The funding source that pays for such care demands a given date, in spite  
of the progress being made.  The OT, PT, RT and ST.. all know this as your  
Dad is not the first, nor will he be the last. What used to be a 3-6 month  
protocol is now 30 days and out with a wheelchair and halo.  Rehab work at  
home can be just as productive and rewarding with the right staff and  
commitment.  Stepping away from a hospital rehab environment is difficult  when 
you see slow progress being made. Begin, or you should be getting ready for  
the home therapies and interviewing recommended companies.  Start with the  
outpatient discharge referrals and see where it will take you when he is  
discharged.
 
Best Wishes
 
 
In a message dated 9/15/2010 9:07:40 A.M. Central Daylight Time,  
[email protected] writes:

 
Dear Friends,   
We have a family  conference regarding my Dad’s discharge from the Rehab 
hospital. “His Medicare  days are up”, according to them. Dad seems to be 
benefiting from ST, PT and OT  there, and we feel he should stay longer. They 
want his to go to a LTAC  facility, but that means starting over with a new 
speech pathologist and  all. 
·       Any suggestions for  the meeting today 
·       Can we get an  extension of days and if so, how? 
·       We have not seen a  wheel chair or communication device for him 
(his voice is just a whisper, his  swallowing is poor)- can he be discharged 
before the right solutions are found  for mobility and communication? 
Looking for experience  before we learn the hard way. 
In  Him, 
Bo 
PS- did you find that  home ST and PT was better than at Rehab hospital or  
LTAC? 
 




> Dear  Friends,
 
> 
 
> My Dad is a new  C5 quad WITH some aphasia. I would love your advice
 
> and suggestions  regarding selecting his first chair and some
 
> communication  device. He can move his head and can puff/suck, but
 
> has very  minimal arm use.
 
> 
 
> In  Him,
 
> 
 
> Bo Machado  MD

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