The OP provided info on someone else’s post. She thinks the PT is too aggressive and she wants it stopped as there’s no viable goal in place. She also says a hospice evaluation is in the works.....
Here’s what she said: ”I should have set up boundaries with my mother.......insisted or arranged for extra help myself or for her to move to an assisted living community. She's wasted years of her senior life........decades.....and she's wasted decades of mine. I need some quality time and sometimes feel like I just can't take it anymore.
This has been going on for years........and now since April 2020 lying in bed after yet another fall.........brought to the hospital and hospitalized and then a SNF....and I feel the PT is too aggressive for her and I see no viable goal in sight. So I wanted this rehab stopped......she's bedridden...can't stand for more than a few seconds......who could see possibly be ever use a walker now? And these 2 person transfers from bed to a wheelchair..............in a woman who's skin is fragile............I didn't want it, and have had many bitter arguments with the SNF. The whole thing has been awful beyond my wildest dreams.”
I don't enough about your situation, however, I know of a case where a senior was not able to engage in rehab inside a nursing home for several reasons and still completely immobile in wheelchair. The facility could not secure a home care plan for the patient, because, the home was not equipped for his care, no ramp, no accessible bathroom, etc. and not enough care for him in the home. His wife was weak, struggled with her own mobility and there was no feasible plan for him to go home. Has the facility social worker tried to do that with you?
Is the SNF permanent? If so is Medicaid paying for her care? Or is she private pay?
If rehab only, how long has she been in? What do you think they should agree to? If in rehab to be discharged to your care, then you can request she be discharged whenever you want. It may be against medical advice (AMA) but the doctor can sign her out. Medicare and insurance will pay for her stay up till then depending how long she has been in. So don't allow them to tell you different. For Medicare 21 days to 100 they only pay 50%. (100% for the first 20 days). It depends on your suppliment on what they pick up of the 50%. With my Mom after Medicare and supplimental she paid $150 a day that can really mount up. Last time she was in was after a UTI and she was sent to rehab to get her strength back. I told them there was no money after the 20 days so they better do what needed to be done in those 20 days. They released her at 18. You can ask her PCP about therapy at home if you aren't happy with her care in rehab.
First, some more explanations: Why don't you agree with rehab? Are you a therapist yourself, and don't concur with the plan, or are there other issues? If you take her home, who's going to plan, manage and carry out the rehab? Does the doctor who treated her for whatever physical injuries or issues she may have agree that she's ready for discharge, and possible home care follwoup?
Of course financial gain is involved; that's why they're in business. Do you feel and have reason to believe that there are exploitations beyond this, such as wanting to keep your mother longer than necessary just for the income? That's certainly happened, we experienced it ourselves. How long has she been in rehab, and for what condition? That could make a big difference.
When you say "they" won't agree with anything, that could extend not only from diet and therapy to hygiene, meals, bedtime hours, nonrehab activity and more. I think more specifics would offer the opportunity for better and more succinct answers.
She can't be cared for at home. She needs to be in a facility.
The PT has to demonstrate that she isn't/can't make progress.
You can then ask that she remain in the facility as a LTC client , visit as a loving daughter and regain your life.
Here’s what she said:
”I should have set up boundaries with my mother.......insisted or arranged for extra help myself or for her to move to an assisted living community. She's wasted years of her senior life........decades.....and she's wasted decades of mine. I need some quality time and sometimes feel like I just can't take it anymore.
This has been going on for years........and now since April 2020 lying in bed after yet another fall.........brought to the hospital and hospitalized and then a SNF....and I feel the PT is too aggressive for her and I see no viable goal in sight. So I wanted this rehab stopped......she's bedridden...can't stand for more than a few seconds......who could see possibly be ever use a walker now? And these 2 person transfers from bed to a wheelchair..............in a woman who's skin is fragile............I didn't want it, and have had many bitter arguments with the SNF. The whole thing has been awful beyond my wildest dreams.”
Is the SNF permanent? If so is Medicaid paying for her care? Or is she private pay?
If rehab only, how long has she been in? What do you think they should agree to? If in rehab to be discharged to your care, then you can request she be discharged whenever you want. It may be against medical advice (AMA) but the doctor can sign her out. Medicare and insurance will pay for her stay up till then depending how long she has been in. So don't allow them to tell you different. For Medicare 21 days to 100 they only pay 50%. (100% for the first 20 days). It depends on your suppliment on what they pick up of the 50%. With my Mom after Medicare and supplimental she paid $150 a day that can really mount up. Last time she was in was after a UTI and she was sent to rehab to get her strength back. I told them there was no money after the 20 days so they better do what needed to be done in those 20 days. They released her at 18. You can ask her PCP about therapy at home if you aren't happy with her care in rehab.
Of course financial gain is involved; that's why they're in business. Do you feel and have reason to believe that there are exploitations beyond this, such as wanting to keep your mother longer than necessary just for the income? That's certainly happened, we experienced it ourselves. How long has she been in rehab, and for what condition? That could make a big difference.
When you say "they" won't agree with anything, that could extend not only from diet and therapy to hygiene, meals, bedtime hours, nonrehab activity and more. I think more specifics would offer the opportunity for better and more succinct answers.