My 83 year old mom is currently in a SNF after a 3-month stint in rehab after a stroke. She is utterly miserable and desperately wants to go home. Her apartment is completely wheelchair accessible. The only issue is that she currently needs two people to transfer her from bed to wheelchair. She needs 24/7 care and obviously I can't hire two aides to be there at the same time to do the transfers. I know that there are Hoyer lifts that can be operated by one person. That seems to be the only way she can go home. Does anyone have any experience with a home aide who can operate one of these alone?
There are times when I have to tell the aides to pay better attention as they are busy looking at the remote and not seeing either the bar pressing into mom or her feet getting caught
Thankfully, mom has been accepting of it, but it does give me pause to see her hanging in it until she's over her bed
We did get quite a lot of training and practice using it while my dad was at spinal cord injury rehab (and he was there about a month). Both OT and PT helped us learn how to use it for getting in and out of bed, into the wheelchair, and lowered onto the commode. When my dad came home from rehab, the OT and PT visits we had at home included making sure use of the Hoyer was going OK.
Basically, it's not hard but you want to be trained on it by a pro.
If your Mom is of normal weight and size, I would think it would be much easier. If you’re at home alone with her, nursing home rules don’t apply.
"NYS has two types of 24-hour care available when medically necessary. The definitions of these levels were just amended by regulation effective December 23, 2015. The amendments were adopted in part to comply with a settlement in Strouchler v. Shah, a lawsuit that was settled in federal court in Oct. 2014, after the court issued a Preliminary Injunction against NYC HRA in Reducing 24-hour Split-Shift Medicaid Personal Care Services (Sept. 4, 2012 ). The regulation published Dec. 22, 2015 is the final version after the State Dept. of Health issued a series of emergency and proposed regulations since 2011. Here are the new definitions effective Dec. 23, 2015 - also see GIS 15 MA/024 - Changes to the Regulations for the Personal Care Services Program (PCS) and the Consumer Directed Personal Assistance Program (CDPAP) (PDF)
Does Medicaid not pay for home care in other states? I am wondering why so many people in NYC end up in nursing homes when home care is covered by Medicaid.
Here in my area when I had 24/7 care for my Dad, in his own home, the cost was over $20k per month [yes, per month] just for the caregivers. He still had the cost of maintaining his home, utility cost, property taxes, homeowners insurance, groceries, lawn mowing costs, etc.
It wasn't long until Dad moved to Independent Living, and is now in Assisted Living/Memory Care and he cut his cost in half. Whew. Now his savings will last much longer.
My mother is MISERABLE at the SNF, talks about going home all the time. But she has lived alone for 30 years and lives in a large one-bedroom apartment (i.e. not a lot of space). To have someone there 24/7 is a HUGE change. She is upset and not even able to accept that she needs so much care. So there are challenges ahead. Sigh.
Believe me, it would be a hundred times easier for me if she was in a SNF. That was my plan until she was transferred to longterm. It's so depressing and I can't bear how miserable she is. So she's going home one way or the other. I've become horribly cynical and of course I love her to pieces, but being "safe" in an SNF might be worse than being at risk of a problematic transfer at home. No one lives forever, after all, and 90 percent of the folks in the longterm care unit seem to have no life at all.