Worried about my Dad after surgery

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Pamela8

Hello all.
I am new here. My Dad went into afib a week ago Sunday, betapace didnt convert him, so a trip to the ER.

Admitted and tests showed his aortic valve much worse than last seen in Jan.

I live in NY, my Dad is in Florida, was supposed to come back home here when this occurred.

I called the hospital and the nurse told me the cardiologist wanted to do open heart surgery the next day. My brother flew out in the morning to see if we could get him home first and have it done here, but they said it needed to be done then.

My brother called every few hours with updates. Surgery went well, surgeon replaced aortic valve and did maze.

He was out of ICU in 24 hours and released from hospital three days later. He is now in a nursing home/rehab for supposeldy two weeks.

Then my brother will fly back down and take him to drs appts and hopfully he can fly home.

I am worried though. My brother flew back the day after my Dad put in rehab. I called the rehab and there is only one portable phone for 60 patients, and the aide or nurse who anwers the regular phone gave me a lecture that my Dad should have his own cellphone ....... I told here this happened so fast no time to plan and I am in NY.

I asked to talk to the nurse to see how he is doing. She said ok except he took a fall in the shower. This his third day there. I asked if someone was with him and she said an aide outside the door.

She said he fell to him knees, I didn't know if this would affect where the surgery was done?

Then I called yesterday and took over two hours to get someone to get the portable phone to him. I talked to the nurse and she said my Dad wasn't too happy they had to catherize him and give him more lasix because his feet and ankles swelling.

When I was able to talk to my Dad, he sounded so weak and hoarse. He said they woke him at 2am to put a catheter in, I said no wonder the nurse said you weren't happy.

My Dad is 75 and has had afib for years. He also has had anemia recently, bled alot after prostrate biopsy. also some issue with his kidneys.

I am so worried about the swelling and just how he sounds in general. He sounded better the other day when I talked to him. When I talk to him he kept having to stop to cough.

Is all this common after this type of surgery? I know recovery will take while.

I wish I could fly there but I have extreme panic attacks and with the hot weather in Florida I know it will aggravate my Multiple sclerosis.

Should my brother or I call his cardiologist in florida. the floor dr at the nursing home ordered the lasix and catherter.

Thanks all,
Pam
 
A fall in the shower because there was no one with him--That is unforgivable!!! Outside the door, just doesn't cut it! The poor man just got out of open heart surgery. He should have had an aide right in the shower with him helping him.

This sounds like a nightmare. Any chance that someone from the family could get there to be with him?

People who have had this type of surgery are very weak afterwords and need extensive care for the first two weeks.

It sounds like the Nursing Home doesn't have enough help, and little knowledge of how to manage open heart patients.
 
Pam yes it's par for the course, but I'm concerned, as I'm sure you are also, that he is not getting proper treatment at the facility that he's at. I'm thinking you or your brother need to get him out of there and care for him yourself. If he's capable of walking a couple steps to a portable toilet, I see no reason for them to put a foley catheter in him and risk giving him an infection on top of everything else. A place like that cannot possibly be attentive to his immediate needs and quite frankly, they don't care. Dad needs someone to be with him all the time for these first weeks and work with him to make him stronger. They aren't doing that. They are letting him lay in bed and do nothing and that is dangerous. It sure isn't going to get him out of there any time soon.
 
Welcome - I am happy you found your way here.

Sorry to sound stern but someone needs to get him out of there and now. Not only is the fall unforgivable but for the nurse to sound so cavalier about it just makes me wonder just what else is going on.

Please do whatever you can to get your father into a facility that allows for family supervision.
 
I Absolutely Agree With Ross!!! And Nancy!!!!! Ditto, Ditto, Ditto!!!! When I Read Something And The Hairs On The Back Of My Neck Go Up, It's Not Right.

Evelyn
 
Nancy is right -- a fall in the shower because no one was with him to steady him is a bad sign about the quality of care. I well remember how shaky I was when had my first shower after OHS. Needed the nurse's assistance even it was a little embarrassing.

I join others in the hope you can find other care arrangements for your Dad, something in which your family can be involved.

Meanwhile, welcome to the forum. Sorry for the circumstances but hope you will find comfort and support you need here.
 
You're getting some good advice here. It sounds like somebody needs to be there to make sure he is looked after properly. So soon post-op, he is in no condition to look after himself.
 
Wow!
It doesn't sound like your dad is getting proper care.
We all feel for him. The sooner he's out of there the better.
Keep us posted.
 
A fall in the shower because there was no one with him--That is unforgiveable!!! Outside the door, just doesn't cut it! The poor man just got out of open heart surgery. He should have had an aid right in the shower with him helping him.

This sounds like a nightmare. Any chance that someone from the family could get there to be with him?

People who have had this type of surgery are very weak afterwards and need extensive care for the first two weeks.

It sounds like the Nursing Home doesn't have enough help, and little knowledge of how to manage open heart patients.
Wow, I feel for your situation, Pam! And your instincts are correct; a recovering OHS patient needs more attention than he seems to be getting from that facility. Or is it possible they put him in the wrong ward of the facility? Nancy, quoted here, has excellent experience, as do the others who posted. What an ordeal for you and your brother also; I hope all goes well for you all. Your dad sounds like quite a trooper.
 
When I was in the hospital, the nurse assisted with my first shower while I sat on some sort of stool IN the shower. My family members assisted after that.

This incident should be reported to the Hospital, Surgeon and Cardiologist so that they KNOW what kind of care they are releasing their patients into.

At the very least, you Dad needs someone there 24/7 to look after his needs. Better yet, move him to a dedicated Rehab Hospital. That nursing home is NOT set up to properly care for a recent post OHS patient.

'AL Capshaw'
 
Most OHS patients are on a course of lasix. We all gain water weight during the surgery and they need to get rid of it. But the goal is to get the catheters out as soon as possible. I had four chest tubes still draining when they removed my catheter. Obviously I could not carry all four of the containers myself so each time I needed to use the restroom, a nurse assisted me going from my bed to my bathroom. She carried the containers, got me situated and then gave me privacy. Seeing as I had to lose 17 pounds of water weight, that was a lot of trips to the 'loo' but that is what they wanted.

It sounds to me like this facility is understaffed and they don't have a nurse to help patients in this way so the catheter is to make their life easier.

I wonder though if he had lost his surgery water weight before he was discharged from the hospital. In both of my OHS, no discharge until back to my admission weight.

If there is some way a family member can be with him, I think it would definitely be to his benefit. It worries me this place is taking short cuts because there is no one there watching them and looking out for Dad. I know this sounds very harsh, but I think it that important and urgent.

Your dad needs help IMO Seeing as he was in Florida when all this evolved, does he have friends or relations there that can help out? Was he visiting with friends?
 
Pam, welcome!
The first couple of weeks post op require alot of "hands on" care.
After OHS my hospital stay was 16 days. I had a shower while sitting in a chair and a nurse's aide washed me. Every day I was weighed, BP and temp were taken, and incision was checked.
Most nursing homes are not staffed for that level of care.
Maybe Dad can be moved to a rehab facility? Best wishes.:)
 
Thanks for so many caring replies :)

My brother called me this morning, he talked to my Dad, my dad was worried as there was blood in the catheter tube. I know when he was leaving the hospital and they removed the catheter there there was a problem and it irritated the area.

so possible from the irritation from the first catherter?

My Dad's sister is in Florida for a few more weeks and her hubby, they stopped to see my Dad today. They told my brother he seemed ok, they talked to the nurse and bloodwork being done. My brother will call my Dad tommorrow to see how hes doing and also find out when bloodwork will be back. My Uncle made a statement that my Dad was babying himself, which I found a strange comment as what my Dad has gone through not only with with surgery but the fall etc. My brother said my Dad is nervous, which would onlly be normal after the surgery.

This nursing home/rehab is where the hospital sends its cardiac pateients. I think the hospital stay was too short, but know how people many times are sent home too soon. I hope the rehab doc is in contact with my dad's cardiologist.

My Dad does go for therapy there, said he is very tired after.

But like you posted the fall in the shower is negligence. I don't even know if they are weighing him etc.:(

I wish with all my heart he was here, my brother and I would be on top of his care. We both worked in the same nursing home years ago, my brother an LPN and I a nurses aide. I know the problems with short staffing and problems with care. Thankfully there were some very dedcicated staff there who cared very much. And sadly, some who were not.

My aunt and uncle are dealing with another family member in Florida who is very ill, heart transplant and then a stroke last week. so they are driving to both cities.

My brother will be talking to my Dad tommorrow and my uncle and I'm sure the staff nurse. I know if things have not improved he will call the cardiologist. I will calll my brother tommorw and either he or I will call the head nurse and see exactly what they are and are not doing. And tell them he should not be left alone in the shower.

My brother said that he thinks he came home too soon, that he should have stayed in Florida with our Dad, but everything seemed to be going well and like I said he will be flying back to bring him home. I think my brother has the same uneasy feelings about the care as I do. But my brother is wonderful, he has done everything . He has a young daughter at home where my kids are all grown. I'm the one who should be doing more.

I will update as soon as I hear more tommorow. Sorry If I rambled somewhat, I tend to to that when I'm nervous.

Pam
 
I don't think dad is babying himself and I'd be nervous too. This surgery is life altering and really messes with a persons mental facilties. It takes time, excercise and a host of other things to bring one back up to speed. I'm just afraid that the care he is receiving is the type of care where he goes in, but never comes out. I can't stress it enough, you or your brother need to get him out of there or at the very least, be a major pain in the supervisors butt and question her daily. Make sure he's being paid attention too.
 
Ross,
I know my brother will keep on top of things, and I will be calling too to see whats going on. And my aunt will keep us informed too.

Nancy,
He had his surgery at Lakeland Hospital. I don't know the surgeons name off hand. If he had the surgery here it would have been at St. Peters in albany.

I saw Schenectady listed under your post. I live in Schenectady!! My Dad lives in Rotterdam when not in Florida.

Pam
 
Pam,

This might sound like a dumb question but is Lakeland Hospital in Lakeland, Florida? I have a couple of friends that live in Lakeland and could try to see if they know the reputation of the facility your father is in.
 
Gina,
Yes in lakeland:) I did some searching last night and emailed this to my brother. The catheter part was what got to me.

WEDGEWOOD HEALTHCARE CENTER Click For Quality Trends & Staffing DATE: ANNUAL SURVEYS 04/29/05 05/04/06 04/19/07
LAKELAND (COUNTY: Polk) RATING
TOTAL CONFIRMED VIOLATIONS BY SURVEY DATE . 10 4 6
STATE AVERAGE VIOLATIONS BY SURVEY DATE . 8 8 8
REPEAT VIOLATIONS: Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
 
I'll see if I can find out anything else but I think you are quickly getting answers on what needs to be done.
 
The Shower Incident is SCARY on several grounds and should be reported to ALL of his Doctors and whoever regulates that facility.

1 - Almost ALL OHS patients require assistance for the first 2 weeks following surgery. The attendant should have helped him with his shower.

2 - He should have had some sort of Stool or Chair to SIT on in the shower.

3 - OHS patients are restricted to lifting, pulling, or pushing NO MORE THAN 5 (or 10) pounds for several WEEKS after surgery. How did he raise himself after falling in the shower? Did it damage the healing sternum?

4 - One of the common recommendations on VR.com is to have someone with the patient 24 /7 while in the hospital to monitor care, medications, and watch for changes that could be of concern. I think this advice would also apply to the first week or two after discharge for many (most?) patients.

5 - It might even help to contact the local media (TV News, Newspaper) *assuming* there will be someone to watch over him until he is discharged or moved to another facility.

'AL Capshaw'
 

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