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My mom had hip pinning surgery Dec 28 2013, spent two weeks in a great Rehab facility for PT and OT. We brought her back to our house thinking she'd need a couple of weeks to "get back on her feet" enough to go home with dome part time in home care. Just at the end of the two weeks her pain spiked and an xr showed a new crack in her leg parallel to the rod just below the hip pins. She's having to take strong narcotics to manage the pain so she can keep walking on it as the Dr said this is the best treatment. She's wiped out from the drugs and discourage from the setback. Do we keep her here longer or keep moving forward on arranging part time or fulltime in home care as she continues to recover. My life had been on hold for 5 weeks now. She doesn't like being dependent. We want to encourage independence. How do decide when is the right time for her to transfer back to her home (25 miles from us)?

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Ask the MD to get her back into the rehab facility for now. The cracks indicate one of two things. Either she did too much too soon or the bones are too brittle. You could also ask him about anxiolytics. If it was my mother I would want her back in the hands of professional staff.
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Her orthopedic surgeon prescribed as much walking and standing as the pain will allow. She can resume outpatient PT when she has the pain managed better (I.e. a bit if healing). Sherie's not want to go back to a SNF because other than a hour of PT a day they want patients to stay in bed (due to liability risks) when here she can get up and walk a little every couple of hours. The question is going home yo her house with me as caregivers or hiring someone part or full time to assist her when needed. It is a hard call to make.
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Her MD can order at home OT, PT and RN which Medicare will cover for a limited amount of time.
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