Working with aging and Disability services to get medicaid in addition to his medicare so that he can have his medical expenses covered while he is in rehab. First he will go to a skilled nursing facility until he no longer needs continual speech, occupational and physical therapies. Then he will either go to an intermediate care facility or to an assisted living facility. Several things influence that decision. There is of course dads opinion. He is his own guardian so if he decides not to participate in therapy he will be released. If he chooses not to stay in an intermediate care or assisted living facility he can leave when ever he choose. We are hopeful that he will consider our recommendations for what will be best for him under his current circumstances.
Skilled Nursing: medical staff available, shared room, regular therapy for up to 4 hours per day in the therapy rooms. Learning to navigate stairs, write his name, learning to cook, etc. All of the skills that seem to challenge him right now as his memory is impacted from the bleed.
Intermediate Care: Intermittent therapy, continued medical support i.e, insulin injections if the need continues, seizure meds and monitoring if that continues to be of concern.
Assisted Living: Studio Apartment, Main dining hall, activities. Limited or no monitoring of health or mental needs. If his memory still has dangerous gaps this may not work.
We still have lots of recovery time to go.
He continues to make improvements every day, He remembers more and his moments of clarity continue to get longer and stronger.
While in rehab he will see a dentist and follow up on a mass in his colon that he chose not to treat prior to the stroke.
Lots of decisions and consulations everyday. The decision making becomes exhausting at times.
I again encourage everyone to put plans in place to assist your families with these kinds of decisions if the need ever arises. Where are you important documents, would someone know where to find them? Do you have all the legal documents in place that allows someone to handle you fincances or make decisions for you? Do you have an advance directive expresing your wishes in a medical situation? Have you written down where you would like to be if you are unable to care for yourself for a period of time? Dealing with ilnness is stressful enough. Be sure to prepare your affairs for the people who will be charged with assisting you if the need arises.
No comments:
Post a Comment