I would get clairification on her secondary insurance and make sure she is covered for the extra time in rehab. Trust your instincts. If you think she needs more PT she probably does.

Yes, I believe that they are looking out for their bottom line. Check with the financial advisor at the hospital, check with your doctor, etc. They should have informed opinions on what should be paid for your mother.

Hugs

Where is your mom, rehab or nursing home? Generally Medicare will pay for 20 days of rehab fully and then partially for up to 100 days. I would contact the insurance company to find out about the 500 day coverage. That would be a huge benefit so get it in writing from them.

The other issue is meeting goals and being able to participate. Medicare and insurance rules state that the patient must have goals and once they reach those goals they are discharged. It is illegal for them to continue past the goals. The second part is being able to participate or improve. The patient must be able to understand, remember and follow commands. If the PT says sit in this chair and lift your leg 10x they have to be able to do what is asked. The count is not necessarily important but they have to know to sit and lift their leg repeatedly. Dementia often interfers with rehab. And plateauing is when they reach a level and do not progress. Again they are required to stop treatment.

I would call the social worker and request a team meeting with you present. This is your right. Hear what each specialist has to say and what their reason is for discontinuing treatment. Often there are errors in their observations, like maybe mom is supposed to have a hearing aide but isn't wearing it so she can't hear them. Or there might be modifications to make that would allow her to improve.

Let them explain, ask questions and then ask what their discharge plan is. Do they think she can go home or do they think a nursing home is necessary? This also requires an eval by a nurse who is qualified to make a nursing home placement. There are levels of care.

Remember just because mom might have additional insurance does not mean she can receive further care. PT/OT/Speech require participate and progress or it must be stopped. So try not to focus on the money aspect. Good luck and let us know what happens.

I agree with Tigg2, ask for a team meeting and see where if she was progressing any if not could modifications be made that would allow her to improve? I understand the frustration, as my mother was discharged at the end of her 100 days, just to go home and fall again two weeks later, breaking the other hip, which was unrepairable, making her bedridden she died within three months, from being bedridden.

I wish I could help you about the insurance ..but I can tell you this every one I have ever knowen who has gone on inshuranch has had some problems ........insurances will do all they can to not give you what you are I titled to and you have to be carfull how to talk to them ......if they ask hoe she feels never say fine ...........good luck ......god bless

I work funeral/end of life issues.

Sadly, at her age a broken hip really is generally terminal. Each prrson who lives must die! Some go fast. Some really slow. Some start the final steps with an injury.

Past 80 birthdays or so, the kindest, most loving thing is to keep them comfortable and allow nature to take its natural course rather than try to put them thru many medical interventions just for months, weeks or days "extra" during which they have nothing but constant pain and agony.

Ths may just be time to lrt go.
God's peace be with you
Sunny

It depends on the person. My great Aunt broke her first hip around age 80 and her second one at 90. She just celebrated her 101th birthday yesterday.

My Mom just had her gallbladder out at age 93 and is making a splendid recovery.

So it's all relative. I agree with Sunny though. Sometimes we try too keep our elders around too long.

Is your Mom enjoying her life?

I think that is the critical question: is he/she enjoying life? And the difficult issue for us, caregivers, is how to assess that? My mom (today, at least) moans with every breath. I don't know how to judge that. She says, when I question her about it, that it's a "bad habit I must break." But then I can see what pain she is in, the issues with her allergies and hearing and vision... but then she says she wants to live long enough to learn what is out in the universe, other planets, etc. Huh... what?? Will any of us live THAT long? ;-)

Interesting!!! I think if she is still curious and wanting to learn more things about the universe it shows she is still enjoying her life on SOME level. Might be fun for you two to read together about it.

My mom can't see any more but I read to her from a book about the different president's wives and what they liked to cook.

Fun and educational for both of us.