Mrs. Carmel Fernadez is a 65 year old widow with Rheumatoid involving hands, feet and shoulders with long term steroid use presenting with new mid thoracic back pain and steroid induced diabetes. Mrs. Fernadez’s son normally cares for his mother at home. However her Rheumatoid has not been very well controlled over the last 6 months and she has become increasingly more debilitated and immobile. Her diabetes is not well controlled either.
Now that she has been admitted to hospital, Mrs. Fernadez's son tells the care team that he is physically and mentally unable to care for her at home any longer, and in addition he will be moving away from the area with his fiancé. The mother and son have a discussion and the son suggests a nursing home, at which Mrs. Fernadez is shocked and hurt.
You talk to Mrs. Fernadez who requests an immediate discharge and a taxi home.
It is proposed that you discharge Mrs. Fernandez as she requests