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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.
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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.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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A doctor has to order hospitalization. The rehab facility should have a staff doctor that’s at least on call and could be asked about this. If the patient is covered by Medicare, rehab must be able to document progress or the patient won’t be kept for very long. What is rehab therapy staff saying about the progress? Normally family is kept apprised of progress or lack thereof. When my father was last in rehab and not able to progress, it led to his doctor recommending to him that he come home and begin hospice services. There were no fixes left and no progress to be made anymore. You need advice from either patients own doctor or staff doc. Wish you the best
Dot, have you requested a care conference with the staff? But first, what was the specific reason for rehab? An injury? Physical deterioration? Is the patient able to participate in rehab or not, b/c of pain? If there is an injury and the pain is not managed, have you spoken to the resident or attending doctor?
This sounds like a situation we experienced when my mother broke her leg. The assigned PT'ist was trying to force her to stand on her broken leg, then determined she wasn't cooperating. We took her to her ortho doctor, who had wanted no pressure at all on the leg. That apparently was lost somewhere along the line, so he wrote a letter to the facility.
At our insistence, we also had a care conference addressing this issue. The therapist was assigned to another facility, another therapist was assigned, nonweight bearing instructions were put in place, and Mom had therapy while sitting until she could be weight bearing, eventually healing enough to come home.
I'd try to get the conference set up ASAP and find out what's really going on, and determine whether the stabilization is for the patient's medical condition or the rehab for an injury.
Good luck, and please let us know how this works, including providing more detail on the situation.
Pain can be managed in rehab. Bring this to the Doctor's attention. If the pain is so bad that the patient cannot participate in rehab then a move to skilled nursing facilites may be in the cards. Can you tell us the "reason" or diagnosis that is causing the pain, what medications are being given? You can of course discuss anything with the doctor, including your suggestions about a move back to acute care. But hospitals definitely now are moving in the direction of acute care only, and chronic pain management isn't considered acute care. Let your doctor, your case manager at rehab and your social worker come together to help you here. Call on Monday and request a conference with them.
My opinion here. I really don't think a Dr. associated with a rehab facility can do "pain management". Where I live, they are usually General Practitioners. I think what would be needed is a Dr. who specializes in pain management. You should have had a care meeting within the first week your LO was there. I would talk to the DON or Dr. assigned to your LO and request a specialist. If they can't bring one in, maybe you can take LO to the Dr. She is not in prison. Family could ask that LO be discharged, take to their PCP and ask for a referral to a specialist.
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.
This sounds like a situation we experienced when my mother broke her leg. The assigned PT'ist was trying to force her to stand on her broken leg, then determined she wasn't cooperating. We took her to her ortho doctor, who had wanted no pressure at all on the leg. That apparently was lost somewhere along the line, so he wrote a letter to the facility.
At our insistence, we also had a care conference addressing this issue. The therapist was assigned to another facility, another therapist was assigned, nonweight bearing instructions were put in place, and Mom had therapy while sitting until she could be weight bearing, eventually healing enough to come home.
I'd try to get the conference set up ASAP and find out what's really going on, and determine whether the stabilization is for the patient's medical condition or the rehab for an injury.
Good luck, and please let us know how this works, including providing more detail on the situation.
You can of course discuss anything with the doctor, including your suggestions about a move back to acute care. But hospitals definitely now are moving in the direction of acute care only, and chronic pain management isn't considered acute care. Let your doctor, your case manager at rehab and your social worker come together to help you here. Call on Monday and request a conference with them.