She has stage 4/5 vascular dementia with level 1 care at a facility. I requested recent blood work because it has been a long time since she had seen a doctor outside of the hospital and requested physical therapy to help her with strength. The facility's offsite rounding doctor ordered blood and it took me 3 weeks to get the results, which showed showed her to be anemic, (her upper body stays extremely cold even with the room being 78 degrees, main reason for my request), her cholesterol was very high, she's on blood pressure meds and had a stroke 1 year ago, which is why she's now in AL. Plus other areas were high which I have never been able to get an answer as to what those issues were. The only treatment for her by the doctor was placing her on a low-fat diet, but she picks her own meals daily and nothing has been put into place in regards to her diet.
I have also been trying to obtain a copy of her home health care plan from the medical director despite numerous requests, (she doesn't even have one) so I had no idea until I received an explanation of benefits that she was being seen by a nurse. She is on her 2nd month of treatments.
Should we be responsible for taking her to a doctor when needed for general health concerns/issues or is this something the medical staff should be overseeing if they have a local MD that rounds weekly for residents who choose to use him? I'm not sure what is normal. I just know I can't get responses to questions, medical concerns without much prompting and I have to initiate treatment for anything I know is not normal. Nothing is brought to my attention when some of her issues have been very noticeable but never addressed by any of the facility staff. Am I expecting too much for the staff at the facility be responsible and more communicative and proactive? I have not pushed or raised a stink yet but it's become extremely frustrating especially for the amount of money being paid and this facility came highly rated. She has been there for 90 days but so far everything else has been good!