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BarbaraBowen, please note that "she fell out of bed on her operated femur leg which is still in the brace they found her at 5 am she is fine, she has two UTI s now, she’s not eating," could happen no matter where your Mother lives. Even at your sister's. At least at the rehab facility they always have on duty a nurse around the clock.
If your Mom is a fall risk from her bed, before bringing her to your sister's home, order a hospital bed, that way the bed can be lowered down when Mom is in bed. Maybe even have fall mats on either side of the bed. Extra pillows around your Mom is also helpful but Mom wouldn't be able to roll over on her own.
If your sister hires a caregiver to help, and if the caregiver isn't from a licensed Agency, your sister should call her home insurance carrier, as now your sister would be an "employer" and would need to get a workman's comp policy in case the caregiver "employee" gets hurt on the job. Lifting someone can cause back injuries.
BarbaraBowen, I noticed on another post you had mentioned that your Mom refuses to do physical therapy after she had a fall and broke her femur. Three days is not enough time for the therapist to try to convince your Mom to go into therapy.
There might be a chance the next time your Mom is placed into physical therapy for a similar reason, that Medicare may not pay for the rehab.
As for bringing your Mom home, do you mean back to her nursing home [per your profile], or back to where she use to live, or with you or one of your siblings? If back to the nursing home, will the nursing home accept Mom back if she doesn't do therapy? Do any of the siblings know physical therapy to help Mom gain her strength?
Yes is the date the 21st correct? If she has been in since ur first post on the 10th, then she has not made it the 20 days. Or did you change Rehabs?
If Mom is not cooperating then I don't know why she has not been discharged. If she is a 2 person assist, an aide won't do it by herself. PT in the home may not be enough.
Those UTIs need to be taken care of. Hospital taken care of on IV. Also needs a culture taken to see what type of bacteria is causing the problem. Letting her sit in weight panties does not help with the UTI. Request that she be taken to the Hospital, if they refuse, you call 911. Do not allow them to return her to that Rehab. While in the Hospital talk to a SW and find out if taking her home with PT can be done. If she is a 2 person assist can you or sister help the aide? If not I doubt an aide would do it alone.
Can you tell us a bit more about why you are unhappy at rehab and what your Mom is there for?
It is often such a mistake to pull a patient out and home without adequate rehab therapy. I would suggest enlisting the help of a social worker at the facility to meet with you, staff and your Mom to work things out. If you get your Mom home and she cannot do it, and you cannot care for her, then it may be too late to get her back into therapy due to medicare rules.
I know she is likely unhappy. But this need to be done slowly and carefully and not without talking to her doctors.
Well she fell out of bed on her operated femur leg which is still in the brace they found her at 5 am she is fine, she has two UTI s now, she’s not eating, they let her sit in a wheelchair today for three hours in a soaked diaper the problem there is mom is a two assist and many times the aide can’t find another person to get her in and out of bed the nurses aren’t friendly they r rude mom getting depressed sleeping a lot wants to go home
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
If your Mom is a fall risk from her bed, before bringing her to your sister's home, order a hospital bed, that way the bed can be lowered down when Mom is in bed. Maybe even have fall mats on either side of the bed. Extra pillows around your Mom is also helpful but Mom wouldn't be able to roll over on her own.
If your sister hires a caregiver to help, and if the caregiver isn't from a licensed Agency, your sister should call her home insurance carrier, as now your sister would be an "employer" and would need to get a workman's comp policy in case the caregiver "employee" gets hurt on the job. Lifting someone can cause back injuries.
Hope everything works out for the best.
Even so. What are you unhappy about?
You are able to sign her out and bring her home but unless there are serious problems with her care it would be a bad move.
There might be a chance the next time your Mom is placed into physical therapy for a similar reason, that Medicare may not pay for the rehab.
As for bringing your Mom home, do you mean back to her nursing home [per your profile], or back to where she use to live, or with you or one of your siblings? If back to the nursing home, will the nursing home accept Mom back if she doesn't do therapy? Do any of the siblings know physical therapy to help Mom gain her strength?
If Mom is not cooperating then I don't know why she has not been discharged. If she is a 2 person assist, an aide won't do it by herself. PT in the home may not be enough.
Those UTIs need to be taken care of. Hospital taken care of on IV. Also needs a culture taken to see what type of bacteria is causing the problem. Letting her sit in weight panties does not help with the UTI. Request that she be taken to the Hospital, if they refuse, you call 911. Do not allow them to return her to that Rehab. While in the Hospital talk to a SW and find out if taking her home with PT can be done. If she is a 2 person assist can you or sister help the aide? If not I doubt an aide would do it alone.
Can you tell us a bit more about why you are unhappy at rehab and what your Mom is there for?
It is often such a mistake to pull a patient out and home without adequate rehab therapy. I would suggest enlisting the help of a social worker at the facility to meet with you, staff and your Mom to work things out. If you get your Mom home and she cannot do it, and you cannot care for her, then it may be too late to get her back into therapy due to medicare rules.
I know she is likely unhappy. But this need to be done slowly and carefully and not without talking to her doctors.
www.agingcare.com/questions/mom-is-refusing-therapy-following-surgery-on-her-femur-what-can-we-do-480133.htm