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You do not know for sure that PT will fail until you try. If she is accepted as a rehab inpatient that will give you a rest and also time to plan for her future. Don't give up on your mother unless she doesn't want to move from the bed.
PT can begin as a series of very gentle exercises. Even if the desired outcome is not what you hoped for, your mother may enjoy the individual attention.
No one can see the future. As others have advised there is a high possibility that it is time for a LTC nursing home. Also, you do need to take care of your own health.
Personally, I believe in (diplomatic)advocating until there are no avenues left. I have practiced this in all aspects of my life and careers. Many times, I have seen it work.
I will give you a medical example.
My 87-year-old elderly sick mother with COPD was diagnosed with "failure to thrive" by a cardiologist and was told she belonged in LTC. This was after an unsuccessful attempt to implant a pacemaker resulting in a broken lead.
I transferred Mom to a different hospital and the next very prestigious electrophysiologist also decided she belonged in LTC.
So, I transferred her again, this time to the emergency room at Brigham and Womens Hospital in Boston. The third Cardiologist had a different opinion. Mom was operated on the next morning. The broken pacemaker lead was replaced by the third electrophysiologist and her heart was then pacing normally. She lived another 7 years in my home. At the end she was very frail, with a little bit of short-term memory loss, but she could walk slowly with a cane/walker. Most important she enjoyed life. I am so grateful we had those years with her. Sadly, she died at age 93 with the last two month in a nursing home.
I wish you and your mom the best.
I really think that the possibility of walking again are now quite slim.
Also, I think that there's a very real danger that if rehab are able to get your mum walking again, that she would actually be more unsafe than staying in bed, due to frailty and likelihood of falls.
It seems that your main problem is that you are no longer able to look after your mum. However much you or she may want to keep your mum at home, I think that you may have to consider her going into a nursing home, so that you can maintain your own level of health and mobility.
Whatever decision you make, I wish you and your mother strength and peace.
You are facing the inevitable which is to place your mother in a skilled facility .
I am caring for my mother Vivian, living in my home with age-related decline, anxiety, cancer, depression, hearing loss, incontinence, mobility problems, and urinary tract infection.
About Me
70 year old female
Caring for 90+ female parent who until recently was able to walk assisted by a walker and able to perform daily hygiene tasks
I am no longer able to care for her. I have several health conditions along with back issues.
My mother was 92 when she was hospitalized for pneumonia. Rehab did not get her walking again, just helped her learn how to wheel herself around in a wheelchair. She moved from regular AL into Memory Care Assisted Living after rehab bc her dementia had worsened significantly too.
Your issue isn't rehab.....its getting mom placed in a Skilled Nursing facility due to you no longer being able to care for her, understandably. Were you wanting to get her into a SNF for rehab and to then segue into their long term care section?
Speak with an elder care attorney about the Medicaid process in your state and how to go about getting mom placed in the quickest and easiest fashion.
Best of luck to you.
I believe that a doctor will at this point have already attempted to discuss Hospice care with you. I believe that your mother is now facing a need for comfort care and end of life care. I am so very sorry. Please ask your doctor for open discussion and honest discussion with you regarding placement and Hospice for your mom. The offer should be made to her, and if she is no longer able to act on her behalf you will have to make the best decision for her for a peaceful end to a long life. You will do what you believe best for her, and right for her, recognizing that for you the loss is certain, inevitable, and full of grief. Keep your mom as pain free as you are able.
He however came home under hospice care and I was able to care for him(with an aide coming every morning that I hired)until he died 22 months later.
It sounds like you are in no condition to care for your mother with your own health issues, so perhaps it's time to look into having her placed in a skilled nursing facility, and by all means get hospice on board as well, as you will have extra sets of eyes on your mother and they will report anything amiss.
Wishing you and your mother well.
Rehab is probably not going to accomplish much.
If she has any dementia (you do not indicate this in your profile) she probably will not be able to participate in rehab.
You could ask the doctor to prescribe In Home PT and see if that helps but YOU are also going to have to work with her on the PT. If you can not do that safely the In Home PT might not do much.
At this point she may need Skilled Nursing facility.
Call her primary and see what can be done. If it is too late to go to rehab as inpatient, perhaps you could get therapy for her in your home.
You could also look at her discharge paperwork and see if there is a contact number for a hospital discharge planner who could help you.