I really think you need to bypass the public health nurse in this case and go straight to her boss. The public service recruitment embargo will mean that the public health nurse won't be able to apply for more home care hours although these are badly needed. My mother has dementia and I have very recent experience of caring for her and dealing with the system. Go straight to the top. Ring your HSE office and get the name of the Director of Public Health Nursing. Deal directly with them. It's the only way this case will get the attention it deserves and this elderly lady and her nephew will get appropriate care. Best of luck.
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