How to take patient out of nursing home.?
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My brother's wife is paralyzed from MS and does not have the use of her arms nor legs. She was taken from my brother's home by a government agency called DCF on orders from a judge who said my brother is not able to care for her. She was assigned an emergency guardian. Now that 100 days have passed, the coverage of her care and guardianship is coming to an end. The nursing home now wants by brother to pay to keep her in the nursing home. The emergency guardian has ended their guardianship. All three psychologists that interviewed her found her to be incompetent to make decisions. Does that make my brother her guardian? The current issue is that my brother wants her back home, and is going to the nursing home tomorrow (Sunday) and taking her out. I think a doctor's order to discharge the patient is required, or that is against medical advice. What might occur tomorrow? I fear that he will be stopped, and possibly even arrested. Even if he does get her out, I fear he will lose all benefits for her care since he took her out AMA against medical advice. One lawyer has told him he could be found in contempt of the judge's order that placed her in the nursing home. It seems to me that Nursing Homes have this kind of situation constantly where either the patient or someone else attempts to leave the facility without a doctor's order and proper discharge. I think they will stop him even if they have to call the police, otherwise people would be leaving nursing homes all the time. I further fear that by doing this, they will no longer allow my brother to even VISIT his wife in the nursing home anymore. And, to top it all off, he will be required to pay for the nursing home care instead of Medicare. Please let me know what to expect ASAP because my brother intends to do this in about 12 hours from now.
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Answer:
DCF should have gotten her a permanent guardian to take the place of the emergency one. If she has Medicare, they pay for the nursing home. Your brother probably wants her back home because he will be losing her monthly check. If you think he won't care for her, and history says he doesn't, call the nursing home tonight and make sure Adult Protective Services have been notified. Anyone can file an anonymous APS report. Tell them your concerns and your brothers intent, so they can be ready.
J at Yahoo! Answers Visit the source
Other answers
Your brother has to have health care power of attorney to take her out. You should apply for Medicaid for her so she can stay at this nursing home. Otherwise, you have to sell her house or assets to pay for care which costs $5000 a month and up. You can legally leave against medical advice. You should be there to tell the nursing home who has power of attorney.
Flower
DCF would have received an abuse hotline regarding your brother's wife which lead to all of this. Her physical condition would have had to be very serious for the courts to assign an emergency guardian. The guardian process is assigned through the courts. The emergency guardian cannot remove themselves as a guardian unless the judge so ordered it. Only a judge can make the decision for guardianship. Just being a spouse doesn't make one a guardian. He would need to petition the courts to try to become her guardian. However, unless he can show that he can care for his wife 24/7 and that whatever reason(s) occurred to have her removed have been resolved, I don't see the judge agreeing to give him guardianship. If your brother decides to physically remove his wife from the nursing home, the nursing home has no other choice but to call law enforcement. He could potentially be arrested. And DCF would also be notified as well. In a regular situation....even if a guardian discharges their loved one against medical advice, if the physician and nursing home know the guardian cannot provide the care at home....they always make a hotline to have DCF type state departments do a home visit and see whether the person is able to get the care they need. All states in the U.S. have laws that if a mandated reporter (health care professionals, nursing home employees, clergy, etc.) has reasonable cause to believe an incapacitated person (physical or mental) or senior is being abused and neglected or financially exploitated...they must call the state agency that investigates these situations. If an individual is fully with it and alert/oriented they can admit and discharge themselves from the nursing home. Nursing homes are not "prisons". If the doctor doesn't feel the person is well enough to leave, the individual will just sign an "AMA" form. It is actually not common for guardians or health care representatives to remove residents who are incapacitated from the nursing home "AMA". It does happen, but not that often. I never saw this occur in the long-term care home I worked in because most family are not going to take their loved one home when they can't take care of them at home. That is usually the reason they placed them in the nursing home. Now of course, if someone is not happy with the nursing home they are in.....they can certaintly move to another nursing home. That is not "AMA". They are just discharging and transferring to another care center. In this situation, if the emergency guardian through the courts selected this nursing home....then if you are not happy with the nursing home, you may want to consider sharing these concerns with the DCF case worker. Best wishes.
monique
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