Unsafe discharge and death by licorice
Mum moved downstairs two months ago. It hasn’t been easy. The previous occupiers, our neighbours, left the house a filthy mess. Me and my brother got the kitchen and bathroom cleaned on moving in day, but it was far from ideal. Another neighbour who I know from work/church repainted her walls and ceilings. A neighbour my wife knows weeded the garden and did some cleaning and washing. Little kid posts the dog jumpers and cat tea cosies she knits to keep her eBay customers happy. Big kid sweeps and mops the floor for manga money. Sainsbury’s deliver a crateful of cat food, fizzy drinks, snacks, and black licorice. The licorice keeps her “moving”. I make her a cooked meal every evening, empty the bins, and keep moving furniture around as and when requested. “When I get the place sorted I’ll be fine” is my mum’s mantra. Mine is more “you need to get your health sorted” and “tell your doctor”.
Mum looks set to move at the very start of next month. Moving house is the most stressful life event, and doing so when you’re 80, unwell, and from the home you bought expecting it to be your final home in the town where you went to school is harder. She’s handled it pretty well, to be fair, although the anxiety has kicked in the closer we got to the desired completion date. It’s not been easy for me, either, as there’s a limit to what I can do from a distance. It’s mostly “ask your solicitor” or “tell your solicitor” and trying to reassure her that everything will be all right in the end.
The first week she moved in, she banged her leg during the night causing a pretty horrible haematoma, which required a couple of trips to the hospital, the GP surgery and ongoing home visits from the district nurse. Yesterday morning I was on my third spoon of cornflakes before the school run when I received a text from mum saying she’d had a fall and was on the floor. Her other leg (not the one she banged before) gave way as she got out of bed and she toppled over on to her side. Remarkably, she didn’t break anything and had got herself sitting upright again, but obviously couldn’t get herself up. I couldn’t get her up either, which is probably just as well, as the medical advice is not to move them. My wife stayed with her while I took little kid to school. Paramedics duly arrived and very carefully assessed and treated her and recommended a trip to Accident and Emergency (A&E) due to her elevated heart rate and medical history. She did not want to go, but the alternative was to wait for a home visit from the GP in the afternoon and s/he would certainly call an ambulance.
After a day in A&E, and after I left her to pick up little kid, she was told she would be discharged that evening. They’d booked hospital transport to take her home, but I drove to collect her as it might have been a long wait. When I got there, she couldn’t get out of her chair into her wheelchair without the assistance of two carers. I wondered if she’d be able to get into and out of my car. And into and out of her bed. Without falling down again. There was general agreement that it was certainly a suboptimal arrangement. My wife, who is a social worker and deals with similar scenarios in her work, advised me that what the hospital was proposing is known as an unsafe discharge.
As soon as I uttered this magic phrase, mum was readmitted to A&E so that she could be discharged safely. She was not happy about that or with me, I have to say. And I can quite understand. Everyone just wants to go home and sleep peacefully, comfortably and privately in their own bed. Today she’s been reassessed. She now has a six-week care package in place for when she goes home so that she can regain her independence without putting herself at risk of another fall. They’ve done more scans and found new problems.
And, seriously, it now turns out that her long-standing licorice habit might be the single cause of some of her most debilitating problems.