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Can no longer take care of her, called different facilities, no opennings, call attending doctor advise not to take her to hospital, where do I go from here?

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Why does her doctor say not to take her to the hospital?

If you take her to the ER, you ask for a social worker and get them to do a "social admit".

From there, the discharge team will find the next available bed. It might not be close and it might not be the best facility, but he will be safe and THEN you can get her on waiting lists for other places.
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Are you the POA for your sister? If not, who is? How far from her do you live?
If you are not her POA, and she currently has dementia, it may be too late to be POA. Are you certain you WANT to be POA, understand the duties and are able to do them?
You should consider starting with a call to APS for wellness check on your sister. Tell them that you "heard" (how DID you hear) of her decline and need a wellness check. Explain that you are not in the area and cannot get to the area (if this is true) and tell them that you must trust them to assess her for the ability to be staying alone (if she is alone) and without any support (if this is the case). This may be a case where state must decide on whether sister goes for evaluation and placement, and where the state takes temporary guardianship or confers it upon you.
IF you assume temporary guardianship this is all on you, to go there, to decide on placement, assets and etc. and to handle everything.
It sounds as though this is sudden? It could be simple as a UTI.
I am assuming that you do not live where your sister lives. I am basing my answers on that. If you are indeed in your sister's area then the answers would be different, but if your sister suffers from dementia and has done nothing to make advanced directives or POA instructions you would be in the same place, looking as assessment exam and placement. Sorry, as Covid-19 is such a problem, but if your sister is ALREADY in an unsafe situation how much more unsafe could it be? This may require hospitalization for assessment and placement. If she is hospitalized contact Social Worker there at once to get some sort of decision about guardianship, whether you, or the state.
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If you are unable to place her in a facility on your own you are down to 2 options: Call APS or send her to the hospital. Why did the Dr. tell you not to send her to the hospital? Did he/she give you any direction or advice otherwise?
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