89 yo mom with dementia was admitted last Thursday with a heart issue. The back story is she is in memory care. Stage 6/7 dementia and had been consistently falling since moving to AL 1 yr ago. One month ago we moved her to a different facility because this one will accept Medicaid (which will be an issue within 12 months) and ALSO this facility said that she most likely would never have to move on to SNF as they do just about all care that an SNF would do. Only 2 things they can't do (can't remember what). There is a woman in her unit in a geri chair, many have bed alarms and hospice comes here. 2 weeks ago, she had a significant fall and they put her in a wheelchair. She was not talking much, put on pain meds, which in turn caused another big fall with a huge contusion on her head, as well as lesser falls. We were in the process of setting up hospice and bed alarms when she had heart trouble and went to the hospital. Supposed to be released today (Sunday) and hospice was meeting us at her arrival to get her set up.
But the hospital would not release her. The doctor wants her in in-patient hospice. But the doctor's concern is falling. She has no med change and they started thickening her liquids.
At the hospital they have a bed alarm and check on her. SNF would do same. But this memory care AL does this care also. The hospital literally ordered a specific hospice company to come out and wanted to find SNF here in OH. Completely usurping our hospice placement and our wishes. BTW her facility is just over state line in MI but the closest hospital is in OH. The doctor just wouldn't hear me tell her that her MC is still appropriate. She wants PT to evaluate to see if she can stand etc. for AL.
I am having MC go to the hospital to do an evaluation. My hospice nurse declined because she is licensed in MI. It's the weekend, so hard to get to people in charge. The hospice they ordered also goes to our MC but they also have inpatient in OH.
Soo. Tomorrow will bring more people's input, PT and MC evals. But can I disagree with the doctor and get her sent back to her MC/AL? She is feeding herself and needs help with everything but our MC will do this. I have a private senior advisor who facilitates placement and has decades of experience working in hospice and AL. She knows this facility and told me to refuse the doctor's order to change facilities. She is going to contact higher ups at MC for me. I am DPOA and brother is health POA and both our names are listed on both documents. My brother has high anxiety and is unable to deal. Part of the issue may be he didn't tell the doctor what we have set up.