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My MIL who is in IL sometimes has a doctor come to her through her Medicare plan. They have come to do x-rays, for instance. And telemedicine is big right now too. I have no idea if Medicare might offer a combination of "outside the box" approaches that might work for your sister. Perhaps the staff nurses would be willing to get involved, and work with a doctor through telemedicine/zoom calls.
Best wishes 🙏🏽
There are facilities that have their own medical group that will come to the facility and draw blood, see patients, etc.
I don't think it matters what the name of the kind of care that the place gives. It matters more what services they provide and how they treat their patients.
If your sister has her own PCP, like the others, I suggest you talk to her PCP. She might not be accepted at a place because of her combative resistance in addition to the level of care that she needs.
( primary care physician) . even though she is in a
" memory care" unit ( it sounds like from your description), her PCP should still be conferred re any other
" medical " care she needs; when you say she " won't go to the Dr." and is combative, these are unfortunately behaviors common to dementia patients. The
" memory care" facility she is residing in should be able and required to confer with her PCP and, arrange for her care on site or arrange for transport services to take her for other medical needs.
It is very UNSAFE, for her
( any dementia patient) to be transported by family in a car to doctor appointments. And, it is UNSAFE for family to try and do so.
If you are her POA, please confer with the facility staff and administration to arrange for them to confer with her PCP and arrange a POC ( plan of care) .
The POA, should be advised and included in regularly scheduled " patient care planning" meetings that facilities have ; ask about these if you are not presently being notified. Also, if you are the POA, call her PCP, yourself if needed to further advance the needs, behaviors you are observing.
Services are not all the same across the country.
You might be able to do zoom where she is now if her primary participates. It works well for aunt.
My idea of memory care is that more hands on is available than with SNF. However the hospice service she has provides a CNA that she has had over 10 years so there is a comfort level there. So each situation is different.
I would imagine that the MC is used to dealing with this and should be able to give you some advice. Until her physical needs become too much for MC to handle, MC might be a better choice. Or if she starts to run out of money, then it will become a necessity.
Good luck.
I see from your profile you have done a lot of caregiving . Bless you . It’s tough . Hug your spouse , kids , grandkids and take care of yourself .
I don't understand your statement of needing a doctor on staff as I find it hard to believe that a facility does not have one already there.