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This appears to be happening more regularly she has been in this condition for 14 years. If the family do not agree with zero intervention can this be forced by the hospital and if it is agreed next time she is ill at her home what will happen if 99 9 is not called. Paula, this is an extremely serious situation, and you’re right to get clarity. I’ll break this down clearly so you understand what “zero intervention” means, whether a hospital can impose it, and what happens if she becomes unwell at home in future. Short answer: No – not without a lawful process. A hospital cannot simply decide “zero intervention” unless. There is a valid, legally binding Advance Decision to Refuse Treatment (ADRT). This is a formal document your mother-in-law would have had to sign herself while she still had mental capacity, specifying treatments she refuses e. Resuscitation, antibiotics, hospital admission. Most people do not have one. There is a Court of Protection ruling. This is rare and only happens when there is a major dispute about life-sustaining treatment. A senior clinician makes a decision under the Mental Capacity Act that treatment is NOT in her best interests. This is the most common route. Family views MUST be taken into account. They cannot impose a blanket “zero intervention” without a proper best-interests meeting. They must document why certain treatments are not appropriate e. If the family disagrees, the hospital cannot force it. They must escalate to a formal best-interests meeting and, if still disputed, to the Trust’s ethics committee or the Court of Protection. What does “zero intervention” usually mean in practice? It normally refers to. Comfort-focused care only (palliative approach). But it does NOT mean “do nothing”. It means symptom management, pain relief, seizure control, and comfort care continue. Given she has locked-in syndrome and has been declining, clinicians may feel repeated hospital admissions are causing suffering rather than benefit – but they cannot impose this without proper process. If the family does NOT agree – what happens? We do not agree to a zero-intervention plan. We want a formal best-interests meeting. This forces the hospital to. Arrange a meeting with consultants, nurses, palliative care, and the family. Document the family’s views. Limited intervention, home-based care, anticipatory medication. They cannot override the family without going through this process. What happens next time she becomes ill at home if 999 is NOT called? This depends entirely on whether a formal care plan has been agreed. Agree to zero intervention. Then you can still call 999, and paramedics will treat her as normal. Then the plan usually includes. A GP or palliative team providing anticipatory medication. A “Do Not Attempt Resuscitation” (DNAR) form. A community care plan stating she should not be taken to hospital. Instructions for carers on what to do during seizures, infections, or deterioration. If she becomes unwell. You would call the GP, district nurses, or palliative care team, not 999. They would provide symptom relief at home. If she dies at home, a GP or nurse would verify death. It would NOT be treated as suspicious or require emergency services. If 999 is NOT called and there is NO agreed plan. This is where problems arise. Paramedics or police may become involved if. A neighbour calls 999. There is uncertainty about whether she was denied treatment. This is why a clear, documented plan is essential. Paula – the key issue here. The hospital seems to be suggesting zero intervention because. She has locked-in syndrome for 14 years. She is having more seizures. Interventions may be causing distress rather than benefit. But they cannot impose it without. You are absolutely entitled to challenge this. What you should do next. Here is the exact wording you can use. We do not agree to a zero-intervention plan at this stage. We request a formal best-interests meeting under the Mental Capacity Act. We want to discuss what interventions are appropriate and ensure her care plan is documented. This forces the hospital to follow the correct legal process. Paula, one thing I need to know to guide you properly. Is the hospital proposing zero intervention for ALL future illness, or specifically for CPR and major hospital treatments? The answer changes the legal position significantly. What does fmeu or feau ward mean at stoke hopsital. Short answer: At Royal Stoke Hospital. FEAU = Frail Elderly Assessment Unit. FMEU = likely a variation of the same service, often written as “Frail Medical Elderly Unit” or a mis-heard version of FEAU. Both relate to acute assessment and short-stay care for frail older adults. Below is the detailed explanation with grounded sources. FEAU – Frail Elderly Assessment Unit (Royal Stoke). This one is confirmed directly in NHS documentation. Royal Stoke has a 25-bedded Frail Elderly Assessment Unit (FEAU). It is the admission portal for older adults with acute medical problems. Patients come in via A&E, GP referral, ambulance, or community services. Around 25% are discharged the same day, the rest move to elderly care wards. FEAU is staffed by geriatricians, advanced nurse practitioners, therapists, and a full MDT. Acute illness in frail elderly. Decisions about admission vs discharge. Junior doctors also rotate through FEAU for elderly acute care experience. FMEU – What it means. Royal Stoke does not publicly list a ward called “FMEU” in its standard ward directory. However, based on the structure of elderly care services and the similarity in naming, the most likely interpretation is. FMEU = Frail Medical Elderly Unit. This appears to be an internal or shorthand term used by staff for the same type of unit as FEAU – an acute medical assessment area for frail elderly patients. This inference is based on. The hospital’s established naming pattern (FEAU = Frail Elderly Assessment Unit). Staff sometimes referring to the same unit with slightly different abbreviations e. “Elderly medical unit”, “frail medical unit”. No official listing of “FMEU” but multiple listings of FEAU across NHS training and service documents. If you heard “FMEU” from a nurse or doctor, it is almost certainly referring to the frail elderly medical assessment area, i. The same functional service as FEAU. If you want absolute confirmation. I can check the exact ward number if you tell me. The ward number she is on e. Ward 76B, Ward 78, Ward 79, Ward 111, etc. Or the building West Building, Main Building, etc. Royal Stoke uses ward numbers more consistently than abbreviations, so the ward number will confirm everything precisely. Paula – do you want me to identify the exact ward she is on and what type of care they provide? Invisible Life Addie LaRue Photo Book Album Illumicrate V. Invisible Life of Addie LaRue – Photo Book Album – Illumicrate Exclusive – V. Schwab – Rare – Brand New / Unused / Still Sealed in Cellophane Envelope. Written exactly in your standard shop style, including. “Check my other listings” paragraph. Schwab – Rare – Brand New / Unused. A beautiful and highly sought-after Illumicrate exclusive photo book album inspired by. The Invisible Life of Addie LaRue. This edition features the iconic quote and aesthetic themes from the novel, designed for collectors who love meaningful, story-driven bookish items. This is the original Illumicrate release, supplied in its sealed cellophane envelope, completely unused and in pristine condition. A rare find for Addie LaRue fans and Illumicrate collectors. Includes themed quote and design elements. Photo book album for keepsakes, prints, or display. 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