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I have bed canes, walker, wheelchair, transport chair in the house and use them as appropriate as I have been shown by a physical therapist that works outside of medicare because the knowledge is needed.
"we can convince her to agree".
2ndly: No. This is not fully up to Mom to decide.
If Mom is living with your Sister & your Sister must take on Mom's care (plus extra care if Mom has poorer mobility) then Sister absolutely gets a say here.
3rdly: Rehabs are all quite similar where I live in terms of care. But where I am some have a *shorter stay* focus. Eg 7-10 days post elective surgery. Others have a *slower stream* for those with functional decline & to build up general strength & function again.
Which rehab centre does the hospital recommend based on Mom's needs?
But good to know how it all works for the next time.
I've got 2/3 rehab places in mind now - chosen due to past visits. I know what allied health services they have, length of stay, food, parking etc. This should help with future visits/choices.
The best choice if you can find it, is a place that is set up exclusively for physical therapy patients with no NH or LTC component. Also, home therapy by visiting therapists can be effective if the home is safe and there is family to work with the patient in between sessions. That’s what we did with my Dad. He went from a wheelchair to walking again.
How good is the social worker?
If you get a chance to see how she/he is in action, that may sway the decision of the facility to choose
What types of rehab services are offered? Determine if the facility provides the specific type of rehab needed, such as physical therapy, occupational therapy or speech therapy.
What is the facility’s experience with patients who have my mother’s condition? Ask about their experience and success rates with patients who have similar medical conditions.
What is the staff to patient ratio? A lower ratio often means more personalized care.
Are the staff members licensed and certified? Ensure that the therapists, nurses and other staff members are properly trained and accredited.
What is the facility’s approach to developing a care plan? Ask how they tailor rehabilitation plans to individual needs and how often they update the plan based on progress.
What are the facility’s safety measures? Inquire about protocols for preventing infections, handling emergencies and ensuring patient safety.
How often are therapy sessions provided? Find out the frequency and duration of therapy sessions and whether they align with her recovery goals.
What is the policy on family involvement in the rehabilitation process? Some facilities encourage family participation, which can be vital for recovery.
What are the accommodations like? Ask about room arrangements, meal options, and other amenities that might affect comfort during the stay.
What is the average length of stay for patients? This can give you an idea of the typical recovery timeline.
How does the facility handle pain management? Ensure there is a comprehensive plan for managing pain effectively.
Which insurance plans are accepted? Confirm that the facility is within her insurance network and understand what costs she might be responsible for.
May I visit the facility before making a decision? Touring the facility can provide valuable insight into its environment and care quality.
What are the discharge planning and follow-up care options? Understand how the facility supports patients transitioning back home or to another care setting.
Asking these questions can help you make a well informed decision and ensure a smooth recovery process.
Then, seriously, get an idea of the various facilities around the hospital and/or where you live, make a list of those that are of interest.
As AMZebbC mentioned, she'll probably get a choice of 5. Let the hospital SW know, so that she/he can reach out to them. SW will let you know which one(s) have availability and which ones don't, then go from there. Hopefully there would be availability in one mom may feel very comfortable in.
See if you can tour the facility and hang around the therapy area if possible. If that is all that is needed, you may get a good idea how the department is run with this observation. You may also be able to talk with a therapist or 2. I can't believe I'm saying this, lol, but don't necessarily go by all the reviews on a facility. One person's experience can be different then another.
It's not really that bad, and therapy can be a lot of fun. From a personal standpoint, I really enjoyed both Physical and Occupational Therapy and was sad to see it end.
Be forewarned though, it can be a real downer on the weekend when no therapy is scheduled, so prepare for that.
Good Luck!!
As to what is the best rehab? You will be assigned one by hospital and MD and the best thing to be done is to BE THERE and to participate with meetings regarding care, to make it clear that mom will need discharge planning help if she cannot/or will not get back on her feet. That you are BEGGING For intensive PT and OT rehab. That she simply cannot be allowed to languish and if she cannot cooperate in getting better she will require placement.
The POA is going to have to do the best daily followup on this.
You may be looking at palliative care and hospice if mom is content to take to her bed and die.
I was lucky that my uncle had a great Social Worker that really hustled to get him into the proper facility.
Some questions to ask:
What is the PT ratio?
What type of therapy will she need and how do you access the need and progress?
What is the staff ratio for all shifts? (this is always changing due to the extreme understaffing of facilities but they have to post in NYS)
What are the visiting hours? Stay away from facilities that have limited hours you can visit.
Wishing you well in your journey. It is very eye opening when in the thick of it.