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kathcare Asked February 2013

Where is the best place to send stroke victim after hospital care?

Acute Rehab Unit of that hospital? He needs PT, OT , Speech Therapy? Husband had stroke on 1/23/13 and has been at Abington Hosp. and Acute Rehab Unit ever since. He still needs help with getting dressed and undressed, showering, and going to bathroom and eating. It is nearly the end of his stay at Abington due to visits allowed by ins. co. He still needs a lot of outside help as I am the only one who is home to help him. I have PD and recovering from a revision of a knee replacement. I can just about take care of myself so my husband must be better equipped to do more things for himself before returning home. We don't know where the best place to fit his needs.s Can you please help?
Thank you.

geewiz Feb 2013
Kath, it does not sound like your husband is ready to come home. As 'little' says above, meet with the social services staff and doctors to get a better picture of what is needed. Is the acute rehab unit part of the hospital setting? We found that the social workers aren't permitted to say that one rehab is better than another. And, they are not all equally good (or bad). When is search of a good rehab for MIL, one rehab site stated they gave 50 minutes of rehab per discipline while another was 75 minutes/per discipline. Quite a difference I thought! You can call place to find out what their approach is. Medicare pays full for the first 20 days , then will pay 80% for the next 80 days a s long as it is necessary and the patient shows progress. Supplemental insurance may pick up part of the uncovered costs. My cousin's 2nd wife took him home after the 20 days of rehab and he couldn't get himself to the bathroom. She was a mess trying to take care of him. It isn't safe for either of you to allow him home before he can do the activities of daily living --- on his own.

littletonway Feb 2013
Talk to his doctor and the social services people at the hospital. They usually visit before patient is discharged to check on living arrangements and make sure all medical equipment is in the home before patient leaves. Let them know of your concerns and they should have options available. If they haven't come by yet, ask a nurse for their phone number or request a visit.

Good luck!

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