I'm curious as we start to head down this path (hopefully). With FIL this is such a snail's pace - as we are kind of at his mercy on when we will be able to actually move him to a skilled nursing facility. For the most part he is still competent and is incredibly immobile. He is able to get himself physically out of the bed and using his walker transfer to the bathroom and back, and with the help of his bath aide he is bathing. But beyond that he is depending on the 4 family members (adult children and spouses) for everything else. Primarily SIL who lives in his home and her husband, with myself and his son assisting as we can around our jobs. Many of you have heard our story frequently so I won't bore with the details but long story short we are in the 'waiting for the next big fall" stage with the "unsafe discharge" plan at this point.
Anyway, my point is a question - how do skilled nursing facilities handle doctor visits? I think I had heard that they seriously get scaled back. He thinks of doctor visits as mini-vacations - his social outlet - and schedules them like he is scheduling outings with friends - because he has alienated all of his friends at this point with his behavior (but that's another story). I think at last calculation by year end we will have tag teamed (because his transport to the doctor requires at least 2 of us for safety reasons) him to over 30 doctor's appointments this year. And I would say that if I had to hazard a guess, probably at least 30-40% of those were not necessary. He has three just this week - that require at least on person to take time off of work to assist SIL in transporting him each time.
We are don't have insight into how SNF's work with doctors. Do they eliminate outside doctors in favor of one internal primary? Do they have family continue to manage outside doctor appointments? Does the facility manage appointments and transport? Do they scale down down and eliminate all but the necessary specialists? How does that all work?