Why is my dad’s nursing home not informing the Dr about his dreadfully swollen feet, legs and ankles?

As Barb said, you can call 911. Dad is not in a prison.

I wouldn’t let this go. Swelling happens for a reason. My mom suffers with edema. When she was in a nursing home for a rehab stint I noticed that they were not putting her compression stockings on her. Sure enough, the swelling got out of hand. Mom’s doctor continually told her about getting blood clots if swelling continued, also swelling of the lower extremities can be linked to heart disease. Like I said, swelling is related to a medical situation.

I brought up the swelling to the aid that helped dress her. She looked at her chart and told me that there were no orders from her doctor to wear stockings. I politely told her that mom has dealt with edema and her doctors do insist on her wearing compression stockings. She responded by telling me that she had to hear it from her doctor. In other words, I as her daughter with medical POA was going to be ignored so I learned an important lesson that day. EVERYTHING must be included in the doctor’s orders.

So, after any discrepancy comes up I feel it must be discussed with the DON, doctor and social worker. Otherwise, it may be brushed aside and never addressed even if a family member has inquired about it.

You absolutely should call the NH doctor yourself and request that your dad be seen. That's not going behind the staff's back, that's looking out for your father.

To give the staff the benefit of the doubt, they're dealing with a lot of sickly people and at times they drop the ball. If you have POA, you should be able to call the doctor's office, have conferences directly with him, and do what you'd do if he was an off-site PCP.

Keep the doctor's office info in your contacts list and never hesitate to deal directly with him and his office.

Only doctor he would see is the NH doctor. His PCP if he has one would not get involved unless he was at the hospital or if doc was also the NH doctor as well.

Thank you all. I’ll get that done. It can’t go on.

Have you requested that the doctor see him?

You may need to be proactive here; unless dad has been declared incompetent, they are asking HIM if he wants to see the doctor and I'm sure he says no.

Call a care meeting and meet with the DON and SW. Find out what they need from you to get him seen. Also, remember that you can always call 911 and have him taken to the ER.

That's what I would be doing in this situation.

Sounds like it could be CHF. The NH should have at least a RN on duty. Has she seen him?

If it were me, I would make sure he gets seen by a doctor one way or another.

Yes, cwillie I have. I have expressed my concern and asked if the Dr has seen him and they just say, “No.”

Have you talked to the RN on duty? And/or the DON?