A nursing home I know of has a staff member who wields way too much power.  How much?  All he has to do is say that a patient is "unsafe" to live alone and the nursing home will do everything possible to block the patient from returning home. The nurses will tell the doctor that the patient can't leave, and the doctor will refuse to discharge him.  If the patient wants to leave, he will have to leave "AMA" (Against Medical Advice). That means no after care, prescriptions or equipment will be provided.  It's common in these situations for the staff to threaten to call Elder Protective Services (EPS).  This often scares the hell out of the patient/family, and so the patient remains in a nursing home until his death, lonely and miserable.
     Sometimes the nursing home's assessment is correct - that the patient probably shouldn't return home.  But other times it appears that the decision is based on the fact that the nursing home has a low census and needs patients.  This is especially true when a patient requires expensive treatments and he has the ability to pay for them - such as g-tube feedings or specialty beds which can cost hundreds of dollars extra per day.  I've seen patients pay close to $15,000 per month for a shared room, which would pay for 24-hour care (and then some) in the patient's home.  
     Patients don't realize that they have the right to self-determination, which means that they have the right to return home if they wish.  EPS can't remove a patient from his home as long as he is able to make decisions and appears well-cared for.  We all have the right to make decisions unless a court says otherwise.  
     If the nursing home refuses to discharge your family member, it's always possible to call your primary physician for a Home Health referral, prescriptions and equipment.  For additional information, buy a copy of The Nursing Home Survival Guide
 


Comments

04/20/2016 11:28pm

This often scares the hell out of the patient/family, and so the patient remains in a nursing home until his death, lonely and miserable.

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05/23/2016 2:23am

We want lives filled with meaning, purpose and enjoyment.

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06/19/2016 6:25am

If you want to get the latest material for your nursing profession then this site will be really helping you to getting the right directions of your profession. Here you can get the latest news and regulating books for your nursing profession.

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06/22/2016 9:08pm

I will buy a copy of The Nursing Home Survival Guide!

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02/04/2017 3:44am

Great power brings more responsibilities!That is why I don't want to be in charge.

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