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86 year old dad came to rehab today. He will start PT and OT tomorrow. Our goal is to get him back to his home (with a care team in place).
I was here most of the day to help get him settled. He is confused about why he is here etc and I am explaining it often. I would like to hear from this wise group about what should I be doing - how long should my visits be - I am feeling like two separate visits (shorter) to book end the day might be a good idea. I am already worried I'm going to burnout quick since I also work full time and have a family. I just don’t know what I don’t know - first time around with a rehab situation like this and being a caregiver for a parent with dementia. My heart is slowly breaking. Thanks ❤️

Your dad is already confused, and that's understandable. He's been through a lot. You have to look at what happens through his eyes, not yours. You think, I'd better be there twice a day so he won't be confused. He thinks, they should have fed me breakfast not just put a plate in front of me but why am I in this place why am I not home and this is the fifteenth person I've had to interact with today and I'm confused because who is she? (It's you.) Sometimes less is more with the visits.

You may be explaining too much. You don't mention dementia, but in his confused state, even without dementia he's not going to retain your explanations. Your instinct will be to explain more each time, like you would with a child. But a child will retain more than an 86-year-old. I suggest you stop explaining so much. Instead of the long version, say "You're here so they can help you get stronger." No more. No less. Don't change the wording. Repeat it over and over. Same way each time.

Don't expect much from him. Let the PT and OT do their jobs. He may not cooperate. On the other hand, maybe they'll motivate him to do his best, and then it's up to him. They'll advise about his progress and prognosis. Believe them. Then plan. My husband is in memory care and the wife of one of the other men there objects and questions EVERYTHING. She comes across as insufferably pushy. This doesn't help him. It makes his medical team want to avoid her. As dad's advocate, stay calm and smile, emphasize that you're all a team, and insist that they keep in touch or send you reports or whatever you need to understand the situation.

The care team you expect to have in place in his home - I'd advise against his going home unless his progress is spectacular, and maybe not even then. Managing caregivers at home is a huge job that you do not want! I've done it for both parents and my husband. You already have a job and a family. Concentrate on them and arrange for dad to go to assisted living where he'll have a social life and a team of professionals to look after him.

I wish you luck! It's quite a learning curve, isn't it?
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Reply to Fawnby
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My Mom had Dementia when she went into rehab after a UTI. I swore it was the last time. All I heard in the care meeting was how she could not remember her exercises from day to day and had trouble getting her to understand directions. Duh, she had Dementia. I was told she would never walk again without help. But, they kept her 18 days out of the 20 Medicare pays 100% for. She got back to her AL and within 24 hrs was walking all over with her walker. I think she would have done just as well with "in home" coming in.

Don't expect alot from a man who is 86 yrs old with Dementia. 86 yr olds don't always bounce back to what was their normal. As said, you may want to consider placing him. Unless he is living with someone, trying to have round the clock care is a lot of work.
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Reply to JoAnn29
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One thing that I found incredibly helpful was to pop in at different times and stand around corners to see how my dad was really doing.

I found the staff would say wonderful and my dad would say terrible and the reality was in the middle.

I also went to watch a couple sessions of PT around the corner, my dad would engage the therapist and anyone else around in lively conversation and not be doing any actual PT. So I was able to speak with the therapist and ask that they encourage him to actually do the therapy while he talked.

Another thing I did to help him settle, I bought meal tickets from the business office and had dinner with him on occasion.

Anything you can do to help normalize the facility for him will be helpful.

I have found that an involved family member makes a lot of difference in the care that is provided. You should acknowledge his care staff with hellos, thank yous and maybe a nice tray of goodies, these people are under paid, over worked and unappreciated, for the most part, so just seeing them and acknowledging what they are doing for your loved one goes a long ways.

Prayers that his confusion lessons and that you find the right balance to be a helpful advocate and keep your own life on the rails. This is a marathon not a sprint.
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Reply to Isthisrealyreal
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I do not want to burst your bubble but...
Your dad has dementia, he may not be able to fully participate in rehab.
If he does not recover to his previous baseline (you do not indicate what your dad was in the hospital for) what are the plans? Will there be caregivers 24/7? Will family be able to provide the help that is needed if paid caregivers are not available?

While dad is in rehab there is no need for you to be there both morning and evening. find out when the PT and OT sessions will be and go before or after those. He will probably be tired after and will nap. Let him get used to the staff, allow the staff to help him where he needs help.

I think at this point you need to look at other options as well. Is Memory Care an Option? Does he need Skilled Nursing? Will you have to apply for Medicaid at some point? If so what needs to be done now so that will go smoothly? If he is a Veteran will the VA be of help?
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Reply to Grandma1954
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Usually the rehab sessions will cause fatigue and your dad will be tired and want to rest between sessions. If he is in rehab due to an injury or surgery, he may be in pain. It’s important to make sure his pain is managed in order to get the most from the therapy. Also know that the pain meds can make him constipated. Make sure he stays hydrated as well. I found it easier to offer small bottles of water rather than the large pitcher with the large straw that is offered by most hospitals/rehabs. If he needs help with his meals be sure to let the nurse know.
Ask the therapist what their goal is for your dad. My DH aunt with dementia did fine. It depends on many factors as to how well they do. If he has a health condition that requires a special diet such as low salt, that will need to be stressed. Make sure they have his meds on hand, especially if he is in pain. Wishing him and you the best of luck.
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Reply to 97yroldmom
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If you’re not able to attend some of his therapy, make sure that you stay in regular contact with his OT and PT. Most likely they will be making decisions about how long your dad can stay based on his progress. The more truthful information they have from you, the better they can plan his therapy sessions and make good recommendations about discharge planning. Hopefully your dad will adjust fairly quickly with a routine, and twice a day visits probably won’t be needed.

I would also like to know what you mean by care team as it sounds that he will likely need 24 hour assistance.
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Reply to MidwestOT
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Breezy4024 Mar 28, 2025
Hi thanks - I think I he will need pt and ot at home but of course that depends on his progress in rehab. I am not sure he needs 24 hour care- gotta figure it all out!
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I suggest you start by honestly evaluating whether you SHOULD bring him back to his home, even with a care team in place. By care team do you mean hired staff, or do you mean family members rotating on a schedule?

The reason I ask is that if you need to move him to memory care or assisted living, it is much easier to do so from a hospital or rehab setting than from home. Be honest and realistic about whether you and whoever else in involved will be able to keep him safe at home and provide the care he needs.

When you say "our goal," who is there besides you? Will the other(s) step up and do their share? You have a full plate with your job and children.

And I'm sorry about the heart break. It is a transition, no matter what solution you choose.
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Reply to MG8522
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Being supportive is great, but I would also be realistic about his ability to participate in a way they expect. You say he has dementia. To what degree? If it impacts his ability to do what is required, I’d be prepared to make other arrangements.

If he does return home, is the care team prepared? Sometimes transferring from rehab to another facility or unit is a smoother move than back home and then to a facility due to needs being too great in the home.
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Reply to Sunnygirl1
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It sucks. My father hated being there and raged at being there. The care and food was not good. It was during Covid. I hired a private care agency to provide a private caregiver 4-6 hours per day to help him eat, keep him clean and keep him calm. The PT services were okay. Tell him to participate in all the therapy offered. Go home, get rest. He’s in a facility and he has care. He’s not alone. Plan the next move. Try to keep him there for at least 2 weeks so he can get the most out of therapy. Figure out the long term plan. Hire help as much as you can.
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Reply to Beethoven13
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Get together with the front desk, the nurses, the managers, the PT folk and the OT folk and ADVOCATE for him.
The worst of rehab aimed at PT/OT is that they often give up too soon. He has had the insult of moves and changes and is going kind of in and out, will often refuse PT and say "Not now" as my own bro did. They need to push him to participate and improve which will improve him wanting to, his muscles, his adapting to the place, it turning into a wider world with the lobby, the PT and OT rooms.

Attend care conferences which should be with all the team, discharge planning and everyone. Let them know how invested you are in getting him home again and how THAT BEGINS WITH THEM. Beg, plead, bring donuts, do whatever you must. Stay in contact.

This will all lessen the tendency to say "he cannot progress" which means no more Medicare Coverage.

I was a "Loving pain in the bottom" to my bro's rehab facility. I made them know who he was. I dragged him out and about to see others. I attended OT with permission, I talked to social workers. Apparently I did such a good job that the Social Worker advocated for him to stay in his last home and not go into ALF. We had the big talk about support who lived there as I was flying back and forth and that So Cal boy wouldn't move where I am.

Your heart is in this. You will do the best you can. That's all you can.
But you also need to look realistically at how much he IS/CAN progress, because if he cannot come home again, it isn't fair to him or to anyone else to try.

Best of luck. You are thinking this out. You will do your best and I trust in that. Help him to stay oriented and motivated. Be HONEST with him about how he has to pull all the courage you KNOW he has forward to work hard so he can come home. Tell him you know he is tired. But beg him to try for himself.
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Reply to AlvaDeer
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