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Medical Forum / Diseases and Disorders / Alzheimer's / July 2006

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Rehab wants to release Mom, no progress with her new hip.....

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Jan-ed - 14 Jul 2006 23:34 GMT
Mom is not making any progress with physical therapy and so they are
talking about releasing her.
She has returned to sleeping quite a bit and not being alert or aware.

I am just going moment-by-moment, in the next minute things may change,
no telling what may be the next step.

Jan-ed
ncgen - 16 Jul 2006 14:53 GMT
Jan-ed,

Thanks for the update on your mom.  When she's released from therapy,
will she be in a restorative program?  With my MIL, when she was
released from the hospital, she received PT for a short time. Due to
her cognitive limitations and inability to follow or retain
instructions, she was released quickly from therapy. However, since I
had moved her from an ALF to a SNF at her hospital discharge, she was
able to continue in a Restorative program where two restorative aides
worked with her daily on her ambulation.  Although discharged from
therapy, she still received it through the restorative program. She
wouldn't have received this in an ALF.

The first time I saw her walking, I got teary eyed because it had been
over a year since she'd been on her feet and moving at the ALF.   In
therapy at the SNF and in the follow up restorative program, she was up
and walking at least once a day with 2 staff assisting her. She would
push the walker with one aide beside her  holding one hand on her and
one on walker, with another aide pushing a w/c behind her in case it
was needed.  They worked with staff also on continueing this for short
distances...bed to bathroom, etc or w/c to chair short distances.  It
helped her so much although for the most part she was not ambulatory,
this at least kept her on her feet and moving for a few minutes a day.

At that point, my MIL was not able to recognize any family or remember
details. She was down to about 80lbs.  She was able to do this for over
6 months before she had another decline which prevented her from being
on her feet at all.

I hope that you are able to work something out where she is that she is
able to have extra assistance to continue what therapy started with
her.  With therapy though, once they determine the person is unable to
remember and  follow instructions, they discharge them. However,
hopefully, the facility she is in has a restorative program that will
follow up on what she's done in therapy even though her memory prevents
her from doing it alone.
Susan

> Mom is not making any progress with physical therapy and so they are
> talking about releasing her.
[quoted text clipped - 4 lines]
>
> Jan-ed
Jan-ed - 17 Jul 2006 17:53 GMT
Thanks for the info Susan.  The latest is that my sister (who lives
close to my Mom) is going to a care meeting this week to determine
where to move Mom, whether back to her Alzheimer's ward at the assisted
care (they do have rehab/therapy workers) or on to skilled nursing.

Since Mom is sleeping quite a bit and not really moving about I'm not
sure any more therapy is going to work or be helpful.  I have had some
strong impressions that Mom is getting ready to make her exit, but one
never knows exactly when this will happen.

I appreciate your supportive words.

Jan-ed
ncgen - 18 Jul 2006 13:28 GMT
Jan-ed,
I missed the part of her increased sleep before.  I hope everything
goes well with moving her and if you're right in your feeling that it's
nearing time, my thoughts are with you.

> Thanks for the info Susan.  The latest is that my sister (who lives
> close to my Mom) is going to a care meeting this week to determine
[quoted text clipped - 9 lines]
>
> Jan-ed
 
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