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Can't walk or move without help. Because of the medications is mentally unstable and abusive verbally to the staff. Please help, his wife is also old and in poor health with no family or any one to help.

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If it is just a nasty temper and mouth then I think the staff at rehab have heard it all before - it sure won't win her any friends or extra attention though. Have her checked for a UTI, that can make many older people mentally unstable.
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You said it, the medications. The staff should be very aware of this and consult with the doctor about it. You say the wife is old too. I would assume she is not going to be able to care for him. Homecare Doesn't come in everyday. Someone may want to mention to the Social Worker the situation at home. He may have to go from rehab to LTC.
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If the patient is in rehab and not cooperating-meaning he is refusing physical therapy or refusing care of other sorts and as a result is not improving according to reasonable standards then I am thinking the rehab center will make arrangements for transfer to a NH bed for long term care.
In and of itself if he is being baseline ornery the staff should be able to manage this but if that person is becoming verbally or physically abusive to the staff, I believe if the center documents what he has done over time and the center feels his behavior over weeks is getting worse, they can ask him to find another rehab and give him 30 days to do so.
I hope he begins to get better although it sounds like he will need NH due to his wife being unable to care for him at home.
In the “old” days nursing home/rehab used to just accept this bad behavior indefinitely from a patient b
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If the patient is in rehab and not cooperating-meaning he is refusing physical therapy or refusing care of other sorts and as a result is not improving according to reasonable standards then I am thinking the rehab center will make arrangements for transfer to a NH bed for long term care.
In and of itself if he is being baseline ornery the staff should be able to manage this but if that person is becoming verbally or physically abusive to the staff, I believe if the center documents what he has done over time and the center feels his behavior over weeks is getting worse, they can ask him to find another rehab and give him 30 days to do so.
I hope he begins to get better although it sounds like he will need NH due to his wife being unable to care for him at home.
In the “old” days nursing home/rehab used to just accept this bad behavior indefinitely from a patient but in the past 20+ years in the industry the news to protect caregiver staff has been recognized to be important as well. Rehab/nursing centers now must stand up for their staff if a resident continually threaten the staff or are abusive to staff. This is considered Violence in the Workplace & thus the employer usually has written policies on how to proceed to protect the employees while delivering good care and respect for employee and resident.The center should try every reasonable means to care for the person, but if this fails due to the resident being a time-bomb, aggression increasing, etc,  they will work with the family to get the person on meds to control aggression.
This is a difficult situation for everyone. I would have the person evaluated by a psychiatrist if behaviors are noted to be getting worse, not better.
If meds are needed they will work to get a Medication regimen that helps to manage aggressive behaviors.
Good luck!
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