Monday, 26 October 2009

Isobel slept until just after 8am. We had a nurse to help until 2pm and the district nurse came in during the morning although she did not need to do anything. She needed some coaxing onto the commode after waking and the bed was slightly wet.

I spoke to Maggie Williams at Bexley Care Trust during the morning and was disappointed to find that yet again no decision about respite care had been made. She claims that her part of the bureaucracy has only been aware of Isobel's existence for just over a week and her organisation is not responsible for any earlier delay which must be caused somewhere else in the system. She was unable to say what was happening in respect of the possible hospice move. She was unable to say what was happening in respect of the place at the Peter Gidney unit. She thought residential care would be arranged within "one or two days" but refused to give a categoric assurance this would be done. She was keen to put in place continuing arrangements for home nursing; I pointed out this would not be needed if Isobel was in residential care as agreed. As a compromise she would arrange nursing cover for today from 2pm when the current nurse finished, Tomorrow when Isobel goes to Maidstone for an MRI scan there would be nursing support from 8am to 12 noon. Overnight cover would be suspended unless problems arose. No arrangements were made for Wednesday in view of the pending residential transfer.

Iona arrived after her trial morning at the nursery. She said it went well and they had decided she did not need to do another half day on Wednesday. She cannot start work until her references have been checked and her enhanced CRB check done, probably the first week of November. Iona only stayed for a couple of hours today.

Isobel had chicken Kiev, chips and beans for tea followed by chocolate pudding. At 9pm the bed was wet again but Isobel was settled down to sleep by 9.30 although she did not actually go to sleep until 10.30pm.

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