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Mom's physical therapist Saud he will probably give her two more weeks to see if she continues to improve. But that's not set in stone.


Barbara

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Medicare requires a 2 day notice be given when somebody is being discharged from a skilled nursing facility. A patient or patient representative may waive that notice if they would like to leave prior to the 2 days. The NOMNC (notice of Medicare non coverage)must be delivered at least two calendar days before Medicare covered services end or the second to last day of service if care is not being provided daily. There are different regulations for acute rehab discharges and discharges from the hospital.
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The times when my mom was in the hospital, we got very little notice regarding discharge to rehab. At the beginning I expected there would be notice, guidance, hand holding through the transfer. Ha! I understand that yours is not exactly the same situation as what I'm describing here, but bottom line to anyone new to the health care realm: when medical bureaucracy is involved, you always have to be one step ahead and be prepared for just about anything. After that experience, I learned to have my ducks in a row - no matter what the situation - in order to make smooth transfers in services. You have to be your loved one's advocate and expect that you will be the one to make things happen - not the social worker but you.
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The rehab called me on Friday and said my father-in-law was being discharged in 3 days. He is still on a feeding pump thru a stomach tube. He was very weak and fell when he got home. The rehab told me they trained him on how to hook up his liquid nutrition to a pump and how to hook on to it. He didnt have a clue. I questioned them if they were sending all his meds in liquid form. No. I had to purchase a med crusher and also a bed wedge so he wouldnt lie flat in bed. Rehab dumped this 88 year old man into my care. Since i live 4 hours away from him,i am here with him until things get better. Visiting nurses check vital signs and thats about it. Something is very wrong with this system. He had private insurance and medicare.
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Hadnuff, The times my Mom was sent home from rehab the time varied. Usually it came in stages, I was told about 2 weeks, then they tell you how many days as it gets closer...usually about 3-4 days. The therapist also came to our home to do an assessment of what we needed. This gave me a little time to get any equipment that was needed. You can tell them to keep you posted so that you will be ready. The las 2 days before Mom came home were spent waiting on equipment in my home, so if you want to do anything for yourself too like a shopping trip, be sure not to wait until the last minute.
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Barbara,
When my mom was in rehab, I was given a timeframe of a couple weeks. The physical therapist said if she improved, he would keep her longer, but if she showed no signs of improvement, he would discharge her. Everyday when I would visit, I would talk with the nurse or PT... Keep communication open with them & tell them you'd like heads up ASAP of their discharge. They kept me up to date & told me when her discharge was coming.. I rec'd 3 days notice. In the meantime, try to prepare if your mom may need help when she returns home. (Caregiver, etc., assisted living) Prayed for you that you would be blessed in this.
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Redhead1: Something is very wrong with this system.

Rehab trained an elderly man with dementia how to hook up his liquid nutrition to a pump and how to hook on to it. Hahahaha. I'm wiping away tears of laughter and frustration.

Hugs to you!
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Barabara's mom developed what sounded like CHF symptoms that sent her to the hospital instead of home. Since then Barbara has posted that her mom was going to hospice. She has not posted since. Hopefully she will post again and let us know how things are going.
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I was told my Mother was being discharged 24 hours before I left for a vacation out of the country. I pressed when Medicare & her insurance was notified to the nursing director. She said I had a week because she had not even started paperwork. The rehab site director then had all the therapist on the intercom tell me my 85 year old
Mother who had a stroke a month prior with limited speech and balance wanted to go home. So they felt obligated to release her. I went ballistic explaining how I was not even informed, or given any training on meds, PT, or SLP for this immediate discharge. They became so nasty and ended the conversation with this is your warning we are releasing her. I called my half brother and explained the situation and he & his wife came to care for her and took the full week to transition her to my home while I was away with my family. First she came home for two hours and walked around with a walker, then came the next day for another few hours, etc.,Meds were explained and what to look for in her physical and cognitive behavior. Don't be bullied by the rehab and I made an effort to get to know the staff. Otherwise I would of had to cancel my vacation if I didn't know to ask when the nursing director had sent the notice of discharge. The rehab wanted my Moms bed for a none medicare supplemental insurance person who had regular blue cross that would pay them at their premium rate. My favorite nurse told me and that is why the Rehab Director got so nasty with me. I lost them money when I questioned the paperwork to the director of nursing.
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I found it varied every time. I learned that to keep on top of discharge I had to become very proactive with the Staff at the Rehab (social worker, rehab therapist). It does come down to the not waiting for answers. Ask questions and don't "expect" that the rehab center will automatically tell you what is going on.
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Redhead1, I sometimes (often) question the intelligence of people who simoly follow routine without thinking.
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