(Awkward question I know.) My 95-year-old father is in MC facility under hospice care & is bedridden. He is slowly deteriorating as expected, but seems to be comfortable. He has gotten very skinny. I'm concerned that he is not being turned every 2 hours. It takes 2 people to turn & position him & my gut feeling is that, since he is being monitored by hospice, the staff of the MC do not think he needs as much attention from them. On multiple occasions when I visit & ask about it I am assured that he is being turned. However he is in the same position each time I visit. I know that may be coincidental & that he may have been turned appropriately before I got there. However, I have a sitter with him at night & she told me that she has difficulty getting anyone to help her. I have discussed this with the executive director & the nursing director at least twice & both have reassured me that the staff will help. However he has developed a skin breakdown area on his lower back, according to the sitter.
I am going to tell the hospice nurse about this so he can monitor the area. I know that this could have happened anyway, but I want to limit the damage as much as possible. In the meantime, I want the executive director & nursing director to emphasize to the staff how important it is that he be turned appropriately & hold them accountable if he isn't. Also I will photograph the area next time I'm there.
Am I dreaming? Do I need a doctor's order? I know the directors can't be there day & night, but there's got to be a way. I've purchased wedge & extra regular pillows with which to prop him. It takes 5 minutes to turn & position him, if he hasn't been incontinent.
I hesitate to get firm with them because they may retaliate. I have twice asked the directors to tell me when they can no longer provide the level of care he needs & I've been assured that they can manage. I have contemplated moving him to a different place, but in my area all the long term care facilities are sketchy & I'm sure are having staffing problems as is everyone. So would it be any different?
I guess I need some guidance on how to write an email that is firm, but non-threatening, if such a thing is possible so that they will take this seriously. I know I can't tell them how to run their "shop", but I want to do all I can to hold off the ravages of being bedridden. Thoughts?