Has anyone here had some experience caring for a loved one after an ankle fracture and surgery to fix the break? This will be done on an outpatient basis, so we will be caring for her at our home for the 6 week recovery period (possibly longer). Any tips on medical supplies, etc to make this as seamless as possible? I.e., grip for getting out of bed; shower seat; what type of wheelchair? She has tried a walker a few days into the fracture and that isn't going well, so we're looking into wheelchairs and the knee roller. Thanks in advance for any input!
But what should happen vs what actually does happen is another story. And as you say, PT/OT at this time may not be Good utilization of resources.
Let us know how your mother’s surgery went & if any resources were offered to you so we can learn from this.
Hope everything went well!
Poor mother - how is she feeling about all this? While it's true that it's lucky this happened when there were people about, it can be hard to see that sort of silver lining when you were so looking forward to a nice Christmas with your family :(
I would be in touch with her primary care physician TODAY about these issues, what can be scripted. The hospital where she is going to have the surgery should have a social worker on staff who can help you navigate this.
I have no idea why this is outpatient surgery, but that's the reality. So has anyone had a situation in which Medicare covers home health after outpatient procedures? Even if it's not extensive, any help would be welcome...I plan to ask and then am prepared to look for some help (private pay) if necessary. Even though we are taking her in, I will need a break every once in a while.
So if the person did NOT have a relative willing to be their personal care attendant after the surgery (as Noviceatthis is going to be), then what happens to the person? Wouldn't they be an "unsafe discharge" to their home if they lived alone? Or because it's outpatient surgery, the "unsafe discharge" issue doesn't exist, as that is only applicable to a hospitalization?
Medicare's home health care isn't that extensive. My mother had her aortic valve replaced three years ago (at age 88). She had the newer TAVR (not open-heart). She got a nurse (LPN) who came in every few days at first and OT and PT. The rest of the time she was on her own (she did quite well; I had to stay with her for the first two days only).
So I don't understand what happens to people who don't have free in-home (relatives) support. Is it up to them to hire caregivers? (And what if they can't afford that?)
Was she taken to ER when she first broke her ankle? What was the ER's doc's recommendation for care at home while she is awaiting surgery?
Is her primary care physician involved in any way? Have you asked her/him about scripting home care?
Why is the patient dubious about the knee roller? Is she doubtful that she can operate it?
Right now as we await surgery, we are helping her go to the bathroom. First tried a walker, which didn't work (as the previous poster indicates), now we transfer her to a chair and push her to the toilet, sort of a make shift wheel chair. A friend of hers suggested a transfer wheelchair - this looks like it could be hard to get her from bed to wheel chair, but am I mistaken?
Also what about bed grips that fits between the mattress and box spring - do those help?
She is skeptical about the knee roller - can someone tell me more about this?
Does Medicare really provide home health care after outpatient surgery?
I am wondering why no rehab for this person? There is a lot involved here. As Barb stated above their care will depend on the weight bearing status, etc.
Don’t leave the hospital before asking all of these questions. Make sure you have orders for out patient PT (if not home care first, which would be advantageous as the therapists can teach everyone in the home how to care for the patient).
Read all the discharge paperwork throughly before signing anything. Make sure the DC nurse explains the instructions.
This can be complicated but as you say it will be done out patient I am thinking it isn’t huge reconstructive surgery.
My MIL had a fractured ankle and was given a ‘boot’ to wear to support her ankle and make walking easier. She had dementia and didn’t wear the boot as instructed but her ankle seemed to heal fine in spite of that. I’m sure it depends on the severity of the injury and health status of the injured as to how soon it will heal.
Usually elevation is necessary so a comfortable chair allowing the foot to be supported is helpful. Ask the dr to order physical therapy. Ask about ice and heat and bathing. Sometimes a large plastic bag is helpful to keep the foot dry when bathing. If she is on Medicare you could also ask the doctor for home health to help with her bath, do wound care and check vitals. Pain medication can constipate so watch out for that. She might need miralax or similar product. She will need to manage the pain in order to do the therapy.
Also when did she have her last bone density test? It’s good to know if this is something you will need to expect to reoccur due to osteoporosis. Let us know how it goes.
This is not a venture for amateurs. Please get professional advice!
I assume she is eligible for doctor PT. Take advantage of it.