Mother coming home from rehab-needs 24/7 care but can't afford the out of pocket cost?

Follow
Share

we live together in an apartment..she's coming home in a week and the nursing home claims they cannot keep her because of her medicare coverage ending ..she's almost 92 years old.her brief stay in the nursing home for rehab purposes has made her confused and depressed so she cannot remain in a facility and mentally remain in tact. so she does in fact need to come home when her medicare coverage ends next week ..but we have a huge problem..both her and i live on fixed incomes.very little..and cannot afford the 24/7 care she'll need to have someone change her diapers if need be and clean her after..we cannot afford any out of pocket costs..period!! i collectb SSI and can vbarely afford rent each month and my mother is also in that boat..the nursing ishome is tellingn us that they have no idea how to help and my mother andni are scared to death to put her ina facility even if we could afford it..at almost 92,being relocated from the hospital to nursing facility has caused her some confusion and more recently depression and she wants to come home..we're glad she's coming home but who in the world is going to care for her until she can get around on her leg enough to use the restroom by herself? the rehab says it might be 5 to 6 months approximately before her leg heals.

This question has been closed for answers. Ask a New Question.
Find Care & Housing
9

Answers

Show:
A car ran into my son's motorcycle, throwing him 80 feet. His helmet no doubt saved his life, but his pelvis was injured -- he initially had no use of either leg or one arm. In his mid-forties, he was in a rehab facility after he left the hospital. He and his wife live in a charming older home with narrow hallways and doorways. Before he was discharged the occupational therapist visited the home to make sure he could be safe there. We set up the hospital bed he needed in the sunroom, bought a bedside-commode so he wouldn't need to try to get to the bathroom, rented a ramp and had him practice opening the front door from his wheelchair. Physical therapy made sure he could transfer from the bed to a wheelchair and from the wheelchair to the commode before he was declared ready to leave.

I know your mother does not have a sun room and she isn't in her 40s. My point is just that there are ways to enable a person with mobility problems to be as independent as they can be. 24-hour help is best, of course, but with the proper set up visiting help may be sufficient.

Why are you worrying about Mother lying in her urine? Is she able to use a wheelchair? Can she transfer herself to a bedside commode? Could she use a bed pan? Or is she/does she have to be completely bedridden? Is the broken leg is in a cast? Can she hobble around at all?

Even on Medicaid, they will not provide 24-hour in-home care. Perhaps they would temporarily cover the time you are at work.

If Mother is incontinent and generally too weak to be even semi-independent, then maybe she simply needs a skilled nursing home, whether you or she likes the idea at all. It could be a good solution, in disguise. Many nursing home who accept Medicaid will accept a resident on a Medicaid-Pending basis.

Unfortunately this may cause problems for you, if you were sharing rent and other expenses.

Keep in touch with us here. We care!
Helpful Answer (3)
Report

At the very least, ask the rehab facility social worker to tell the rehab doctor that she needs home care, including home nursing, PT, OT and social work. Medicare will pay for that. It's not the total solution but it will help her get back on her feet and mobile.
Helpful Answer (1)
Report

Robert, at your mom's age, you need to have Power of Attorney that will allow you to act IF she can't make her own decisions. Those pesky strokes and heart attacks don't give you warning.
Helpful Answer (3)
Report

She ought to be able to stay in the nh Medicaid Pending. Please ask discharge about that.
Helpful Answer (3)
Report

I sounds as if you need to have her placed in a nursing home since it sounds like you work and are unable to care for her. Tell the social worker at the rehab the situation. It will ease the Medicaid application process she can be admitted Medicaid pending. She will need a letter from a doctor stating the need for nursing care.
Helpful Answer (2)
Report

i somehow forgot to mention that the reason she is in the rehab is because of a broken leg..she fell four weeks ago..
Helpful Answer (0)
Report

btw,i don't have power of attorney.she pays her own bills ,does her own shopping,and has always been able to make her own decisions..she has doesn't have dementia ,but she has sleep apnea which causes some memory loss ..but not anything that is crippling to her lifestyle in any way.
Helpful Answer (0)
Report

UPDATE TO MY COMMENT(by op) the social worker at the nursing home told us the same thing and in fact, SHE said that because my mother is in a nursing facility right now it will speed up the process..but she also said it won't help my mother for a while yet..and she's coming home thursday ,june 9th. i'm goingto fill the documents out this weekend and mail them immediately..but until they're processed and we're sent help we don't know what to do..the nursing home is making it sound like my mother will be laying at home in her urine with no help if we can't find someone to home care her at least until medicaid processes the papers then follows up with sending someone out...this is a horrifying thought to my mother of course who will be 92 in October and of course to myself at 61 years of age..we're scared to say the very least.
Helpful Answer (0)
Report

Your mom needs to be on Medicaid. There are Medicaid offices. Find one and start the application process. The only drawback is that you're needing a fast solution and Medicaid is a lengthy process to go through.

If you're your mom's POA you can fill out most of the paperwork for her yourself but your caseworker will need some documentation and you'll have to track down whatever information the caseworker needs. Tax papers, social security award letter, etc.

Get all of your documentation in order then return it to Medicaid.
Helpful Answer (2)
Report

This question has been closed for answers. Ask a New Question.