My 95 yo Mom ended up in the Emergency Department last evening after a fall resulting in a very swollen ankle and quite a goose egg on the back of her head. She could not walk or bear weight due to the ankle pain.
They admitted her as I was quite adamant that it would not be a safe discharge back to her home when she cannot ambulate.
I spend a lot of time at her house but do not live there. She has an Aide 3x per week for ADL assistance, meal prep and housekeeping. She does sleep alot and has experienced a significant loss of her short term memory in the last yr. She does not drive or cook...I have removed the stove knobs as well as installed hand railings and other safety features and a bedside commode. She ambulates with a walker or cane when she remembers otherwise she can furniture surf as we have strategically placed heavy furniture to assist her in navigating the first floor of her home. I also have 2 cameras in place to keep an eye on her when I am not there.
Five years ago she spent 3 mo in rehab recovering from a major stroke. She worked hard to regain mobility and strength to baseline. It was nothing short of a miracle. So she has the drive and desire to do what ever it takes to heal. That and the fact that she is sweet as pie keeps me in her corner fighting for her to age in place.
My hope is that she can return home after a rehab stay bringing her back to ambulation. So....am sure most of you know where this is going at this point!
It is an ankle sprain not a fracture...negative for UTI...CT of head and neck is negative as well. Consequently no medical reasons for the required 3 day hospital stay to qualify for a Medicare paid rehab stint.
We have started the spend down for Medicaid but she is not there yet. At this point Social/Discharge says she is in Observation status & they will continue to search for an in patient qualifier but it doesn't look promising. They can't even tell me if her CDPHP Plan F will cover this maybe up to 3 day hospital stay if she doesn't convert.
Please advise as I search through previous threads on this subject. I know its a nightmare many of you have experienced.
Thanks in advance for any advice to help me through this!