How do skilled nursing facilities handle pallitive care/hospice? - AgingCare.com

How do skilled nursing facilities handle pallitive care/hospice?

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My 94 y/o father-in-law is being released from the hospital with Pallative and/or Hospice care recommended.

Before we realized that he would probably not recover from a fall that was caused because of confusion due to a severe UTI we made arrangements for rehab and then assisted living (he had been living alone prior to this last event).

If he is moved from skilled nursing to hospice within the assisted living facility who provides a hospital bed?

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Skilled nursing care or a hospice house are the other options I'd consider. Medicar will cover the actual medical care, but not room-and-board. Start investigating the hospice house options in your city. It is wonderful that you will be nearby and can visit him in either NH or hospice house.
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He is unable to feed himself, get out of bed and we can barely understand what he is saying. The doctors aren't holding out much hope that he'll improve much.

He had been living alone in a house 130 miles from us (the only family that has been involve). We are moving him to the city we live in so that we can be close by for any emergency.

For a little background, he fell and we finally had to call the Sheriff's Office to do a welfare check and they found him on the floor unresponsive. We think he'd been there for at least 3 days, possibly 4. My husband (his son) actually spoke with him while he was down, but he didn't say a word about falling.

We know that he isn't a candidate for Assisted Living, but don't know, for a better way of saying it, put him. We downsized after retirement and there is no room for him in our home and we can't leave him a 2.5 hour drive from us.

If not Assisted Living what other options are there?
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Hospice will arrange a hospital bed and charge it to Medicare.

Hospice is absolutely fabulous at getting whatever supplies are needed on an almost immediate basis. That includes things like strong bed pads to facilitate re-positioning in bed, a urinal, a bedside commode, a personal alarm (to detect getting out of bed), oral hygiene swabs, a foam pad to help prevent bed sores, and on and on and on. Hospice gets what they need immediately (whereas palliative care programs seem to need to go through more hoops, at least in our experience).

Do you think that assisted living is appropriate at this time? Would your fil be better served by more around-the-clock care? What is he still able to do for himself now?

My heart goes out to you. Hospice can be a great comfort to the family and well as to the patient.
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