I am furious!!!!

  1. I realise I may not have the whole story here, but I have to vent!

    My FIL called last nigh. His mother had a stroke Sunday night and is bad off. She lives at an assisted living facility with a private duty assistant with her as she is developing dementia and has falls.
    She has labile HTN and I guess they check her bp q day. Well they checked it Sunday and it was high so they called her doctor and he said to give her her antihypertensive (don't know what).
    Her BP continues to climb and now she is not talking or following commands!!! The facility calls the doc again who tells them to give her another pill!!!!!!!! Well that didn't work so after about two hours of this BS he tell them to take her to the ER!
    What on God's green earth was he thinking???!?! Why didn't they take her to the ER from the get go and what MD would tell them to give a pill to an unresponsive woman???!!
    All the messing around just eliminated the possiblilty of TPA for her!
    I'm not real clear on her condition or residual right now, but I do know she just bought several weeks of rehab!
    Steam is coming out of my ears right now. I had to get this out! Thanks!
    •  
  2. 8 Comments

  3. by   emily_mom
    I get furious over things that my grandparents do in regards to their healthcare, too. However, you have to realize their knowledge is pretty general. When a doctor says something, they do it. If the doc isn't concerned, they aren't either. They just don't get it that the doc is not God and to go with your gut instinct on things.

    However, with her being at an assisted living facility, someone should have known enough to second guess the doc and get her to the ER.

    I'm sorry this happened to your family. I would find out who this doc is and make sure that he never touches your MIL again.

    Prayers for a speedy recovery.

    Kristy
  4. by   dawngloves
    Thanks Kristy. I'll try and get more info from my FIL when he's not so upset. I was trying to hold myself back last night but I was just so incredulous over the situation.
    I mean, a woman with HTN is unresponsive, give her a pill??!!!
  5. by   emily_mom
    I understand your anger with the doc and all involved. You go after that doc's azz!!!! Older people need advocates, esp when they are so "old school".

    Go get 'em Dawn!
  6. by   ktwlpn
    Originally posted by dawngloves
    I realise I may not have the whole story here, but I have to vent!

    My FIL called last nigh. His mother had a stroke Sunday night and is bad off. She lives at an assisted living facility with a private duty assistant with her as she is developing dementia and has falls.
    She has labile HTN and I guess they check her bp q day. Well they checked it Sunday and it was high so they called her doctor and he said to give her her antihypertensive (don't know what).
    Her BP continues to climb and now she is not talking or following commands!!! The facility calls the doc again who tells them to give her another pill!!!!!!!! Well that didn't work so after about two hours of this BS he tell them to take her to the ER!
    What on God's green earth was he thinking???!?! Why didn't they take her to the ER from the get go and what MD would tell them to give a pill to an unresponsive woman???!!
    All the messing around just eliminated the possiblilty of TPA for her!
    I'm not real clear on her condition or residual right now, but I do know she just bought several weeks of rehab!
    Steam is coming out of my ears right now. I had to get this out! Thanks!
    Assisted living facilities are not regulated like long term care facilities are and it is scary...Her private duty may not even have been a certified aide...Was there a licensed nurse on call for this private duty assitant to consult? some of these places are all about the money...I hope she is ok-consider a real nursing home for the future...
  7. by   kids
    Originally posted by dawngloves
    ...they checked it Sunday and it was high so they called her doctor and he said to give her her antihypertensive (don't know what).
    Her BP continues to climb and now she is not talking or following commands!!! The facility calls the doc again who tells them to give her another pill!!!!!!!! Well that didn't work so after about two hours of this BS he tell them to take her to the ER!...
    I am really sorry this is happening to you and your family.
    I know you only have partial info at this point but I have some questions for you to consider that might help you frame your questions to get to the bottom of this.

    What was the med?
    Who at the facility was making the calls to the doctor?
    Did they/how did they communicate to the doc that she was nonverbal/not following commands?
    Did they (facility) wait another 2 hours after pill #2 to call and then the doc sent her to the ER?
    What attempts were made (by the facility) to update family on her change in condition?
    I don't expect you to actuallyanswerthese, like I said, they are for you to consider and may help you get not just more info but the right info.

    BTW...I've never given TPA (other than to declot a central line)...I thought it could not be given for stroke with labile HTN present?
  8. by   BadBird
    Sounds like the Dr. dropped the ball here, so did the nurse assessing her, I wonder if they know about 911? Send grandma to the ED stat!!! No wonder the lawyers are making millions.
  9. by   dawngloves
    Thank you kids! You helped me organize my thoughts for when I talk to my FIL. He really needs to look into this and these are the things he needs to address.

    There is an RN on staff 24/7, I'm not sure what her roll was and I hope the MD wasn't giving orders to the aide! I don't think she is even a CNA, more like a PCA.
  10. by   deespoohbear
    Originally posted by ktwlpn
    Assisted living facilities are not regulated like long term care facilities are and it is scary...Her private duty may not even have been a certified aide...Was there a licensed nurse on call for this private duty assistant to consult? some of these places are all about the money...I hope she is ok-consider a real nursing home for the future...

    Here where I live in Indiana we have several assisted living arrangements that are part of a nursing home. Kind of leveled care at these facilities. These facilities have totally independent living apartments, residential living, assisted living, and nursing care facilities. The assisted living areas are staffed by a LPN who passes meds, does treatments, etc. The care at the two facilities I am familiar goes above and beyond. These places have had excellent state surveys and have a waiting list of people who desire admission. I have seen some nursing homes that I wouldn't admit my worse enemy. So nursing homes are not always the answer.

close