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BarbaraBowen Asked March 2023

We are unhappy with the rehab mom has been at since March 21. Are we able to just sign her out and bring her home?

freqflyer Mar 2023
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.

Hope everything works out for the best.
JoAnn29 Mar 2023
You can use bedrails in a private home. The law is only for facilities.
JoAnn29 Mar 2023
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.

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Countrymouse Mar 2023
Just saw your update. So yes there are serious problems with the care, in which case it does matter - has she been there for two days or for twelve?

Countrymouse Mar 2023
Maybe March 21 is a typo and it should be March 11?

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.

BarbaraBowen Mar 2023
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

freqflyer Mar 2023
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?

AlvaDeer Mar 2023
Hi Barbara,

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.
freqflyer Mar 2023
AlvaDeer, I found a posting which gives us more info.

www.agingcare.com/questions/mom-is-refusing-therapy-following-surgery-on-her-femur-what-can-we-do-480133.htm

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