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He is 94 and put in rehab from hospital so that he can gain his strength back and walk with a walker. He will be moving in with me and my husband. He only has PT five days a week and will just sit around for the weekend. I can’t visit him (COVID 19) and the weekend staff is less than attentive. I’d like to bring him home and have home health PT. What are my rights?

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Yes, you can ask that he be discharged even if its Against Medical Advice. (AMA) Ask if they can set up in home PT/OT. If they aren't willing to do this, then call his PCP.
He is not in prison and has a right to be discharged. His bills will be paid by Medicare up to the point he is discharged so don't let them tell u otherwise.

When Mom was in the last time, I told admitting that there was no money passed the 20 days that Medicare pays 100% so make PT aware of that. She was discharged at 18 days. I wish I had done it sooner. She had Dementia and was so unhappy and confused.
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When L was in rehab following a surgery at 84, he went to rehab for about two months to increase his strength. He was quite the social butterfly and enjoyed it. He loved the therapists that worked with him. PT twice a day and OT once a day.

If you want hope of ever bringing him home, you will leave him where he is and let the pros, with some level of authority, work with him. They will be much more successful than you in gaining his cooperation.

By any chance, are you feeling guilty that you are not able to do more? Many do. But, you are doing the right thing by making sure dad gets the care he needs in order to possibly be discharged.
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"..he can gain his strength back and walk with a walker".

What's his mobility right now?

I hate to be negative but I mention this personal issue for your Father's dignity: toileting. Unless he can walk/wheelchair to the toilet independantly he is going to need someone on call. (Or help changing depends at regular times).
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He’s not going to do any P/T once he’s home. Prepare for more decline, falls & more trips back & forth to ER. Make sure he wears pull-ups if he still walks. Oh, & have special locks on door & ankle bracelet if he’s a walker/wanderer. Make sure jets on stove blocked off w something so he don’t put them on & forget about it & start a fire...Do you still work? Better quit jobs because you have to stay home & watch him. Planning a vacation after plague over? Forget it ...only stay cations from now on. Well, have fun!
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Of course you can take your father out of rehab......he's not 'ordered' to stay there; he's there for his own rehabilitation purposes and to help him gain his strength back and get walking again, like you said. "Only" having PT 5 days a week is more than enough, and way more than he's going to get it at home, living with you. In general, the elders generally decide not to lift a finger or a toe again once they get home from rehab, so I'd let him stay there if it were me. Having him move in too quickly with you, before he's physically ready, is only a recipe for disaster. And at 94, you're going to have your hands full with ENOUGH issues to deal with as it is..........trust me on that. You do not want him stumbling around and falling once he's at your house. Allow the PT and OT to work with him and with you, to make you aware of what changes need to be made in your home for his safety. There are tons of things to consider about an elders' safety that we tend not to think about until it's taught to us by an occupational therapist. Let him or her tell you what you need to have ready for him (in the bedroom, bathroom, living room, kitchen) when he does get to your house.

Good luck!
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We all want to think we can 'save' our parents and do a better job with CG than the place they may be in--but it's a rare situation where parents will actually Do their PT w/o a constant monitoring--and you simply cannot do that.

My mom would have some surgery, come home, do the PT that an in home PT would do with her and once her benefits ran out, she never picked up a stretch band or hand weight again.

If things are going well now--why mess with a good thing?
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Since you can't visit, do you know how he's doing? Will he be able to ambulate enough when they expect him to be ready? Will your home accommodate his needs? I'd explore all the issues, like what if he's in wheelchair or needs walker. Do they fit in your doors and bathroom? My dad did great in rehab, but, a lot of people don't. Keeping motivated is really difficult for some people. Are you okay with a PT person coming into your home multiple times? It's a lot to consider. I'd ask a lot of questions and explore the finances and what happens if he comes home and is really in need of more care than you can provide?
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Do you think he's going to get PT MORE than 5 days a week at home? More like twice a week.

Will dad comply with YOUR requests to get up and exercise? MOst of us find that our parents do better in rehab centers where there is a certain amount of competition among patients. They come home and ....What do their kids know about exercise? They stop.

I would not be so quick to bring him home.
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I don’t think this is about your rights Or what you want. It’s about what’s best for your father. If he’s a competent adult, he can check himself out at any time. Before you rush to bring him home, make sure it will be possible to have home health set up & that there’s $ to pay for it.
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