Are there any nurse/doctor members?

Banned
Please don't troll this thread,
I would like some advice about my grandfather if there is anyone who might be able to offer an informed opinion.
Thanks,xx

62 Comments

i may be able to help

my sis is a nurse and now works in the community with the elderly?

tinkerbell28;4890875

Nurse, but you are still better getting medical advice in person x



+1, but if you really want advice, im sure I can give an impartial medically based opinion

I'm your average forum muppet. However I strongly suggest that if its medical advice you are after then call the NHS 24 helpline and ask directly for their advice.

An internet forum in Misc isnt really the place to get the information that you are after.

Tell us the problem at least? Some people might have experienced the same thing with a family member and might be able to advise?

Banned

ive been a doctor of 15 years now. whats up

oh wait... she said no trolling =(

Banned

DangerGod;4890945

ive been a doctor of 15 years now. whats up



If your a doctor.

I'm madonna.

Original Poster Banned

Well basically, almost 2 weeks ago we called an ambulance out to my grandfather as he'd fallen whilst on the phone to my uncle, my uncle told us and we went straight over and called 999. He's been in hospital ever since, being treated for a urine infection. He has been growing increasingly confused since being admitted and especially over the past week. We visited today and he is literally hallucinating that my uncle is lying in the bed as he's sitting in the chair. He believes he's at home and not in a hospital ward and also believes he has left hospital numerous times to visit a nursing home and eat fish and chips!

We spoke to a nurse on Weds who stated his protein was low, and his sodium high, explaining the confusion and that they would be dehydrating him to help this. Today he was worse than on Weds and, for the first time, the nurse has said the confusion may be permanent and a deterioration of previous underlying confusion.

He has been confused for some time, but only to the degree of not remembering why he's walked in a room, or what day it was when he did something, could the deterioration really be this fast (realistically a week, even though he's been in for 10days)? Or are the staff covering their backs so they can say they covered all bases?

We're just obviously concerned that he might not return to the man we know and love,-he is so unlike his old self now its bizarre.

Any thoughts? xxx

Banned

DLM;4890952

If your a doctor.I'm madonna.



lool hey DLM....sup chick?

well a urinary infection causes confusion by some complex biochemical mechanisms, and so it could be that the undelying infection is still there. The dehydration could be a contributing factor to this, so make sure he is taking onboard lots of fluids.

Or it could be that the confusion is progressivly getting worse over years, which could be an indicator of other pathology that the GP would need to investigate.

But, dont take my advise, apart from this: Either take him back to the GP/even A+E is your worried, and they can test for a urinary infection again, and then they and his GP cann take it from there.

Banned

DangerGod;4890974

lool hey DLM....sup chick?



What are you like claiming to be a doctor.

I'm alright, hope you are having a nice easter x x

Banned

DLM;4890997

What are you like claiming to be a doctor.I'm alright, hope you are … What are you like claiming to be a doctor.I'm alright, hope you are having a nice easter x x



Good Good.

[QUOTE=StevenA2000_uk;4890909I strongly suggest that if its medical advice you are after then call the NHS 24 helpline and ask directly for their advice.

[/QUOTE]

if its serious honey then this x x

Original Poster Banned

Sheep87;4890989

well a urinary infection causes confusion by some complex biochemical … well a urinary infection causes confusion by some complex biochemical mechanisms, and so it could be that the undelying infection is still there. The dehydration could be a contributing factor to this, so make sure he is taking onboard lots of fluids.Or it could be that the confusion is progressivly getting worse over years, which could be an indicator of other pathology that the GP would need to investigate.But, dont take my advise, apart from this: Either take him back to the GP/even A+E is your worried, and they can test for a urinary infection again, and then they and his GP cann take it from there.



hes still in hospital, it just feels that we're not getting the whole story, and that because the staff don't know the man he was before being admitted, they can't truly know his deterioration.

Original Poster Banned

StevenA2000_uk;4890909

I'm your average forum muppet. However I strongly suggest that if its … I'm your average forum muppet. However I strongly suggest that if its medical advice you are after then call the NHS 24 helpline and ask directly for their advice. An internet forum in Misc isnt really the place to get the information that you are after.



He is still in hospital so I am not putting him at risk by asking for an opinion on a forum.

H_K;4890954

Well basically, almost 2 weeks ago we called an ambulance out to my … Well basically, almost 2 weeks ago we called an ambulance out to my grandfather as he'd fallen whilst on the phone to my uncle, my uncle told us and we went straight over and called 999. He's been in hospital ever since, being treated for a urine infection. He has been growing increasingly confused since being admitted and especially over the past week. We visited today and he is literally hallucinating that my uncle is lying in the bed as he's sitting in the chair. He believes he's at home and not in a hospital ward and also believes he has left hospital numerous times to visit a nursing home and eat fish and chips!We spoke to a nurse on Weds who stated his protein was low, and his sodium high, explaining the confusion and that they would be dehydrating him to help this. Today he was worse than on Weds and, for the first time, the nurse has said the confusion may be permanent and a deterioration of previous underlying confusion.He has been confused for some time, but only to the degree of not remembering why he's walked in a room, or what day it was when he did something, could the deterioration really be this fast (realistically a week, even though he's been in for 10days)? Or are the staff covering their backs so they can say they covered all bases?We're just obviously concerned that he might not return to the man we know and love,-he is so unlike his old self now its bizarre.Any thoughts? xxx



Oh sweetie you must be so worried.

I know that urine infections can cause many confusion issues especially with the elderly

also the fact that he is in hospital and not at home where he is expecting to be may be adding to the confusion he feels.

I'm sure they will be doing further tests and observations to see how he is getting on.

Remember that you can ask as many questions as possible to help put your mind at rest, ask to speak directly to the doctor themselves next time they make their rounds if you are still anxious x x

H_K;4891023

hes still in hospital, it just feels that we're not getting the whole … hes still in hospital, it just feels that we're not getting the whole story, and that because the staff don't know the man he was before being admitted, they can't truly know his deterioration.



oh sorry, didnt realise he was still in hospital. Well, all I can say is that they will be running all the tests they can, but remember all you have to do is speak to teh doctors who are caring for him to explain what is going on.

Im not sure you are going to get a more in depth answer here in misc, but i hope everything goes ok, and if your unhappy with his treatment, make sure you tell them.

I would also take into account he is out of his natural environment. If as you say he gets confused at home when he is in familiar surroundings, This will be magnified when in unfamiliar surroundings.

sven256;4891072

I would also take into account he is out of his natural environment. If … I would also take into account he is out of his natural environment. If as you say he gets confused at home when he is in familiar surroundings, This will be magnified when in unfamiliar surroundings.



+1

H_K;4891031

He is still in hospital so I am not putting him at risk by asking for an … He is still in hospital so I am not putting him at risk by asking for an opinion on a forum.



I have an elderly neighbour who had the very same symptoms and It was a urine infection. After treatment she was right as rain. Best to ask at the hospital to speak to the consultant or doctor who is treating him as the nurses often don`t know the full picture or are not allowed to give out too much information. I do hope all goes well.

StevenA2000_uk;4890909

I'm your average forum muppet. However I strongly suggest that if its … I'm your average forum muppet. However I strongly suggest that if its medical advice you are after then call the NHS 24 helpline and ask directly for their advice. An internet forum in Misc isnt really the place to get the information that you are after.



I FINALY AGREE ON ALL ACCOUNTS

Original Poster Banned

Thanks for all your help, I really appreciate the kindness of those of you who took this seriously. We have yet to catch the doctor during the designated visiting hours but might make it our business to meet with him soon if no improvement.
I have repped you all, but it isn't really enough for the kindness you've shown, thankyou.

H_K;4891111

Thanks for all your help, I really appreciate the kindness of those of … Thanks for all your help, I really appreciate the kindness of those of you who took this seriously. We have yet to catch the doctor during the designated visiting hours but might make it our business to meet with him soon if no improvement.I have repped you all, but it isn't really enough for the kindness you've shown, thankyou.



also, if you speak to the sister/charge nurse on the ward, they generally go on ward rounds with the doctors, so they may know more if you miss the doctors.

H_K;4891111

Thanks for all your help, I really appreciate the kindness of those of … Thanks for all your help, I really appreciate the kindness of those of you who took this seriously. We have yet to catch the doctor during the designated visiting hours but might make it our business to meet with him soon if no improvement.I have repped you all, but it isn't really enough for the kindness you've shown, thankyou.



You can ask the nurse to make an appointment to see the doctor or consultant. Or she can give you his secretary`s number to do it. Good luck:thumbsup:

H_K;4891111

Thanks for all your help, I really appreciate the kindness of those of … Thanks for all your help, I really appreciate the kindness of those of you who took this seriously. We have yet to catch the doctor during the designated visiting hours but might make it our business to meet with him soon if no improvement.I have repped you all, but it isn't really enough for the kindness you've shown, thankyou.



we know you must be worried sweetie x x

Original Poster Banned

Sheep87;4891123

also, if you speak to the sister/charge nurse on the ward, they generally … also, if you speak to the sister/charge nurse on the ward, they generally go on ward rounds with the doctors, so they may know more if you miss the doctors.



rosie2008;4891127

You can ask the nurse to make an appointment to see the doctor or … You can ask the nurse to make an appointment to see the doctor or consultant. Or she can give you his secretary`s number to do it. Good luck:thumbsup:



ClarityofMind;4891132

we know you must be worried sweetie x x



It's pretty distressing to be honest, He's been in hospital before, but the look of confusion in his eyes is very hard to accept, we're just hoping that he does come around following treatment. Plus you expect people to get better when they're in hospital, not worse. I know its not th staff's fault but it's been a bit of a shock.

H_K;4891184

It's pretty distressing to be honest, He's been in hospital before, but … It's pretty distressing to be honest, He's been in hospital before, but the look of confusion in his eyes is very hard to accept, we're just hoping that he does come around following treatment. Plus you expect people to get better when they're in hospital, not worse. I know its not th staff's fault but it's been a bit of a shock.



I know what you mean... I think it has a lot to do with him not being home at the moment and a urine infection can cause awful dehydration that will respond very quickly once they get enough fluids back into him. Try not to worry too much but get down to see him again soon just to put your mind at rest. Do they have him on a drip?

raptorcigs;4891109

I FINALY AGREE ON ALL ACCOUNTS



lol...side splitting humour. :whistling:

StevenA2000_uk;4891241

lol...side splitting humour. :whistling:


NO MORE BICKERING I PROMMISE

raptorcigs;4891263

NO MORE BICKERING I PROMMISE



Thats a shame. I enjoy bickering. It makes misc interesting.

by the way OP. All the symptoms you are explaining are the same as the ones my father had, which is why I suggested speaking directly with his doctor at the hospital.

StevenA2000_uk;4891297

Thats a shame. I enjoy bickering. It makes misc interesting.



maybe your boobs put men off arguing with you :giggle:

they scare the hell outta me lol

ClarityofMind;4891319

maybe your boobs put men off arguing with you :giggle:they scare the hell … maybe your boobs put men off arguing with you :giggle:they scare the hell outta me lol



lol

Original Poster Banned

ClarityofMind;4891223

I know what you mean... I think it has a lot to do with him not being … I know what you mean... I think it has a lot to do with him not being home at the moment and a urine infection can cause awful dehydration that will respond very quickly once they get enough fluids back into him. Try not to worry too much but get down to see him again soon just to put your mind at rest. Do they have him on a drip?



No, theyre in the process of dehydrating him. The nurse on Weds said it was due to Osmosis, the high sodium is causing water retention, which causes a rise in sodium and so on in a vicious cycle. So theyre taking his water down to 1.5l a day to help this. I suppose this could be the reason for his decline even since Wednesday as they have begun the dehydration now. As I understand it, they will rehydrate him once the sodium levels have dropped.
x

Original Poster Banned

StevenA2000_uk;4891297

Thats a shame. I enjoy bickering. It makes misc interesting.by the way … Thats a shame. I enjoy bickering. It makes misc interesting.by the way OP. All the symptoms you are explaining are the same as the ones my father had, which is why I suggested speaking directly with his doctor at the hospital.



Can I ask what happened with your father?

H_K;4891336

No, theyre in the process of dehydrating him. The nurse on Weds said it … No, theyre in the process of dehydrating him. The nurse on Weds said it was due to Osmosis, the high sodium is causing water retention, which causes a rise in sodium and so on in a vicious cycle. So theyre taking his water down to 1.5l a day to help this. I suppose this could be the reason for his decline even since Wednesday as they have begun the dehydration now. As I understand it, they will rehydrate him once the sodium levels have dropped.x



ohhh I seee... hard to understand isnt it? He must be pretty swollen up at the moment, In his ankles, legs etc? I guess if he isnt feeling well he isnt moving round too much either which wont help with the water retention. I'm sure they must be giving him tablets for it. Do try and speak to the doctor if you can x x

H_K;4891184

It's pretty distressing to be honest, He's been in hospital before, but … It's pretty distressing to be honest, He's been in hospital before, but the look of confusion in his eyes is very hard to accept, we're just hoping that he does come around following treatment. Plus you expect people to get better when they're in hospital, not worse. I know its not th staff's fault but it's been a bit of a shock.



My nan was admitted to hospital recently following a heart attack, collapsed lung and pneumonia and she was in there for 6 weeks. My advice, from what I experienced, was don't rely on what the nurses tell you. Ask them to get you his doctor or consultant. The nurses that were looking after my nan didn't have a clue what her care plan/ ongoing treatment plan was and I was lied to so many times about how she was doing. Due to the distance, I wasn't able to be there as often as I'd have liked, so I called in frequently to see how she was doing and on one specific occasion the nurse said she'd been fine through the night, no problems at all. I later found out from my uncle that the night in question, she'd had more pains, been left to vomit on the floor and had the doctors rushed out to her and put on the ECG machine again. Yet the nurse told me there had been no problems what so ever and she'd had a good night !!! On other occasions, I'd call up to see how she was told by the nurse that they didn't know !

When I made it back up to the hospital, I asked to see her consultant, but he was unavailable, so I told them that I'd travelled for over 2 hours and wasn't leaving until they'd found me a doctor to speak to as the nurses weren't telling me anything, and they grabbed a doctor that was doing rounds on that ward, even though he wasn't the one that was treating her, and he read through her file and told me exactly what was happening and what they were going to be doing next and when they were expecting roughly to be sending her home. I'd suggest you do something similar, ask to discuss your grandad with a doctor, any doctor that's available, and get the doctor to go through his file with you and raise all of your concerns with him/her as they will be able to give you so much more information than the nurses and possibly write in his notes to do further tests based on the information you will discuss with them, which the nurses wouldn't do (well, the nurses in my nans hospital wouldn't have done anyway !!)

Original Poster Banned

ClarityofMind;4891366

ohhh I seee... hard to understand isnt it? He must be pretty swollen up … ohhh I seee... hard to understand isnt it? He must be pretty swollen up at the moment, In his ankles, legs etc? I guess if he isnt feeling well he isnt moving round too much either which wont help with the water retention. I'm sure they must be giving him tablets for it. Do try and speak to the doctor if you can x x



Yes, his ankles and fingers are very swollen, although less swollen today than Weds which must be a good sign I suppose.

He's moving around quite well actually, We found out today hes been 'wandering' around the ward thinking he's looking for his bedroom etc, but in general his movement is better than it has been for a while, it's just his mind which we're losing.

Just cross your fingers for us please!

H_K;4891352

Can I ask what happened with your father?



Yep, he passed away 3 months later in hospital. His liver function was breaking down (deranged enzymes turned up on the liver function test) which had a knock on effect on other organs (mainly the kidneys) and arteries carrying blood to the heart. Eventually he bled to death internally.

Not suggesting thats whats wrong with your grandfather, simply because anything can cause toxins to build up in the body to cause confusion, even the mildest of infections so I would in no way say that its the same as my fathers condition as you would have stated other symptoms and factors.

The first thing I'd do is get a hold of the doctor he is under in hostpital. Ask him what the results of his organ function blood test was, especially the liver and kidneys.

I'd say that if need be they will be providing him with fluids/nutrients and possibly antibiotics, if its bad then he will probably be getting these IV.

You really need to talk with the treating doctor to get an realistic view of whats going on with your grandfathers health.

The best thing is for him to move around as much as possible to help move the fluid naturally. Is he on water tablets?

H_K;4891407

Yes, his ankles and fingers are very swollen, although less swollen today … Yes, his ankles and fingers are very swollen, although less swollen today than Weds which must be a good sign I suppose.He's moving around quite well actually, We found out today hes been 'wandering' around the ward thinking he's looking for his bedroom etc, but in general his movement is better than it has been for a while, it's just his mind which we're losing.Just cross your fingers for us please!



I hope next time you see him he is much improved and you see a marked change for the better x x

The fact that they are fluid restricting him after a fall might point towards a condition called SIADH. Read more here:
en.wikipedia.org/wik…one

This in itself is a cause of confusion due to the decreased level of sodium in the blood. However, it's reasonably common and often rights itself after a few days. As has been mentioned above, the urinary tract infection could also be the source of confusion.

Ps. I apologise if any of the above article doesn't make sense, let me know and I'll try to explain where possible.
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