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Pegann, you'd have to check with the nursing home to see if they allow private therapy. Doesn't this facility have therapists on staff, or is it that they can't treat him b/c of the Medicare issues?
If Medicare is the issue, you might ask them if they'll treat him if you pay for it privately.
You can also ask one of his physicians, particularly the one who recommended nursing home treatment, to help get a Medicare extension of PT. It can be done, especially if the doctor certifies that continuing PT will help whatever condition PT was originally scripted for. If there's a new diagnosis, PT can also be extended, based on what I've read.
I want to add my current experience with pt for my 92 you mom at her nh. After stroke and broken hip, she was rehabilitated to the point of walking independently with a walker. However, a 5 day hospitalization last year left her very weak, and although pt tried mightily, they could not get her walking again. So she's been with therapy and in a wheelchair for about 6 months. Interestingly, a few weeks ago, we noticed that she had started to wheel herself using her feet, so we asked pt to reevaluate. She's been getting therapy three times a week. We'll see how this progresses.
I tried to get it for my cousin, but the doctor said that Medicare would only cover it under certain conditions, such as a good likelihood she would benefit. They did not think that about her. Plus, she resisted and was not cooperative with therapy. Still, the staff work with her and try to keep her muscles toned.
Unless he was too debilitated when he arrived to do more therapy, 15 minutes isn't adequate. In my experience, it's generally around 45 minutes but that's for rehab specifically in skilled nursing facilities.
Were there discussions, i.e., representations on the part of the admin staff as to duration of PT sessions before he was placed there? Have you documented the amount of time for each PT session and discussed it with the administrative staff?
Are you otherwise satisfied with this facility? If not, perhaps it's time to consider another facility.
But as suggested, I would raise the issue with his doctor and make it clear you're dissatisfied.
I'm also wondering if the staff will claim that b/c of his dementia it's hard to give him longer therapy.
When my mom was in a nursing home/rehab for a broken arm, the only PT they had her do was in a group format and mom remained in a wheelchair the entire time. I spoke with the doctor and the head therapist requesting that my mom receive private therapy for walking since she went into rehab walking and hadn't walked in 5 days. I was not permitted to try and walk with mom myself until the therapist could evaluate and this took another 2 days. You have the right to request additional therapy but I would try first with the facility and specify exactly what you would like done. I spent everyday from 8 to 5 in the nursing home with mom so I was aware of exactly what her therapy consisted of. Good luck.
I would talk to the rehab director and find out why they only gave him 15 minutes of therapy. Is that based upon your observation of his therapy sessions?
Is it possible that your LO was refusing therapy, or was uncooperative? I would make sure I have the whole story before I brought in a private therapist. You might also take your dad to a physiatrist, a type of doctor who specializes in this sort of medicine for a second opinion and perhaps a more detailed prescription for the type of therapy he needs.
You can only clear that with the Nursing Home. They are terrified of liability and will insist the therapist is licensed, insured and background checked. The PT orders have to come from an MD, not from family. See the MD.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Pegann
If Medicare is the issue, you might ask them if they'll treat him if you pay for it privately.
You can also ask one of his physicians, particularly the one who recommended nursing home treatment, to help get a Medicare extension of PT. It can be done, especially if the doctor certifies that continuing PT will help whatever condition PT was originally scripted for. If there's a new diagnosis, PT can also be extended, based on what I've read.
It's worth a try.
Were there discussions, i.e., representations on the part of the admin staff as to duration of PT sessions before he was placed there? Have you documented the amount of time for each PT session and discussed it with the administrative staff?
Are you otherwise satisfied with this facility? If not, perhaps it's time to consider another facility.
But as suggested, I would raise the issue with his doctor and make it clear you're dissatisfied.
I'm also wondering if the staff will claim that b/c of his dementia it's hard to give him longer therapy.
Is it possible that your LO was refusing therapy, or was uncooperative? I would make sure I have the whole story before I brought in a private therapist. You might also take your dad to a physiatrist, a type of doctor who specializes in this sort of medicine for a second opinion and perhaps a more detailed prescription for the type of therapy he needs.