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Word of warning -- never remove your loved one from a rehab place without medical advice, even if it is in your loved one's best interest. When you do, you will never be able to place him in long-term care when the time comes, because you have a "bad history." I am living with the consequences. The social worker went from: "You can't do this. You're killing yourself!" to "well, you'll just have to do the best you can."

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I removed my husband from rehab centre, as it was in his best interest, the place did not provide rehab, had to make arrangements myself.
Then again, I will never put him in long care.
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Chlokara, can you explain the extenuating circumstances in a document for the SW to send along?
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You do not need to take a senior into your own home, but if you remove a senior against medical advice, yes, you may be refused by other facilities. If you take your senior to the hospital you can refuse to have him/her discharged to you as you can say you are not home and 24/7 care is required, and you cannot physically or mentally able to do so. HOWEVER you may need to give up POA or guardianship and give over the care to the state, at which point you will have nothing to say about it.
Social workers and MDs often threaten what will happen if a senior or any other patient leaves care "against medical advice" but the honest truth is "not much" and you cannot in fact even be forced to sign those documents. However APS can be called should those authorities think the person you are removing from care is in danger. None of these things have a solid "forever" answer, an answer that works for all in all facilities in all states and under all circumstances. Is quite fluid, in fact.
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You are so right AlvaDeer, the choices we make are almost never not reversible. Basic right to any care cannot be denied.
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BarbBrooklyn, I have.
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Chlokara, have you checked into board and care homes?
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Not only can a facility look unfriendliness towards having a new resident who went AMA and left an old facility BUT a Health insurer can also look unkindly once an “against medical advice” action has been done. Like if you have been allotted & approved 5 weeks / 36 hours of physical therapy to deal with post surgery rehab on your knee; then you stop going at 3 weeks; then have an issue with the same knee 3 months later; the insurance co can decline coverage as you went rogue by doing an AMA.
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I'm sorry, I don't get it.

If you wanted to try care at home, but now found it is too much.. & needed to change plans - I don't understand the problem with that.

People change, their health needs change. They progress/worsen, new problems emerge.

Caregivers also change. Get older, have their own health issues that change.

No plan is set in concrete, surely?
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No one told me that if I took him AMA this would happen. But no one will take him. They also mention bad behavior on his part because he has bad hospital dilirium. Now no one will take him.

Beatty, one would think that as circumstances changes, things should change, but I have had no success in finding somewhere to place him.

Evamar, I did the same thing, for my husband's best interest. I took him out, but cannot put him back in . . . . anywhere.

Isthisreallyreal, what do you mean by board and care homes?
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Board and care homes have anywhere from 5 to 10 residents in an actual house that has been turned into a care home.

A senior placement specialist should be able to help you find one that will take your husband.

They are the alternative for many patients with behaviour issues.
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