First: I apologize if this is a little jumbled and confusing. Naturally, my mind is just all over the place while trying to navigate services. Please bear with me.
Grandfather is approaching late stages of dementia. He was hospitalized about a week ago with a severely impacted bowel. My grandmother has been caring for him with the help of two PSW’s for just under a year now, and he has taken a turn for the worse since entering the hospital.
Essentially, he has become increasingly violent in the hospital. The hospital staff are encouraging my grandmother and the PSW’s the just bring him home once his bowels are sorted, but I think his behaviour has cinched this idea. Also, her home has stairs for every room (a bizarre setup), and he will be in a wheelchair, so it is not really an option for him to return home in any way, shape, or form. Further, the stairs to the front door alone are absurd. Sure, ramps could be built, but my grandmother is so burnt out and his behaviour is so erratic that it would not be safe whatsoever for him to go home even with the constant help from PSWs and us. He is over six one, 270 pounds, and extremely strong. Further, my grandmother is five feet tall. It is obvious that he needs specialized care now.
The hospital is pushing for him to be sent home, and we fear that my grandmother will give in even though she does not want this. We have asked my grandmother what we can do, but of course she has decision fatigue, and it puts her in an even harder position to make choices about the next steps and to advocate.
How do we navigate this? We are happy to speak on her behalf if she would like, we just genuinely don’t know where to start and we don’t know how this system works at all, it’s just so sudden. We have been helping this entire time of course, but him entering the hospital and completely plummeting has now brought us to these huge choices very suddenly and our minds have not yet caught up. Literally last week we had dinner together and he was fairly coherent, he just needed his diaper changed several times but that was business as usual. Now, he hardly knows who we are, he is extremely violent with staff, and he has lost the ability to stand. He even attacked my mom, which was devastating (she is fine physically, but… yeah).
The hospital says the best they can do is bump him up on the care home list, but they cannot tell us how long it could be. Further, we were advised that someone would meet with my grandmother to assess the house and assess him, but this person does not show up on the scheduled meeting times. The hospital has told my grandmother that they will not keep him either, so he has to go home. It’s all so confusing and we don’t know how much power we really have. All we know is that we want to do right by my grandmother and grandfather.
All support is greatly greatly appreciated. This group has been a beacon in a very dark time. Love and light ✨