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I think most of our elders would prefer to remain at home, vocally so! It wasn't possible for my mom to remain in our home. Round the clock care by one person is awful. Been there, done that.
My mother is also "private" and reserved, but she's adjusted to an assisted living situation. Sometimes that's the only choice for the health of all involved. Yes, you will feel guilty, we all do, but you have yourself and your own retirement to think of regarding funds and just to have your own life.
Visit often and show her that she is loved and is still important in your life.
•The patient must be a Medicare recipient.
•The patient must be homebound. This is defined by Medicare as “normal inability to leave the home and that leaving the home requires considerable and taxing effort.”
•The skilled care must be medically necessary as determined by the physician.
You must push to get a physician to say "HOMEBOUND" to the insurance company. Just learning myself after 4 years it takes the right terminology.