This psychiatrist preformed a mini mental health exam via telehealth on my 68 yr old husband, deeming my husband 'his own person' while my husband was in a skilled nursing home in Michigan undergoing physical and occupational therapy for his FrontoTemporal dementia. This treatment was supposed to be part of my husband's long term care stay. My husband's pcp is also the medical director of the facility and was instrumental in my husband's admission. The pcp is also one of the two Dr's who signed my husband's Patient Advocate form that states he's not able to participate in his medical treatment decisions. Due to Covid-19, Medicare waived the 3 day hospital stay prior to admission and I was able to directly admit him from our home. His condition has deteriorated both physically and mentally in the past several months with his contiual falling and having difficulty walking, showering and dressing. Do to several health conditions of my own, I am not able to adequately care for my husband at home. I have gotten home healthcare early on but my husband was not very receptive to their presence and tried ordering them out. Just prior to Covid, I stopped home healthcare as aides were constantly showing up late or were sick. Since my husband was discharged from the nursing home against my authority as his DPOA & Patient Advocate, he was admitted into a hospital two days later as a result of an infection he developed while in the facility. Also being a diabetic and deemed 'his own person,' he signed his own discharge papers after a six day stay. Only being home for two days, my husband was taken to the emergency room and admitted with cellulitis. After a six day stay in the hospital, he is now, once again, home. Home healthcare is to start soon along with physical & occupational therapy. I guess my husband's condition isn't 'bad' enough to be in a skilled facility yet but home healthcare can't be here 24/7 and I can't fully care for my husband by myself. To be honest, I'm not all that comfortable having people coming in our home with Covid-19 still playing a major factor.
I'm dissappointed with our pcp for not sticking up for my husband while in the skilled nursing home trying to find out why the psychiatrist would go against an advanced directive. It makes no sense to have advanced directives in place if the medical community will not comply with them. I feel my husband and I have found ourselves caught between the proverbial rock and a hard place. There's also my husband's brother who thinks I'm lying about most everything after I've tried to keep him informed as to my husband's condition. All I want is for my husband to be safe and well taken care of and our home is now clearly no longer the safest place and I'm clearly not able to provide the best care for him here at home either.
Any advice would be helpful especially in our state of Michigan. Thank you in advance.