My brother has been moved to a health and rehab place after being hospitalized with heart failure for over a month. He is hallucinating and is quite delusional. He is bed ridden still, but cooperating with the physical therapist and making a little progress physically. He is still receiving medications from the hospital doctors for his heart and gallbladder. My niece and I wonder if we need to also have palliative care to oversee his needs. We both work, I teach and am also my mom's advocate for her care, and my niece has to go back to FL for a few weeks to take care of her flooded house. There continue to be questions asked to us about my brother being discharged to his home at some point, not right now. We can set up care for him at home eventually, but it will take months to get his house back in order for him to live there. He let it fall into so much disrepair in his hermit lifestyle that it is taking forever to fix everything. The bathroom is torn out for repair, the carpet and most furniture is thrown out. All with his okay. It is difficult to get workers right now to build it all back. Anyway, we are overwhelmed and feel he needs more care than the rehab place provides. It is a really nice place. Nurses and administration are great and we have been allowed compassion visits to him every day. We just can't keep this up. We will hire some sort of aide to go in a couple times a week to help him get oriented, as he thinks he's at home, still in the hospital, or driving his Hummer. When we are there with him he calms down and situates himself somewhat in reality. Should we leave it to the rehab place and the aide they will help us hire, or should we get palliative care involved too?