Home Health Documentation
DOCUMENTED BY NIRVANA HOME HEALTH:
"During this visit on 7-23-14, "Mary Sue" (significant other) told this therapist that the patient had an accident early in the morning (diarrhea) and she helped the patient and gave him a good shower. She reported that she was investigated by the DCF in the past of suspected abuse charged by the patient daughter but found nothing after the investigation. (Patient and daughter are not getting along together ever since he met his significant other).
"Mary Sue" left us to go to Orlando for a very important appointment to her lawyer. This therapist told this patient about the diarrhea accident early in the morning but denied that he was being helped by "Mary Sue". He also tells this therapist that when he came home from the ER last Sunday morning, "Mary Sue" left him alone whole day. He said that he needs to get better and stronger so he can get a lawyer and able to manage his finances again. Also claims that when he got investigated by the DCF, he did not disclose everything. He was offered to have a social services to assist him with this issue but declined because he don't want "Mary Sue" to know this. Told the patient that he needs to have a caregiver when "Mary Sue" go out for any appointment. He agreed that he needs someone to be with him to assist because he is still weak. He said that he will tell "AM" about getting an aide.
Between 6:30-6:45pm, "Mary Sue" called this therapist very upset that she asked this therapist to quit with Nirvana and sit down with the patient. She said she was told by the patient that I am concerned about the patient being left alone. This therapist told her about the patient charges against her but she denied, claimed that the patient not in a good mind that he has dementia. (recently diagnosed). I told "Mary Sue" that I should not hear anything like this report from the patient. told her that I reported this incident to the case manager, Elaine, RN who agreed to this therapist that the patient still have a clear of mind. Patient and significant other contradict each other with their report to this therapist."
The next morning... home health documentation reveals when they showed up to my father's home, he was so confused he was using a urinal for a telephone. Despite documentation by home health encouraging "Mary Sue" to take him to the hospital, he remained at home. He passed away later that night, July 24, 2014.
Volusia County Police Reports show a 911 call was placed, the police arrived at the property and a complete survey and collection of medications on the property were obtained and placed in a lock box.
Toxicology reports showed a drug. Amiodarone, in toxic levels in my fathers body. One that he was highly allergic to, in 2009 he was told to never take again, and his medical records show he WAS NOT prescribed this medication. Medications were collected on the premises and given to investigators at the death scene. They were collected from "Mary Sue", Amiodarone was NOT listed as a drug he was taking nor was it given to investigators at the death scene.
A note: My father had spent approx. 3 weeks in a rehab facility between May and July 2014. One week prior to his death, July 17, 2014- he was in the hospital, the discharge diagnosis was Cardiotonic poisoning. The hospital record DOES NOT show he was taking or being administered Amiodarone. My father was exhibiting signs and symptoms of toxicty, such as losing his vision and pulmonary issues. One can only assume how Amiodarone could have ever possibly been in his system and who could have been in contact with him to give him toxic levels of the drug.
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