area to ensure sepsis does not occur. On many occasions swans have proved positive for MRSA.
I have spoken to the head District nurse who knows mum well and she says she will liaise with the assessor 're this.
Re drug therapy/meds. Assessor only mentioned that mum is variable in compliance with medication in particular with oral laxatives.
I’ve told assessor that she is bon compliant with prescribed special dressing on left leg and again the head District nurse will liaise with her on this point.
Hopefully she will be reassessed and awarded further A scored. She needs two As to go down the route for continuing health care funding.
She is now weaker since the assessment and has great difficulty weight bearing. Takes two to transfer and has not walked for the last five or six days.
Any of your experiences or advice will be greatfully received. Xx thank you. Xx