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86 year old refused respite care.

imokyrok

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Mar 4, 2008
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4,507
I looking for some advice regarding accessing services for my elderly mother in law. She is in hospital recovering from a psychotic break and requires supervised medical care convalescence or respite care for when they discharge her from the hospital according to her consultant. The Public Health service attached to her area has refused care and told us there is no appeals process. She is 86 years old, barely mobile, almost fully blind, deaf and now has regular visual hallucinations and she lives alone. She has been a widow for forty years and so has no financial resources other than her pension. Any ideas?
 


james5001

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Oct 27, 2009
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If you run out of options call Joe. Seriously.
 
D

Dylan2010

is she renting or does she own her own house? they have the process in place for provding care and taking their cut out of the future house sale.
 

IbrahaimMohamad

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Feb 5, 2013
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I looking for some advice regarding accessing services for my elderly mother in law. She is in hospital recovering from a psychotic break and requires supervised medical care convalescence or respite care for when they discharge her from the hospital according to her consultant. The Public Health service attached to her area has refused care and told us there is no appeals process. She is 86 years old, barely mobile, almost fully blind, deaf and now has regular visual hallucinations and she lives alone. She has been a widow for forty years and so has no financial resources other than her pension. Any ideas?
How much savings does she have?
 

commonman

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Dont take her home tell them you cant take care of her,let them sort it.
 

imokyrok

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is she renting or does she own her own house? they have the process in place for provding care and taking their cut out of the future house sale.
That's for ongoing care in a nursing home and doesn't seem to cover convalescent beds. In any case her house is mortgaged to the hilt as she took out one of those life loans a deacde or so ago to do much needed repairs and the interesth as been phenomenal.
 

Analyzer

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She is an EU patriot. She is making a small sacrifice to make sure that the Anglo Bondholders remain content wth Irish state banking policy.

Send her something symbolic, like a medal of honour reflecting her commitment in this hour of need for Europe's bankers. Or better still send her nothing, that way she will preserve even more money for the bankers.
 

ffc

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Is it possible to take a period of Carer's Leave, you would be entitled to Carer's Benefit and other assistance, including the household benefits package, if she stays in your home. You can also get Carer's benefit to pay for a carer in your home, if you cannot stop working.
It's complicated and time consuming, but Social Welfare will eventually re-imburse you if she qualifies for full time care.
Carer's Benefit is not means tested, if you have paid PRSI at A class contributions. It is around 205 Euros per week.
 

wombat

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Not being a smart alec but I'd contact a local TD, they're usually quite good at finding out what people are entitled to.
 

White Horse

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She has been a widow for forty years and so has no financial resources other than her pension. Any ideas?
Does she have any sons and daughters who can take her in an look after her? That has been the tradition in Ireland for generations and it worked well.

Of course, in modern two income and dispersed families that is becoming less practical.
 

Absurdo

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Commonman is correct. HSE will dump this poor woman if it can get any chance. At her age does she have a realistic chance of returning to the family home ? Looks like she needs 24/7 and perhaps high dependency care. unfortunately this could mean she gets stuck in the hospital bed which is bad for her and bad for the hospital. Start ringing TD's and make a ruckus. It is unfortunate but that really works. Try and not get emotionally bound up in this - it is all part of the game. Keep a journal of who you talk to and press for action.
 
D

Dylan2010

That's for ongoing care in a nursing home and doesn't seem to cover convalescent beds. In any case her house is mortgaged to the hilt as she took out one of those life loans a deacde or so ago to do much needed repairs and the interesth as been phenomenal.
then I dont think they can legally discharge her if noone is willing to to take her, maybe they are just playing hardball with you?
 

imokyrok

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Dont take her home tell them you cant take care of her,let them sort it.
The problem is that her GP referred her into The Hermitage as she has VHI. He thought he was doing her a favour by avoiding the awful A&E experience that would await her in Beaumont in her terrified, distressed state. However if she had gone into Beaumont they would have social worker support. The Hertigage tell us that once they determine she can leave the hospital VHI ceases to cover and she will be charged for every day longer.

We are thinking we may have to take her to her home and get her GP to start all over again sending her through A&E in Beaumont. The distress that would cause her would be awful - we've been there before and when she is hallucinating the chaos of Beaumont trolley land send her into hyper distress.
 

IbrahaimMohamad

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Does the woman not need long term care at this stage or could she live with one of her Children?
 

damus

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Jun 28, 2011
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I looking for some advice regarding accessing services for my elderly mother in law. She is in hospital recovering from a psychotic break and requires supervised medical care convalescence or respite care for when they discharge her from the hospital according to her consultant. The Public Health service attached to her area has refused care and told us there is no appeals process. She is 86 years old, barely mobile, almost fully blind, deaf and now has regular visual hallucinations and she lives alone. She has been a widow for forty years and so has no financial resources other than her pension. Any ideas?
The underlined bit is complete and utter bull for starters. Here's the appeals process to be followed in respect of any HSE decisions that you are dissatisfied with. And they're suppose to advise you of the details of the procedure in the PFO letter.

HSE.ie - Health Service Executive Website - Appeals Process

Second, I'd get access to all your MIL's records on file which will show how they arrived at their decision and all factors that were taken in to account under S. 7 of FOI - it'll help in terms of formulating the grounds of the appeal. I'd also write to the decision-maker advising them of any safety risks relating to your MIL - which then puts the legal onus on them if anything happens (if you get my drift). I'd also contact the carers association for advice and age action also have an advice line.

You also have recourse to the office of the ombudsman if you're dissatisifed with the decision. The Ombudsman can investigate cases relating to maladministration.

Do you mind me asking if your MIL is getting any kind of home-help etc....

Here's the explanation of what constitutes maladministration.

http://www.ombudsman.gov.ie/en/Publications/Investigation-Reports/Health-Service-Executive/Report-to-the-Health-Service-Executive-concerning-complaints-against-the-Public-Health-Service/Maladministration.html
 

wombat

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Jun 16, 2007
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Apart from never voting for FG and Labour again, there's little I can suggest that hasn't already been mentioned.
You're some gobsh1te
 

imokyrok

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Joined
Mar 4, 2008
Messages
4,507
Is it possible to take a period of Carer's Leave, you would be entitled to Carer's Benefit and other assistance, including the household benefits package, if she stays in your home. You can also get Carer's benefit to pay for a carer in your home, if you cannot stop working.
It's complicated and time consuming, but Social Welfare will eventually re-imburse you if she qualifies for full time care.
Carer's Benefit is not means tested, if you have paid PRSI at A class contributions. It is around 205 Euros per week.
That is something to look into for the medium term so thanks for the suggestion. It's the short term convalescent/respite care that is the big issue right now. She needs to be supervised by professionals.
 

Absurdo

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Nov 14, 2009
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744
Get strategic - check this Trolley Watch

Beaumont has a huge list. If I was you I'd take her into James on the way home as she had a "fit" on the journey. Hint Hint
 

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