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re: Father-in-law fell and broke his hip

Posted on 10/17/21 at 9:17 pm to
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
7138 posts
Posted on 10/17/21 at 9:17 pm to
quote:

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.


100% everything he said! I just said similar things. I'm a CFO at an Inpatient Acute Rehab and would do anything I could to keep my 80 year old parents out of skilled nursing.

Also, what he said about traditional Medicare. If your parents have Medicare Advantage plans, they are paying less and getting drug coverage but you get what you pay for. Patients ALWAYS have the most choices with traditional Medicare and a supplement plan. I have had so many friends looking for places for their parents after they've had issues and their choices were significantly limited because of their Medicare Advantage plans.
Posted by hayden7cub
Mississippi
Member since Mar 2019
398 posts
Posted on 10/17/21 at 9:28 pm to
My dad (83) broke his hip in two places last year and had surgery at The General from one of the BR Orthopedic docs. Surgery went great and he was in the hospital for two days. Home health came in when he got back home and then he went to outpatient PT two weeks after that. Started off on a walker and then to a cane. A little advice after dealing with my own dad and also after having a hip replacement myself a year ago. Get off of the walker and transition to the cane as soon as possible and then from the cane to normal walking quickly also. The longer your dad depends on these, the longer it will take to get back to normal activity. And, his recovery really takes off for the better once he starts the outpatient PT.
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/18/21 at 8:53 am to
We live in Prairieville - he said he has regular ol' Medicare. Any places you would recommend?
This post was edited on 10/18/21 at 8:55 am
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/18/21 at 7:00 pm to
bump
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
7138 posts
Posted on 10/18/21 at 9:42 pm to
LINK

LINK

LINK

Here are places I found in Baton Rouge. I’m not real sure about the Sage one. Baton Rouge Rehab looks good and I know people who have gone to Neuro Med as well.

You can call these places and ask for admissions. They should be able to hook you up with a Marketing Liaison who can answer your questions and possibly (depending on Covid policies) even take you on a tour. You should also be able to talk with his case manager at the current hospital. But realize they may not recommend one of the places you are looking at. Sometimes they just want to do the easiest thing.
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/18/21 at 9:48 pm to
BR Rehab is one I was looking at earlier today. I hope he’s able to get in. Thanks
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30934 posts
Posted on 10/18/21 at 10:17 pm to
In a hospital, only a few days. Rehab facility and or a SNF a lot longer. Rehab facilities will kick them out in 14 days. Try to get him in a SNF instead of rehab facility. Does he have a Medicare Supplement or an Advantage plan? That will have a bearing on how long he stays in a SNF.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30934 posts
Posted on 10/18/21 at 10:18 pm to
quote:

We live in Prairieville - he said he has regular ol' Medicare. Any places you would recommend?




Not good. This could get costly.

quote:

Your costs in Original Medicare

You pay this for each 

benefit period

:

Days 1-60: $1,484 deductible.*

Days 61-90: $371 coinsurance each day.

Days 91 and beyond: $742 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).

Each day after the lifetime reserve days: All costs.

*You don’t have to pay a deductible for care you get in the inpatient rehabilitation facility if you were already charged a deductible for care you got in a prior hospitalization within the same benefit period. This is because your benefit period starts on day one of your prior hospital stay, and that stay counts towards your deductible. For example:

You’re transferred to an inpatient rehabilitation facility directly from an acute care hospital.

You’re admitted to an inpatient rehabilitation facility within 60 days of being discharged from a hospital.

What it is

Inpatient rehabilitation can help if you’re recovering from a serious surgery, illness, or injury and need an intensive rehabilitation therapy program, physician supervision, and your doctors and therapists working together to give you coordinated care.
Medicare covers:

Rehabilitation services, including physical therapy, occupational therapy, and speech-language pathology

A semi-private room

Meals

Nursing services

Drugs

Other hospital services and supplies

Medicare doesn’t cover:

Private duty nursing

A phone or television in your room

Personal items, like toothpaste, socks, or razors (except when a hospital provides them as part of your hospital admission pack).

A private room, unless medically necessary


This post was edited on 10/18/21 at 10:22 pm
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/19/21 at 11:25 am to
Out of nowhere they decided to discharge him today and are sending him home. No warning, nothing. WTF
This post was edited on 10/19/21 at 12:14 pm
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30934 posts
Posted on 10/19/21 at 12:41 pm to
From the hospital? Not surprised. How is he doing?
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/19/21 at 12:53 pm to
He's fine -- they said they're going to send a therapist to us 3x a week for rehab
Posted by LSUJML
Central
Member since May 2008
51974 posts
Posted on 10/19/21 at 12:54 pm to
Glad he’s doing ok
Are they doing any kind of home health to help him shower?
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30934 posts
Posted on 10/19/21 at 1:48 pm to
Is he up and walking without a Walker or cain?
Posted by saturday
Pronoun (Baw)
Member since Feb 2007
7792 posts
Posted on 10/19/21 at 1:57 pm to
My 94 year old grandpa fell and broke his hip the Wednesday before Ida hit. He had surgery and was in the hospital and a nursing home for a few weeks after the surgery (they kept him a few extra days because we didn't have power when they were going to discharge him initially). When he first got out he was pretty depressed and I was really worried he'd go down hill fast, but he's gotten much better and is able to get around fairly well already at this point with a walker.
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/19/21 at 7:49 pm to
He is using a walker.
Posted by WM88
West Monroe
Member since Aug 2004
1978 posts
Posted on 10/20/21 at 5:36 am to
I fell and broke my hip this year (only 50). The ice was a bitch in Feb.

I was misdiagnosed as a groin strain at first.

It really depends on what the fix is. Is he having a hip replacement or screws?

I was on a walker the day after surgery but the age difference is a key here.

It's been almost 9 months and I'm still not right. No more sports for me.

It's a good possibility he won't recover from this.
Posted by Mariner
Mandeville, LA
Member since Jul 2009
2551 posts
Posted on 10/20/21 at 5:59 am to
It is hell. His kids/family have to be involved in helping. You will notice a rapid decline over the next year. We took turns visiting and helping our grandparents the last 5 years of their life. We refused to put them in an old folks home, but we had to for about two months to get him over the injury so he could go home. The hospital would not release him unless it was to a old folks home specialized with handling that kind of injury, because he needed all day sessions with the PT.
Posted by Krzy_Kjn
Member since Nov 2017
31 posts
Posted on 10/20/21 at 6:08 am to
As the primary caregiver for my 90+ yo mother who tends to fall often, her first bad fall was 3 yrs ago and broke hip in 3 different places. Plates screws and a lot of time effort and thepery.

The first warning we got from her orthopedic at that time in hospital , and we took it to heart was as follows.

He told her in our first pre operation conference, from the reports he reads …. Typically elderly patients, over 80+ years of age , after a bad fall with hip fractures, 80% will pass away within first year. Not from this hip fracture surgery , nowadays it’s not a very complicated surgery as surgery’s go. The fracture would be stronger than it was before.

But secondary infections, additional falls during recovery, lack of participation in PT, taking chances not using walker , etc., change in balance /mobility… all lead to further problems down the road that get worse and harder to recover from each time.

Her attitude and inner strength has carried her thru another 3 yrs of several falls and breaks.
That and a hell of a PT that does home health calls. He knows how to motivate her into doing her work without hardly noticing.

I hope I have her spirit and will for life at that age. It’s an amazing experience and an Honor to be able to care for her.

Good luck with FIL , but in reality it’s all within him. Get him motivated, keep him smiling his spirits up. Our older family raised us, it’s a pleasure to help her now at this time of her life.
Posted by moontigr
Commanders/LA Kings/Detroit Tigers
Member since Nov 2020
7066 posts
Posted on 10/20/21 at 6:12 am to
He seems to be doing pretty darn well. Got out of the car all by himself, & is getting around fine with the walker. Slept in the recliner last night with zero problems.

He’s not some slow, hobbled old man like you’d probably picture him to be. He drove to Jacksonville last month all by himself to visit his brother, and he has a property in Dennard, Arkansas that he visits pretty frequently (15-hour round trip drive). Goes to Hi-Nabor every morning to get his coffee and whatnot. He’s about as active an an 86-year old could possibly be.
This post was edited on 10/20/21 at 6:43 am
Posted by Tigahs24Seven
Charlie Kirk's America
Member since Nov 2007
14686 posts
Posted on 10/20/21 at 6:57 am to
quote:


He’s not some slow, hobbled old man like you’d probably picture him to be. He drove to Jacksonville last month all by himself to visit his brother, and he has a property in Dennard, Arkansas that he visits pretty frequently (15-hour round trip drive). Goes to Hi-Nabor every morning to get his coffee and whatnot. He’s about as active an an 86-year old could possibly be.


We should all be so lucky... That's impressive, although my 82 year old Dad still cuts his grass with push mower and weed eats it too. Takes no meds. That's what 45 years of sobriety will do for ya!
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