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Mom being wheelchair bound does not mean she needs Hospice. Just because she wants to die, does not mean she needs Hospice. You need to talk to them and find out what has changed that its felt she no longer needs Hospice,
As long as there has been a continued documented decline a person can be recertified.
You can ask ask for an appeal of the discharge.
If the person has declined and the declines were not noticed or documented by Hospice and you have documentation you can present that.
Things indicating a decline can be:
*Weight loss. this can be verified by actual weight taken or arm measurements or even the way clothes fit.
*If a person was able to walk across the room and are no longer able to do that without stopping to rest, that can be an indication of decline.
*If a person used to eat an entire meal but now can't or won't or needs help that can indicate decline.
*If a person used to sleep 8 hours and is now sleeping 10, 15, hours a day, that can indicate decline.
Anything that is "different" should be documented.
She doesn't take morphine, she takes Tramadol, and a couple of benzos. Maybe she's in Palliative Care which is different from Hospice.
Whatever.
If she gets taken off care of any kind, then the kids will have to do ALL the stuff that the CNA's do now. Which isn't much, TBH, but it's something.
Weird--she fell yesterday @ 5 am and all 4 people on the call list were called. Nobody answered the phone so the EMT's came and got her back in bed.
I heard the phone ring and tried to get DH to wake up and answer but he wouldn't. He gets a call from his sister at about 9 am that she had seen the call on her & her hubby's phones and had called the EMT's about it.
I can't BELIEVE that the EMT's didn't keep trying to get SOMEBODY to tell them what had happened. But, like I've said before, this Hospice Co has a lousy reputation and that could extend to the EMT's they use? IDK.
Is that because she is not dying, nor expected to die?
If that is not the reason, what IS the reason?
Your Mom will enter placement in facility care, then without Hospice, which when you think of it really gives you VERY LITTLE other than that nifty little morphine bottle that in facility care doesn't give you. Make it clear that mom is DNR if that is her wishes and put her in palliative care where visits are minimal.
Good luck.
Do they get better and the docs, etc, feel that they no longer require that level of care (which is palliative in nature and not providing life-sustaining meds, right?)
My MIL was considered imminently dying in Jan (?) last year and went home to die--10+ months later she is better AND worse. Her cognitive skills are worse, but she's more able to do for herself. She's off her BP meds and heart meds and since she's in Hospice, we don't actually KNOW anything. Is she getting worse or is she stable and likely to last years more like this? I mean, she's getting the best care from her 3 kids and the CNA's (well, not great care from them, but at least she lets them in the house).
Whenever I ask DH how she is he ALWAYS says "Oh, she's FINE." Which makes me wonder why she still on Hospice care.
Of course, taking her off Hospice would mean a return to finding our own CG's and dr appts, etc., which she won't do. IDK...since the 3 stooges are running this show I cannot get a straight answer. End of the day, I don't guess it makes any difference.
Also maybe division of senior services or someone else can direct you on how to get another geri chair and whatnot for her. Also sometimes churches, associations, charities can assist with such assistive devices.
When you feel mom has taken another step down medically, ask her doctor to write another order for a hospice evaluation again. Just bc she wasn't recertified this time does not mean she will not qualify again in the future.
My hospice grief counselor told me that his for profit hospice gets 50000 from the government every time they sign a new patient. My dad had a couple of nurse and cna visits before he died.
If true, no wonder hospice just bounces ppl after six months.