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She has her own home and lives alone. Has meals on wheels. She’s just sitting in rehab for the 5th time this year and it’s been 4 weeks. Other than 45 minute walk with PT, they insist she be in chair or the bed. She feels “imprisoned “. She wants to go home and hire personal care attendants.

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Have you seen her in rehab or is this through phone conversations? Sitting in a chair IS therapy for some people. Those with dizziness when standing or extreme weakness for example. It’s better to sit than be in bed.
Does she have a son or daughter managing her care?
You are a good friend Mary but I suspect there is more to the story.
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Reply to 97yroldmom
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You really aren't POA here and I would stay out of this.
She isn't in prison.
If it is safe for her to leave and she wishes to leave rehab, then she should inform her doctor she wishes to leave. Social workers will be assigned to assess safety of the discharge and followup may be ordered by her MD.

Signing out "AMA " (Against medical advice) is possible if she is adjudged by staff to be COMPETENT. But this is dangerous if it is felt by her medical team she isn't safe or ready for discharge.

As a "friend" you cannot manage or assist in this. Tell her to speak with doctors and staff about all this.
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Reply to AlvaDeer
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I would wonder how they have been able to keep her 4 weeks if they are just walking her for PT. She is now paying out of pocket. Medicare only pays 50% after 20 days. The other 50% is paid by the patient or her insurance. My Moms insurance did not pay. 9 yrs ago she paid 150 a day. After a week thats $1050 out of pocket. When Mom went to rehab her last time, I told them there was no money to pay after the 20days. She was discharged her 18th day.

The woman needs to talk to the doctor who sees her at the Rehab and tell him she wants to be discharged, if he says no, he better have a good reason why not. If he says she needs care at home then she is going to need to set up that care before she is released and prove it. In home PT can always come in.

The next time she is hospitalized and rehab is suggested, she does not have to go. She can request in home care. There is no law that says she has to go to rehab. She can turn it down.

I would love to know where in Del she is. My daughter has worked them all. You can private message me.
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Reply to JoAnn29
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It sounds like an unsafe discharge. Sit back and wait. It will be interesting to see how she will hire assistants on her own
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Reply to MACinCT
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No matter how capable she thinks she is, hiring and maintaining personal attendants is a huge job. It requires lots of time, keen managerial skills, much money, and interpersonal skills that may not be in play in someone who has been ill enough to be in rehab multiple times.

Just sayin’……..biting off more that she can chew is an apt phrase that comes to mind.
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Reply to Fawnby
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I'm assuming she is also cognitively competent. Rather than leaving against medical advice help her to get her an appointment with whatever physician sent her to rehab and get the discharge papers rolling, if that doctor balks then find another.
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Reply to cwillie
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BlueEyedGirl94 Jul 31, 2025
Completely agree with this - if she leaves against medical advice it could prevent her from getting coverage if she needs it later.
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