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You can appeal the discharge. Just did this with my mom two-and-a-half weeks ago. Social worker informed me mom has cognitive deficits and asked who was going to spend a few nights with her after discharge. As an only child, it would be me. But not having in-hospital test results, ‘deficits’ was news to me. She advised that I could appeal the discharge, which gave me a couple days to make some arrangements.

In dad’s case, the hospital’s social worker was able to find a bed for him in a nursing home. Definitely the social worker’s responsibility!
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JulesNeedsHelp Dec 2019
What arrangements were you able to make? I am not sure what options I have.
i will ask for an appeal tomorrow, but then what? She can't go home, she can't come with me, they say she is not qualified for a nursing home, what other alternatives are there?
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Do not pick her up. Let them know about her stairs and no elevator and that this is an unsafe discharge - they will have to find options for her to live. Do not get in the middle as her caregiver - you will be sucked in to a whirlpool going down and will drown.
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JulesNeedsHelp Dec 2019
When no one shows up for her, how is she going to feel? Now that she has such confusion she will be really lost going into another strange place. I'm drowning, I can't take her if I do, I will drown.
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Has your mom been checked for UTI?? Didnt see that mentioned anywhere in the answers. And definitely do not accept discharge!! The case workers are shirking their responsibility. Stand your ground on unsafe discharge......
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JulesNeedsHelp Dec 2019
Yes, I asked her primary for a urine test weeks ago, they all came back normal.. she has had every blood work imaginable, mostly normal. Ct scan, looked normal for an elderly person, the doctor at rehab told me. They can't explain why she can't walk without falling nor why she seems to me into a high stage of Demetria in my opinion . I ask them to do assessments for dementia or whatever else and was told the Ct scan was fine that's all they needed to assess. I am not a doctor, does this make sense?
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Don't accept the discharge. The facility will want your mom or you to sign a paper relieving them of all liability. Refuse. Just keep saying that there is no safe home for her to be discharged to. Keep the ball in their court. They'll have to figure it out.

In general, do not sign anything even though they tell you family members sign it all the time. DON'T. If you must, always sign it "for <insert your mom's name>". You don't want to sign something accepting financial responsibility.
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No No No! That's what you tell the hospital. Do not pick her up. Like Ahmijoy said, it would be unsafe for them to discharge her to her home. The social worker and case manager must find a bed for Mom. And Mom pays for whatever help she can afford, it is not your responsibility for you to pay nor is it your responsibility to stay with her more than you are able to. She needs a nursing home. Be firm!
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shad250 Dec 2019
Sad thing is, the bed found may be in a crummy NH
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Explain to the social worker that you cannot bring your mother to your home and to discharge her to her own home will be considered an unsafe discharge. You will absolutely hold the facility responsible should she once again fall and injure herself or be compromised in any other way. The social worker must do something other than simply give you a phone number to call. She’s shirking her responsibilities to you and your mother.

Have the doctors given you any clue as to why she keeps falling?
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JulesNeedsHelp Dec 2019
They have not found anything wrong. They had her in PT to get strength and work on balance.
I have yet to see her get up and get the walker and go to the bathroom, They get her out of bed into a wheelchair then take her to PT, get her standing and watch her walk down the hall with them behind her in case she falls. The minute she tries to get up unassisted whether she came here or to her home she would fall within the day. I have no doubt.
With her new state of confusion I don’t think she would be capable of living alone.
What type of care does she need or what qualifies for Medi-cal care?
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