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My Father was admitted to extended care for rehab after hospital stay. He has Parkinson and dementia. He lives with my daughters and myself and they are his full time caretakers. While at rehab he is put in a depend and confined to a chair or bed other than the 1 hour of rehab he gets a day. I feel he is not going to get strong enough. They will not discharge him because he failed the home assessment of getting up and down the 14 steps at home. The day of assessment pt did his therapy before bringing him here to do the steps. He made it up the steps perfectly but then ran out of steam. When my father is home he does not need depends and is not confined and has 24/7 one on one care. I feel his stay in rehab is making him decline.I have talked to everyone at the hospital but can not get anywhere.

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a broken bone IS his biggest concern imo. ive had a badly broken leg and id prefer sitting in a wet diaper any day. it isnt the broken bone that hurts, its just that the " explosion " bruises all tissue around the break like a sledgehammer hit it.
a broken bone is the reality for a huge percentage of mobility impaired elders. should be avoided at all cost.
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Do you have Medical Power of Attorney? If so, you can move him with or without their "permission". But...you may also need to consider that your father may not have the same abilities as he did prior to the hospital stay & you need to be certain that your choice for him does not endanger him in any way. Would you or your daughters feel comfortable changing his depends & doing any necessary bodily cleaning? Perhaps check into other Assisted Living facilities to see about first transitioning him before fully deciding that he would be best at home. Believe me when I say they are not anywhere close to being the same.
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I am not his POA...she lives 2 hours away and is not in direct contact with him.My daughters bathe him and do everything for him. He does not wear depends at home, he only wears them there because he is not allowed to be mobile because he may fall,My daughter and I have been taking care of him for over a year.
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I just feel that his stay there is not helping him mentally and psychically . He does much better and is happier at home.They keep saying to keep him longer to build up his strength but that is not happening. Laying around all the time is not going to build strength
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When someone is in the hospital for a length of time, they become weakened. The fact this rehab cares so much to make sure he can pass their expectations to go home shows they care. deterioration happens so rapidly in the elderly. I would suggest you go to the rehab and watch one of his physical therapy sessions. You want him at the best strength to return home so he does not end up back in the hospital.
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Build his strength at rehab. Make him walk laps around the floor. Get the daughters on it. Have them watch the PT and repeat the exercises. Make sure he uses his puffer to build up his lungs. Do stepping exercises if you can. Make sure he drinks plenty of electrolytes and gets vitamins.
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If you can afford to hire professional caregivers, then medicare will provide physical therapy at home. I paid for all of this to prevent my father from having to go into a rehab facility after surgery.

On the other hand, what the heck is up with the POA? The POA should be on top of ALL of this as it is his/her responsibility.
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