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re: Father-in-law fell and broke his hip
Posted on 10/16/21 at 2:44 pm to moontigr
Posted on 10/16/21 at 2:44 pm to moontigr
Don’t listen to all this anecdotal bad news. Go for rehab a couple weeks then come home with home health therapy. Insurance pays you don’t need to pay out of pocket unless you have not met a deductible for the year.
1
Posted on 10/16/21 at 3:22 pm to moontigr
I can help
Posted on 10/16/21 at 3:57 pm to Godawgs1114
Mom 88 fell and broke hip. With no complications expect 3-5 days in the hospital. Then insurance/Medicare will pay for 21 days in rehab facility. Those days will probably not be enough. My mom's story is longer than this. She fell in rehab and broke the other hip.
Posted on 10/16/21 at 4:58 pm to moontigr
Broken hip was the kiss of death for my mom. I hope your FIL is able to recover but it’s a tough one at that age.
Posted on 10/16/21 at 5:04 pm to Pelican fan99
quote:
Two of my grandparents fell around 80 and they both declined pretty quick from there
This is basically the story of my grandmother.
Posted on 10/16/21 at 5:06 pm to moontigr
I have reached the age that this is a major fear. No much meat left in the bottom & a fall would definitely end in a broken hip. Most concern is visiting the kids & showering in the tub/shower. As long as I am careful after the first six-pack I am ok otherwise.
Best of lick.
Best of lick.
This post was edited on 10/16/21 at 5:07 pm
Posted on 10/16/21 at 5:09 pm to moontigr
quote:
Just turned 86... anyone have any experience with this? How long will he be hospitalized?
Ask nurse for incentive spirometer and make sure he uses it frequently (helps keep lungs open, and promote gas exchange) to reduce chances of him contracting pneumonia and potentially dying from it.
This post was edited on 10/16/21 at 5:12 pm
Posted on 10/16/21 at 6:15 pm to Hoops
It will depend on his overall health and determination to get better.
My wife's aunt broke her hip and was determined to walk on her own on her birthday. She did. It was her 100th birthday. She also took her new car for a drive (no one wanted to ride with her).
My wife's aunt broke her hip and was determined to walk on her own on her birthday. She did. It was her 100th birthday. She also took her new car for a drive (no one wanted to ride with her).
Posted on 10/16/21 at 6:23 pm to moontigr
I work in Senior Living.
Discharge date will probably remain unknown until the day of or day before, as hospitals like to do, but you’re probably looking at a couple weeks, maybe less. The time to get your ducks in a row is now.
For rehab, inpatient is more intensive than Home Health PT and generally yields better rebound for hip fx. 100 days mentioned earlier is the max, starts with 20 and recurring reevaluation for progress. Does the hospital have inpatient rehab? If not, do your due diligence with skilled facilities with rehab to home program - the goal is progress and home, Even if Assisted Living isn’t in your consideration long-term, inquire with several as if you were considering - they generally have a good sense for the best inpatient rehab providers and you should hear one recommendation more than the rest from them.
Home Health PT will be better for after inpatient rehab, but should definitely be pursued at that point. Again, Assisted Livings can probably give insight into best providers on this front. I would be weary of HH PT recommendations by SNFs, maybe even hospitals, because there’s often some sort of cross referral contract in play guiding the recommendations.
ETA: Partial or total replace?
Where are you located?
Discharge date will probably remain unknown until the day of or day before, as hospitals like to do, but you’re probably looking at a couple weeks, maybe less. The time to get your ducks in a row is now.
For rehab, inpatient is more intensive than Home Health PT and generally yields better rebound for hip fx. 100 days mentioned earlier is the max, starts with 20 and recurring reevaluation for progress. Does the hospital have inpatient rehab? If not, do your due diligence with skilled facilities with rehab to home program - the goal is progress and home, Even if Assisted Living isn’t in your consideration long-term, inquire with several as if you were considering - they generally have a good sense for the best inpatient rehab providers and you should hear one recommendation more than the rest from them.
Home Health PT will be better for after inpatient rehab, but should definitely be pursued at that point. Again, Assisted Livings can probably give insight into best providers on this front. I would be weary of HH PT recommendations by SNFs, maybe even hospitals, because there’s often some sort of cross referral contract in play guiding the recommendations.
ETA: Partial or total replace?
Where are you located?
This post was edited on 10/16/21 at 6:29 pm
Posted on 10/16/21 at 6:27 pm to moontigr
My grandfather did it at 87. Then while going through therapy the leg bone fractured and they had to go back in. That was 10-11 years ago and he is still moving around like nothing happened.
Posted on 10/16/21 at 6:38 pm to NewbombII
quote:
With no complications expect 3-5 days in the hospital. Then insurance/Medicare will pay for 21 days in rehab facility.
I would say post-op day 3 would be the expected length of stay in the hospital.
Options at discharge:
Acute inpatient rehab—3 hrs of therapy/day. Average Length of stay for hip fracture is probably 10-12 days. You do have to have medical necessity to qualify (issues requiring more intensive physician intervention than available at SNF).
SNF/subacute Rehab—1.5 hrs of therapy/day. LOS on average for hip fix is 3 weeks.
After that, typically discharged with home health therapy or outpatient therapy. If medically stable and doing well, outpatient is recommended. If at a lower functional level or need for nursing services (monitor wound, lab work, Vitals, etc)
If he has regular Medicare, he will not have any issues getting into rehab. If he has a Medicare advantage plan/Medicare ppo, I would tell the case manager to get the ball rolling on prior authorization sooner rather than later.
Good luck.
Posted on 10/16/21 at 7:00 pm to moontigr
Yes. Grandparents on both sides of the aisle. The injury was essentially the beginning of the end for both.
This post was edited on 10/16/21 at 7:01 pm
Posted on 10/16/21 at 7:49 pm to moontigr
My Mom fell, broke hip and had hip replacement at about that age. Eventually recovered well enough to live at home again. Unfortunately four years later she fell and broke the other leg. She lived about 2 more years in a nursing home before she passed away. Hope you Father in law recovers, if he’s determined to recover, he probably will. Good luck.
Posted on 10/17/21 at 8:16 pm to LSUJML
Update:
Had surgery this afternoon. Femur was fractured, near the ball joint (?) — he had 3 pins/screws inserted and they said they’ll get him up tomorrow to gauge his pain threshold. Surgery took less than an hour. So what’s the next step? We live in Prairieville. He has regular Medicare.
Had surgery this afternoon. Femur was fractured, near the ball joint (?) — he had 3 pins/screws inserted and they said they’ll get him up tomorrow to gauge his pain threshold. Surgery took less than an hour. So what’s the next step? We live in Prairieville. He has regular Medicare.
This post was edited on 10/17/21 at 8:29 pm
Posted on 10/17/21 at 8:48 pm to moontigr
That’s about how old my granddad was when he had the same injury. While he was still in the hospital (but after he had started PT), the man sketched out a wooden machine that he thought would help him. As soon as he got out of the hospital he went out to his shop and got to work building it. Never went to another day of PT for that injury, just used his own contraption. Those people are of a different generation.
Posted on 10/17/21 at 8:53 pm to moontigr
quote:
Not sure about hospital stay but I’m pretty sure they will send release him to a nursing home for rehab
If you have any option of an Inpatient Acute Rehab hospital instead of a skilled nursing, that's where he should go. Medicare requires they do 3 hours therapy every day, 5 days per week.
Very possible he will need 2 stays. First stay will be post of to learn how to deal with things while he is healing. After that, he may need to go back again to do therapy once he is cleared for weight bearing and is learning to get stronger/walk again. Where do you live? I would be glad to look for these types places for you. Most people don't know about them till they need them.
Additionally, he may be limited to where he goes by his insurance. Medicare Advantage plans often just approve the lowest (cheapest) level of care.
Seriously, if you can find Inpatient Rehab care instead of SNF, it's much better. SNF typically only does an hour of therapy and it is not required. Patients are allowed to refuse. At a IRF, you don't get to stay if your refuse therapy.
This post was edited on 10/17/21 at 8:54 pm
Posted on 10/17/21 at 8:54 pm to moontigr
If they are getting him up tomorrow it sounds like he may be able to go home & either y’all take him to PT or PT comes to y’all
It will all depend on if he is able to get around on his own at all
Did the Dr give any insight on what would happen after surgery?
I would ask to speak with his patient advocate / social worker if they suggest rehab, they will be able to help through the process
I am not a Dr., going off what we did when my Grandpa broke his ankle a few years ago
He wasn’t able to put weight on it for 4 weeks so he had to go to nursing home for help / rehab
It will all depend on if he is able to get around on his own at all
Did the Dr give any insight on what would happen after surgery?
I would ask to speak with his patient advocate / social worker if they suggest rehab, they will be able to help through the process
I am not a Dr., going off what we did when my Grandpa broke his ankle a few years ago
He wasn’t able to put weight on it for 4 weeks so he had to go to nursing home for help / rehab
Posted on 10/17/21 at 8:58 pm to moontigr
quote:
He's very active for his age. He's not the type to just lay around
This is good, but sometimes these things really change them. They fall and then become scared of falling again. The Inpatient Rehab will help he be comfortable with what he can do and help him learn to do things safely.
How is he cognitively? Good cognition will help his therapy be more effective.
Posted on 10/17/21 at 9:01 pm to moontigr
Unfortunately he may not get out.
Posted on 10/17/21 at 9:04 pm to BobABooey
quote:
Another thing to talk to the doctor about is whether you’ll need to install things like rails in the bathroom, make changes to accommodate a walker or wheelchair, etc.
His case manager at the Rehab hospital or SNF will help access and procure the things he needs.
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