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Mom just had her fractured hip repaired. Her dementia has greatly increased.
Prior to this she was very independent and active, and very stubborn. Now she is in a horrible SNF, they have only authorized her for 2 weeks, but she has gone down hill. I am told she MUST have one on one care. I know we have some good memory care facilities, but they don't have a sitter in case she tries to get up from her bed? It doesn't seem like just home care would be in her best interest. She has to have a cath, has diarrhea and constipation, pain meds....??
question 2) anyone know a new law (California) that a family member can stay with a patient who is cognitively impaired, starting Sept. 1st?

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Unfamiliar surroundings & people will increase one's confusion as well as pain meds when LO has a history of dementia. Encourage mom's participation in PT, etc at SNF. As long as she's progressing she should stay as long as her insurance allows. Have a talk with the case manager at the SNF about discharge planning. She may need placement, temporary or permanent, if she does poorly @ SNF. Do not underestimate the amount of care that is required to take care of her daily. They may say that she has to go home, but she does not. Her circumstances have changed & she would be unsafe to return home. Do not take her home unless you have several people/family to take shifts caring for her. It is easier to place mom when she's in the hospital or SNF. I don't know about California laws but we put a low mattress on the floor by my dad's bed in Memory Care in case he got up by himself. I hope & pray that mom improves over time. 🙏
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I think that you might be referencing something in plans for now or future on family leave act that has to do with a person being excused from work if there is an elder in the house in danger of getting covid from them, and their job puts them at great risk for getting covid. I think that isn't just California, but has to do with federal family leave everywhere. I don't think it would apply here, but it may if there is an at risk person in your home convalescing from surgery and with many risk factors. I have no understanding of any details of any of this, and the Devil always sits in the middle of the details.
I am also uncertain of just when they want this one on one care. Do they want a sitter hired NOW for the SNF? Do they want YOU to pay for this care? Have they tried medications? I don't know many who could afford one on one care.
The reaction of anesthesia may have caused this. It either will or will not improve. Where was she before this breaking of the hip--home or Assisted Living?
Her care will now be beyond what you can provide in a home setting. There honestly is no good answer to where she is at the moment because 24/7 care is prohibitive cost wise.
When I was a nurse and 24/7 care was required we tried to get families to get it; if they didn't exist or couldn't afford (which was most often the case) we provided that care. That was a hospital setting, of course, and the hospital then worked like all Hades to get the person discharged to a SNF. Where it went from there I don't know.
I am sorry. All this agitation and confusion puts your Mom at grave risk of complications. I hope you get some ideas soon
I am afraid there's no good answer on this one. I sure wish you luck and hope you will update us.
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Saw a news article where a man moved into his wife's SNF to be able to take care of her. She has Alzheimer’s and he would spend most days with her even though he lived independently. With Covid he was not able to do that so her closed up, is house and moved into a room near hers.
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I am surprised about only 2 weeks rehab. ( As long as she participates in rehab)
O do hope someone that knows California law will chime in on this.
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