"My fear is what happens when I do not visit "

My wife who is 67 was admitted to A & E in early February 2014. From here she was sent AMU and from there to ward 8. My wife is unable to communicate and make requests for help.

I have provided a folder with background information to help nursing staff. This includes a list of medication that is required at different times during the day. I have also provided the medication

Point 1 - my wife has remained in the same bed and not moved or showered throughout. Her teeth have not been cleaned. I have a concern about my wife's posture in bed from an aspiration view point and her skin condition due to lack of bathing and creaming

Point 2 - on visiting her at 13.00 I noticed that she had soiled herself in an open pad. I asked a nurse to check. I then notice that due to the inappropriate routing of her peg that it was covered in feces. The nurse said she would log this, cleaned my wife up but left the peg routed under her nightie. I pointed out the safer route is via the neck opening in the nightie. This needs to be recorded as my wife could well develop additional problems due to bad practice i.e. inappropriate pads being used or inappropriate routing of the peg. What I also expect to happen is that the Y adapter is changed and the peg checked by a professional

Point 3 - my wife has not been given much of her medication. This needs to happen as indicated. Medication documentation have been lost, duplicated and recovered. This clearly needs to be reviewed as my wife's condition requires regular use of the medication. I have done what I can to provide medication and tables for when and what to administer. I have also attended the hospital for prolonged periods (All day Saturday, Half day Sunday, Half day Monday).

I always have my mobile with me to answer questions. My fear is what happens when I do not visit i.e. my wife cannot say "I need the toilet" or "It's time for my Medication" or "Don’t put my peg feeding tube up my nightie.”

Due to my wife's illness, it's highly likely she will need the services of the hospital in the future. Please let me know what part I can play to avoid problems such as those above which threaten my wife's health and what you intend to do to ensure this does not happen again.