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What home health? People dropping in all day to take care of him, like OT, PT, nurse, or what? That's exhausting for everyone. What kind of care at night? Family takes turns, makes room in their schedules, not enough sleep, and he might need care at night as well as things move along? Also adjusting to changes is really hard for people who are old and sick, no matter what they say they want in the first place.
Make sure what you're going to get, and don't idealize how wonderful home care is going to be. It's best to be careful what you bite off because it might be hard to chew.
Whatever you decide, I hope for the best for all of you.
Home care is a cost-savings to Medicare/Medicaid/VA/other payers but it seems hospitals are prone to route patients to a facility. (It's been 7 years and I'm still waiting for an explanation for a hospital social worker as to why my mom couldn't come home to recover from an accident SMH.)
As others have said, it's possible to transfer a patient across States. If you have a SNF/rehab in mind, the admissions office should be able to help you figure out coverage needs.
I hope Dad gets to go to the home of his heart.
Thank you!
I see no problem in placing him in a SNF in Fla until u get ur ducks in a row, if he can private pay. But I do not think I would start a Medicaid application in Fla only to end up taking him to MI.
So overall, he still has a lot of strength. He's just bedridden and after being in a hospital for 4 months. Pneumonia and all sorts of other challenges kept PT from happening on a regular basis. He has really not eaten much in 5-6 days, but he keeps taking his meds and now has moments of delirium. He's weak, and we feel like the Florida health care system is failing him by tossing him around from place to place. He won't accept a feeding tube to "keep him alive", but I feel like if he gets nutrition it will help. We desperately need advice.
Dad lived at home before hospitalization in December. We'd like him to live at home after this, too. He started in a hospital diagnosed with pneumonia and CHF and they gave him antibiotics and discharged him after two weeks. He went to rehab only to need hospitalization after 18 hours. He passed out when trying to stand to use the commode. We wouldn't let them send him back to the same hospital, so he went to a nearby city and they had him in ICU for two weeks. After another week in the hospital they sent him to a long term care facility across the state. After a month and a half, they sent him to a SNF, and after 12 days he needed hospitalization again. So even though we told them not to, they sent him to the first hospital, and they intubated him against ours/his wishes. He was there and came off the vent and stayed until we could transfer him to the other hospital safely. Now, the other hospital has cleaned up the pneumonia again and wants to discharge him back to the SNF. We just want him out of the system, and he has said multiple times he wants to come back to MI. He is a Florida resident, but has a home in MI, too.
He has Medicare A and B and a supplemental high insurance. Thank you!
As I said we did do interstate admissions but I believe the transport from one state to another was private pay by the family. In most cases, the patient being transferred could not travel alone and the family also paid for the traveling caregiver. Transportation was private pay because there were many facilities in the location of the discharging hospital that could supply equivalent care; the families involved wanted the patient to be closer to them.
Might be able to give you more info if you can supply the above information but this involves a lot of coordination on the part of the social worker at the discharging hospital and the admissions director of the accepting facility regardless of the state involved.