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If your Mom is in the Hospital now, if Rehab is suggested allow her to be sent there. While there ask that she be evaluated for 24/7 care. If your told yes she needs 24/7 care than what she wants is out of her control. You will not be able to get her "in home" help if she won't take it. So, she needs to understand that if you are not willing to give her care in her home or yours, then she will need to go to LTC. The Rehab cannot release her if 24/7 care cannot be set up. Its called an unsafe discharge.
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Does you mom understand that if she doesn't accept in-home help she will need to go to a facility where she can be taken care of? That might be the best thing all around. You should NOT volunteer yourself to take care of her in your home or in hers. Her decline will continue, and taking care of someone in her condition is horrendously difficult. She needs professional care now.
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Sorry your mom is doing poorly. What kinds of help will she be needing? I'm wondering if she would benefit from some rehab before going home from the hospital if she will be needing full time care upon discharge. She can get PT and OT and evaluate if she is safe to go back to her home or not, which seems a bit doubtful. If it were me, I would talk to the hospital staff ASAP to arrange rehab. This what I've done with my mom before and it was VERY helpful.

Does she have a dementia diagnosis? Do you have POA? Is it activated? If not, see if she can get evaluated while in the hospital.

If she does not get to go to rehab, she will have to accept in home help, from the sounds of it. She can say no and not agree to it but it needs to happen. The hospital should be able to set up all the help needed. PT and OT etc.
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You don't actually ask a question but here is info from your profile:

"I am caring for my mother Angela , who is 87 years old, living at home with alzheimer's / dementia and heart disease."

"I am trying to help my mother accept in home help. She refuses. Her Primary Progressive Aphasia is worse after an Afib attack that landed her in the hospital. Upon discharge in the next week she needs full time care."

You are located in NJ.

Are you her PoA? Does she have a medical diagnosis for her dementia?

Knowing the answers to these questions will help people know what advice to give you.

Basically, if she cannot do her ADLs and no one is her PoA then you must report her to APS as a vulnerable adult.

If you are her PoA you don't have to wait for her to agree to or accept help but you probably will need to change tactics as to how you get in-home help for her or transition her into AL or MC.

Please provide more information about the situation.
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