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1. The patient must be an admitted hospital patient with at least three overnights of in patient hospital care.
2. The patient must require skilled nursing services ordered by a physician.
3. The patient must enter a Medicare participating facility.
4. The patient may qualify for Medicare coverage if admitted to the nursing facility within 30 days of hospital discharge for the same condition for which they were hospitalized.
Who signed for discharge?
Call the discharge department today and find out if she is eligible for rehab. She would need to have been an admitted patient for 3 days. Observation status doesn't count.
Otherwise, take her to her PCP and get home health care and PT ordered asap.
Weekend hospital staff is usually slack and do the bare minimum.
An elderly person QUICKLY loses strength when they lay in the bed and do not move around.
Pray that she gets readmitted. And the medicare rule is that she has to spend 3 consecutive midnights in the hospital to qualify for an inpatient rehab facility. Make a LOT of noise in favor of her going to rehab both to her and the discharge planner. Talk to DP in private and tell them she is demanding to go home and has no support there and that you and spouse work full time and there is no money to pay for sitters, etc. Say whatever you have to say to make them send her to a rehab facility or you will end up looking after her and it is HARD WORK looking after a bedridden adult!
If everything described above plays out and she does go to rehab, STRESS to her that she has to work hard and get strong enough to walk with a walker to have any chance of going home.
In all my husband’s many hospitalizations, I have always sat with the staff who were caring for him and given a rundown of what he would need before discharge. There were no surprises. Home health care was ordered and durable medical equipment was arranged for delivery before he got home. However, my husband was very amenable to all this and I was there every day and available for any conversations needed about his current or future care.
I have a feeling, also, that your Mom-in-law refused to go live in Rehab, but she may have said she will have physical therapists come to the house. See if in the paperwork there is a list of at-home therapists for you or her to call to set up appointments.
I went through something similar with my Dad after he left the hospital. Since Dad and Mom were of clear mind, they made the decision that Dad would not go live in Rehab until he regained his strength. I knew nothing about this until a month later. Mom thought she could make Dad well again, that was her "job". Much to her surprise it wasn't working. Oh really??? My Mom was in her 90's.
And the next time she is in the hospital, and it sounds like it will be soon, DEMAND to speak with discharge planning and communicate that under no uncertain terms are you available or equipped to take care of her.
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