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Forgetmeknot Asked February 2022

How do I get my dad's OT, PT and ST restored during hospice?

 I was not informed when his therapies began nor when they had ended. Stroke victim

AlvaDeer Feb 2022
In general and in most circumstances PT/OT are not a part of end of life care. There are times when they are a part of it. Check with the doctor.

TChamp Feb 2022
People in hospice are waiting to die. The only help they get, is to be make them as comfortable as posible. No rehabilitation therapies or treatments are provided. They are supposed to have exhausted all medical resources to cure them.
MJ1929 Feb 2022
Again, not true. There are plwnty of treatments given, but as Barb said, in general, PT and such are not given in order to improve someone's condition.

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JoAnn29 Feb 2022
I see nothing about Dementia involved. This is OPs first post.

If Dad is on Hospice he does not receive therapy. Like said maybe to help with contractures or atrophy.

BarbBrooklyn Feb 2022
The short answer is that you need to make an appeal for coverage.

Therapies (ST, OT and PT) in hospice are for symptom control, not to restore a patient to previous functional levels.

Dad is in a NH, yes? Is he there in Rehab or as a Long Term Care resident?

You find the head of rehab and ask her/him to appeal the stoppage.

Are you dad's POA for healthcare? Unless dad is incompetent, the folks at the NH will talk to DAD about this stuff and expect him to communicate it to you. Was it Dad who signed on to Hospice? Did you two discuss this? Is he perhaps tired of doing therapy?

Have you had a care conference yet? All the therapists, DON and Social Worker will attend and they should review dad's plan of care. It's an excellent time to ask these questions, ask them to keep you informed.

BarbBrooklyn Feb 2022
Can you not say why he was put on hospice are?

BarbBrooklyn Feb 2022
Why is your dad on Hospice if he needs those therapies?

You can make a case for PT to prevent contractures, but hospice is about comfort care, not restoring previous levels of functioning.
Forgetmeknot Feb 2022
Thank you BarbBrooklyn. Please private message me. I am new here and not quite sure if "private messaging"is the correct word.

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