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Amyb

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Posts: 7
Reply with quote  #1 
My mom has been in a rehab for several weeks now. She fell 3 times hit her head - had a uti - and has a heart disease where her aortal valve is closing. She wants to go home but they have determined she is a 2 person transfer where one person alone can not help her out of bed to the toilet etc. so since mom wants to go home they have decided they will put a hospital bed In her house. She will have 24 hour care but only one person will be there at a time . Does this sound normal (as in his normal things can be at this stage of life) I worry how she will go to the bathroom and get up ever ??

Even though this is her choice I feel incredibly sad. They will also be calling in hospice so that she will hAve access to more services . Ugh. Anyone? I feel so depressed
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Splotchy
Reply with quote  #2 
I am sorry you are facing this.  I do not know what the plan is for your mom, but sometimes patients who need two people for transfers can get a lift that one caregiver can operate.  Research transferring lifts or Hoyer lifts.  If they are getting her a hospital bed, they may also be able to get her a lift.  I think Medicare Part B will cover it if a doctor orders it.

   
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Champion

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Posts: 6
Reply with quote  #3 
Hello
I did send you quite a lengthy reply but now can't see it on the system!! When I get a moment I'll rewrite it !
Sorry. Speak soon
Champion
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Champion

Registered:
Posts: 6
Reply with quote  #4 
Hello,
I'm so sorry to hear you are having to face these very difficult decisions around your mums care as I understand it can be so overwhelming when all you wish for is a quality of life for your mum.
I said earlier I did send you quite a lengthy reply but it got lost on the system so I'm just going to be able to send you a summary of this but hope it's helpful.
Firstly, care homes will very often say your relative is now needs 2 people to assist to mobilise. This is unfortunately more often than not because it safe guards them and is easier and quicker for them. However, it's not about them it's about your mum.
You don't say if your mum has any existing mobility issues?
I would firstly find out why mum has had these falls together with time and place?
This will help you understand if she fell because of her mobility or because she was unattended. Secondly I would have her medication reviewed. Blood pressure should be taken both sitting and standing which if very different (on standing BP drops) can be a cause for falls.
Then I would get mums home assessed for her need. The care companies who come in to look after her should be able to do this. Also I would be checking the carers as fully trained in moving and handling.
Your previous replier suggested Aids to help mum to stand. There are some excellent aids out there but if she hasn't had previous issues , with correct techniques with calm and an expectation that mum will need extra time then she should be able to stand for herself.

So in summary, make sure medically mum is properly assessed including BP markers.
Get home assessed for safe moving and handling (bed:toiling etc) and Including carers training in place.
And lastly remember all you want is the best for your mum so don't let care staff as good and wonderful as most of them are only do what's easier for them!
I hope that helps a little
Best wishes
H Champion.
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Champion

Registered:
Posts: 6
Reply with quote  #5 
Sorry, I should also have mentioned that having s uti in a care home is purely down to not being hydrated properly and having a uti will and can cause falls! So be aware of this! It may be lack of care that has caused the falls if there is no underlying other reason for the uti.
Regards
Champion
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Amyb

Registered:
Posts: 7
Reply with quote  #6 
Thank you so much for your thoughtful answer. I feel like I didn't explain the situation properly. What landed my 83 year old mom in the hospital to begin with was a uti that caused her to fall and hit her head. She has a serious heart condition (I forget the name) but her aortal valves are slowly closing.she has severe arthritis and other issues that made her mobility about 10percent. She walked very slowly using a walker in her own home but needs people to bathe her and help her get into bed etc. after the uti she was confused and checked her own self out of the hospital only to go home and fall again on her head. Now she was in the hospital for good and was treated for the uti and tested for brain bleed and cat scan and MRIS were taken. From the hospital she moved on to a rehab which brings us to now. The rehab and our private social worker have determined that she is a 2 person transfer now. They even had her regular caregivers (at home)go into the rehab and learn to transfer her etc. mom's caregivers have been with her for many years so they were skeptical but after going in the rehab for training they agree the situation now calls for 2 people. It is mom's decision that she wants to go home. Now normally she sits on a recliner and can puddle around enough in the house to do things on her own. She did have the caretakers but not 24 hours. So since it is too expensive and a small home to hire 2 24 hour caretakers she will have one person at all times 24 hrs. This is my question and I'm sorry if I didn't phrase it correctly but I am sad . Obviously the quality of her life has just gone down considerably. She always wore depends but I am not understanding if she is a 2 person transfer and will only have one person (except when they switch shifts) ... how the heck does she go to the toilet ? I mean it is her choice to be home and I'm sure these basic needs will be met but how? She had no more strength in her own body! I just feel bad that her life is now contained to a bed. I guess this is what happens and I should be grateful she is alive. She is also going to be under - in - not sure of the language - but in hospice so there will be more services available to her . Does anyone have any experience like this ? So sad for my mom
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