My 85-year-old mother-in-law has been in rehab since heart failure and pacemaker surgery in May and has had two more hospitalizations since then, and then returning to the rehab wing of a nursing home. She's very difficult to deal with and started out refusing daily PT sessions, not eating for days and even refusing her meds. The recent addition of an anti-anxiety med has at least made her more cooperative than she was. However, I don't see much difference in her physical condition and I'm worried she'll be released - there's no way my husband and I can care for her at home in her current condition. Truthfully, before her hospital admission, she was already completely incontinent and couldn't safely walk more than a few feet with her walker. She's had a few bad falls, including a broken shoulder. Her doctor has said he will re-evaluate her at each appointment and so she keeps saying that she's 'going home' after her next appointment with him, going so far as to packing her bag when we last picked her up for an appt.
We have our first 'care planning meeting' next week and I'm holding my breath. What standards will they go by? They rarely put her on her walker in PT anymore, mostly have her do leg lifts while in the wheelchair and throw a ball back and forth. She's still not strong enough to transfer herself from her bed to the wheelchair or the wheelchair to the toilet, just extremely weak.
One of the administrators asked us today if we planned on using their facility for SN 'if she didn't progress' enough to go home. We were startled as both the therapists and her doctor have all said that they think she will be able to go home at some point - is that said commonly to keep the patient positive, or am I not seeing the same 'progress' they are?