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He is on Medicaid and sometimes Medicare. He has been very sick and amputation of his left leg. He cannot transfer from bed to chair or toilet by himself and is very weak the nursing home in north Carolina wants to discharge him but he has no one there no family.

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Thank you all for your comments. It has helped me clear my mind. I think I will be able to make a decision when the time comes. This is a great site.
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I was going to say that you will have to get his medicaid transferred to your state, before you do anything. I am sorry that he is in this situation. Is he able to conduct any of his own business, on the telephone? It would help if he could.
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Lorettamae, is his ENTIRE SS check going to the nursing home? If he is not paying all that check per the admittance agreement, they won't let him stay.
That means NO money for his house bills or pets.
Do NOT move him to another state!!! You would have to re-apply to Medicaid in the new state. Big problems there.
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Lorettamae, are you asking what is the best way to transport your brother from North Carolina to Arkansas? You could hire a transport service to bring your brother while your daughter drives with your brother's pets and whatever belongings he has. Some transport services will check with Medicare or Medicaid to see if any of the cost will be paid or if your brother would need to pay the whole cost.
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1. Well I guess I gave the wrong impression. The nursing home wants to discharge him (probably due to the medicare/medicaid) And he wants to get out. But the nurses say he really isn't ready. That is why I was thinking if I could get him transfered from that nursing home to one here rather than bringing him home, it would be much better. The doctor hasn't really said much about his abilities but since the doctor must be willing to sign off and the nursing home gave us a discharge date I care the doctor does think he can leave.
2, His physical abilities are nil right now. No he would not be help he would be more work. I don't want him in my home. I just couldn't do it.
3. No my daughter is not currently working outside the home and wants to come home to help me but we are both so tied up with sympathy, empathy and quilt that we keep on what we are doing.
4. I am POA.
5. He is on Medicare right now with his Medicaid on hold.

I just would like him to be transfered to the nursing home in our town.
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I get all of that, but I have more questions. Those are some long trips to visit that you have made for five months!

1. Does his doctor at the nursing home consider him to be a safe discharge in his current condition and does the doctor think he can travel that far to your home? Wanting to leave is understandable, but sometimes not enough. So it is not that they want to discharge him, but that he wants to leave? If he leaves, will your daughter drive him to your house?

2. How is he with his physical limitations be able to help you take care of your husband who has Alzheimer's? He is going to be one more patient for you to take care of and are you up to doing all of that physical lifting? How's your own health?

3. It is very nice that your daughter is helping out and wiling to live so far away from home, but for how much longer can she keep that up? Is she working while living there?

4. Can I assume that your daughter is his durable and medical POA since she's the one there taking care of the pets and overseeing his care?

5. He's on medicaid right and it is what is paying for his being in the nursing home?
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He wants to leave because he's alone there. My daughter who moved to Arkansas to help me has been staying there to take care of his pets and over see his care but has bceen there five bowel months and wants to come home to help me. I've been there five times now and can't do it any more. He's almost died three times now and I am worried that he will die without me with him. I feel overwhelmed and guilty and angry most of the time.
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From your profile, it sounds like you already have your hands full with taking care of your husband at home with Alzheimer's.

Why does the nursing home in NC want to discharge your brother who is fully ambulatory?

He does not sound healthy enough to be moved.
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