A 93-year old lady had been admitted to hospital with pressure sores. She had been temporarily living in a care home who had stated that there would be no place available for her on discharge. She had a son who was very involved in her daily care. The son was keen for her to be discharged to a care home and the lady, who had been assessed as having capacity, fluctuated between saying she wanted to go to a care home and that she wanted to return to her home.
The lady was referred by the hospital discharge team, who requested anadvocate to attend the upcoming discharge planning meeting as there appeared to be differences in her wishes and those of her son. It was hoped that by having an advocate present the lady would feel confident to state her preferred option, which did appear to be different when she was asked on her own or in the presence of her son.
The son was opposed to the input of an advocate and queried what help an advocate could be. It was agreed that the advocate would be accompanied by the supervisor for the initial visit at the hospital, as although the lady as expressed a wish to see an advocate, the son had shown clear opposition to advocacy involvement.
The son got in touch with the advocate requesting that they be present at a meeting he was arranging for his mother to sign a form relinquishing the tenancy of her home. The advocate stated that she was unable to do this and that this was not the role of advocates. It was also still not clear whether the lady wished to return home with a package of care or to have a place in a nursing home. It was felt that this could have been an attempt at coercion and deprivation of assets by the son, as he had stated that he wished his mum to be discharged to a care home, not to her own home, where he would still have caring responsibilities. The lady was in very poor health and very frail, so it is probable that a best interest decision would have had to be made, despite a completed assessment stating that she had capacity. The son continued to insist that his mother did not have capacity.
The advocate contacted the Health Board’s Protection of Vulnerable Adults (POVA) Co-ordinator. Following input from the advocate, including advice on housing and care options for the lady, it was agreed that a further capacity assessment should be undertaken so that during the discharge planning meeting a decision that was in her best interests could be clearly made.
Healthy, comfortable feet are essential, especially for older people and Age Connects Wales’ member organisations Nail Cutting Service has proved to be a revelation for thousands of older people this year. As we age, some people need assistance with cutting their toe/finger nails and arthritic joints and tough overgrown toenails can make wearing shoes and walking comfortably almost impossible.
Most of us do not really give a lot of consideration to having our nails cut, but if you are elderly, suffer from restricted movement, susceptible to infections or conditions such as diabetes, then our nail cutting service could be a very important aspect of your healthcare.
With a number of community based clinics operating across our member organisations areas of benefit, specially trained and insured staff and/or volunteers keep people out and about and on their feet. Drop in clinics are available in some areas, and if getting to a local clinic proves difficult, a home visit service is available.
Please note, this is a chargeable service and some medical exclusions apply. Charges currently vary across each member organisation, but you can expect to pay between £10 - £15 for a clinic appointment and £20 - £25 for a home visit. Our charges cover all expenses including single use instruments as advised by NHS Podiatry Services.
Prior to your first appointment, we will need to know about your general health and any medication that you are taking, so a short questionnaire will be necessary. If you have any health conditions which prevent us from assisting you, we will make a direct referral to the NHS Podiatry Service.
The benefits of maintaining good foot health is being felt by thousands of people across Wales each month, and the feedback we are receiving is highlighting that the service is helping older people to remain active, independent and reduce their risk of falls.
Never ignore minor foot problems as they could get worse. F or more information or to book an appointment, please contact your local Age Connects Organisation.