There has been a major clarification regarding the manner in which medicare standards are to be applied to SNF and Out Patient services. It is not acceptable to deny services due to lack of progress. See the whole update at this link.
Strong advocacy by families is need to ensure our loved one obtain care they need and deserve.
Memory loss/dementia makes it more challenging for them to access and utilize therapies. The absence of maintainance and restorative therapies in the frail elderly leads to additional medical complications which result in additional hospitalization, severe limitations on quality of life and early death. Dementia is not life limiting until the end stage. People live many, many years with life altering effects of dementia that they may require assistance to maintain their health. Access to care can not be the determining factor of an elderly person's longevity. It is the patient/family's responsibility through consultation/support of the health care team to develop a realistic plan of care. Every patient's situation is different and requires a thoughtful individualized plan.