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Hello,
试图在我妈妈回家之前将某些东西弄到适当的地方,她和我住在一起,然后在几次住院/康复过程中留下来,使她变得虚弱,无法进行自己的转会。我们尝试了辅助生活,但她不再有资格符合其标准。我要带她回家(我上班时没有雇用的帮助),需要适当地装备我们的房屋,以便我们可以做这项工作。什么最有帮助?她93岁,轮椅绑起来,并在体重上挣扎。我们的浴室很小,不确定Hoyer升降机会起作用。我希望我有时间获得家庭疗法咨询,但看来这没有及时发生。任何建议都很棒,谢谢!

即使她已经在家,请致电MD并要求推荐PT评估安全性,以提高设备以改善她的安全移动性,并教您和她如何使用任何新设备,学习新的转移技术,等等。
A physical therapist should also be able to tell you what it covered by Medicare (usually needs an MD order written in specific language) for approval for Medicare coverage of the item. THEN Medicare tells you which DME providers have Medicare contracts.
A hospital bed with upper side rails will help with bed. mobility, so she is not flat on her back or on just one side all of the time.
你可能purchase a ROHO brand seat cushion for her - Medicare only covers a fairly basic cushion if a person does not have bedsores . This brand is recommended by wound specialists who are trying to get pressure sores to heal. If you can't afford ROHO, look for similar style items. Being able to adjust the pressure to her body weight makes it more comfortable.
她可能有资格参加成人斜倚的WC-更容易坐起来,因为您可以调整WC背部的脚踏板和倾斜水平(延伸到头顶上方),以促进体重移动并支撑她的树干和颈部,因为她很虚弱。

she is likely to improve a little bit at home, but not return to her level of functioning as she was before the merry go round of hospitals and rehabs.

Good luck
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回复Clairesmum
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Are you able to have a bathroom converted to a wet room? That way you could have a light weight wheelchair just for use in the wet room and to and fro, and enable her to be washed seated. Struggling with weight bearing is difficult because handholds and rails whilst helping still require someone to do a fair bit of lifting for toilet needs. Maybe a personal care assistant would be possible to assist you, talk to hoyer and see what they can suggest (I presume they still make under their own name), of not any lift supplier should be able to suggest possible solutions of various sizes and abilities to be folded away.
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回复泰勒克
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My husband has MS and is wheelchair bound. The best piece of DME I have purchased are Stander curved poles. We now have 3 of these. They require no drilling or permanent holes in ceiling or floor. Are held tightly in place with compression. The 2 loops on the poles provide hand holds for "climbing" out of the chair. Also loops turn for easy access. They are hard to describe, but try a Google search. Amazon has them as does Walmart.
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Reply to janny02
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A quick solution for a doorway that is just a little too narrow is to remove the door and perhaps the innermost trim too that the door closes on. This added more than 3 inches (just the trim may add another 1/2 inch or more) to mom's bathroom door when she had hip replacement surgery; just enough to allow her walker through the door. Use a tension rod and a curtain for a "door" if you really need one and install a curtain tie back to hold it out of the way when you need the full doorway. After she healed, we reinstalled the trim and door.
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Reply to TNtechie
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您将需要设备,以防止或限制在大多数情况下不动的人的压力溃疡的发展。有人建议使用动态气流重新分配压力的空气床垫。我同意那个。我的丈夫整日坐在他的躺椅上,无法独自一人走动。他已经开发了2期压力溃疡。除了在晚上提供帮助的空气床垫外,我还为他的躺椅/轮椅购买了炸药的气流垫。它可以在可充电电池(12小时)上运行,也可以直接插入房屋电流中。它会自动在设定间隔上更改压力点。在使用座垫的两周内,他的溃疡几乎被清除了。我希望我早些时候发现这种垫子避免了疮的不适。 Medicare will only cover an air mattress and even then only if the pressure sores are present and severe. Medicare does not cover the dynamic air flow cushion at all - only a pump up static cushion and again if the sores are severe to need wound care. The seat cushion can be purchased for $299 on Amazon. The brand I purchased is called Apex. There are other brands similarly priced. Good for you that you are planning ahead for your loved one’s care. Better to prevent the sores than to try to heal them later.
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回复OpenMind
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Albleich:也许最大,最重要的问题之一是您的浴室门口清除可容纳轮椅并因此提供厕所的通道。也许否则,由于固定性和非负重,她会使用床头车站和方法清洁。祝你好运。
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Reply to Llamalover47
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Really good suggestions; I'm copying them for myself for when I need more support.

我现在甚至发现有用的其他东西是一个抓手:

一个版本:

https://www.homedepot.com/p/unger-36-nifty-nabber-trash-picker-92134/100353536

Another, which I find a little bit easier to use. It also has a magnetic tip which would help for smaller magnetic items:

https://www.healthproductsforyou.com/p-reacher.html?utm_source=google&utm_medium=surfaces&utm_campaign=shopping%20feed&utm_content=free%20google%20shopping%20clicks&gclid=EAIaIQobChMI6unChbD48wIVQWxvBB1NzAB8EAQYBCABEgKAJfD_BwE

Magnetic tool with a decent sized plate for picking up metal items:

https://www.harborfreight.com/heavy-duty-magnetic-pickup-tool-42288.html
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回复Gardenartist
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我不知道什么是DME,但我想知道为什么在93岁时出现如此多的困难物理问题和您的房屋配置,为什么她不在设施中?我不明白如何承担这种责任水平,仍然有生活并保持理智。
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回复Riley2166
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Countrymouse 2021年11月1日
Durable Medical Equipment - hoists, pressure cushions, slings, wheelchairs, commodes, stand-aides...
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For bathing, I would suggest a Pro Bathchair Lift. Call Kelli 509-630-9571 for info...if you can wheel her into the bathroom to sit on chair that sits on edge of tub. You can lower the chair all the way to bottom of tub and get a much better bath. My mom has tiny narrow bathroom and I installed one. Best money I ever spent.

尽管康复本应该使他们变得更强壮,但我妈妈比到达那里并被释放时更加衰弱。将她放在尿布中(她从未穿过)和轮椅。尽管记录了她正在做的所有这些行走,但她肯定是在我观察或回家时做不到的。带我大约2个MOS来起床。

不要投资电梯椅。我自己的妈妈说,如果我放弃双臂举起自己,我根本无法走路。她仍在走路 - 不是100%伟大 - 但与滚动器助行器同行。
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Reply to my2cents
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my2cents 2021年11月1日
Also, meant to say, go to the bedroom and sit on the bed. What would you need nearby? At night, to avoid trips to bathroom and back, put potty chair next to bed with back of chair against wall. Allow enough room between bed and potty to stand, turn around, use it, and turn again to get in bed. Add night tables near bed to hold items - pills, pads/diapers, phone, etc.

从长远来看
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在离开之前,请确保与案件经理会面,并事先将所有DME设备交付到您的家中。您可以拒绝离开,直到为了安全起见,直到家里有设备为止。还要求家庭健康和治疗(OT和PT都会伴随家庭健康,OT可以评估她的需求和您的房屋,并提出任何可能会有所帮助的建议)。他们将在您离开之前在家庭健康机构中成立。您还可以通过家庭健康索取社会工作者,该社会工作者可能能够指导您获得她符合人物的本地事物(提供助手服务或用餐等的本地分会)。

请求Hoyer Lift-车顶 - 医院的床和气床垫 - 如果不是大多数,则所有医疗保险都覆盖了 - 有些人的销售量较小。您可以使用Medicare覆盖的Google DME设备,看看列表中是否有其他任何东西可能有用并要求它。

wheelchair (Pt can get a script from her dr going forward if they feel she will benefit for a custom wheelchair provided by Medicare - let a therapist see if having a custom chair will help her get around better and let them customize to her needs).

Personal items like the slide sheet and chux pads - depends - stuff for bed baths until you find a better solution or not (there are no rinse products available) none of this is covered by Medicare. I order most from Amazon. Best wishes
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回复Momheal1
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Cover99 2021年11月1日
Is this a subtle way of saying she would be better in a facility?
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她回到家后不建议治疗吗?如果没有,我会要求它。告诉他们妈妈需要适应新的环境。您需要有人告诉您要采取什么措施使您的房子安全。

我的浴室门只有24个宽度。建议我将门扩大到妈妈浴室,然后放在口袋门中。这是我家无法完成的,因为主加热器通风口驶向那堵墙。我们无法做的很多重建。但这是一个好主意。我们确实为她放了一个步行淋浴。
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Reply to JoAnn29
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您可以在门上放置一些铰链,可以全摆动,这应该给您2英寸左右。听起来并不多,但可以有所作为。
A Hoyer lift should then fit. Or a Sit to Stand might work.
如果您真的不能让她进入浴室,可以用马桶孔和盆地坐淋浴轮椅。这将比仅有4个腿部腿的regualr阀座更坚固。
带有交替压力床垫的医院病床。这可以帮助防止压疮,医院病床可以使她的位置更容易。医院床上的床垫也更容易清洁和消毒。
Remove an throw rugs you have that are in areas where she will be. If you have carpeting if that can also be removed (you can make that a longterm project) no carpeting is easier if there is use of a wheelchair, Hoyer Lift, sit to Stand or any other wheeled equipment.
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Reply to Grandma1954
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Sorry, I only just heeded your comment about not having time to get a home therapy consult, hmm. If you've already been given contact details for a recommended therapist, don't be afraid to push to the front of the line, and lay it on with a trowel about falls risks, skin integrity, etc. These professionals are used to being given short notice, it shouldn't take them too long to get to you.

她已经在使用r是什么ehab?
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回复Countrymouse
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1. A slide sheet (also called a glide sheet). Single most useful item anyone can have in the house, and costs pennies (well. Less than $20). Get a proper one, by which I mean in its simplest form with no "new improved" handles or anything like that. If continence care is an issue, good idea to get a couple. Make the size generous but not ludicrous (we see some like circus tents).

2.轮毂座椅 - 我不知道它们是否在美国可用,但是看看您是否可以在线找到Uppingham Mobile Mobile座椅淋浴椅。当我在客户的家中看到其中一个时,我会大声欢呼。

由于她努力承受重量,在您进一步走之前,您需要对OT进行专业评估。不用担心,因为有办法有办法,一切皆有可能,但是如果没有正确的建议,您可能会浪费很多钱,仍然觉得她被困在床上!

提示:列出她想做的任务。例如。从床到马桶转移。在浴室的厕所上使用车顶。从马桶到厕所。淋浴。洗澡。洗头。步行到浴室。

我刚刚让自己再次感到耻辱,因为我们的OT去做淋浴评估,看着客户的淋浴,说“不在你的内莉”,然后离开。但是,家庭浴室的浴缸上的浴板怎么了?- 我大声想在客户的妻子面前,并建议她问(不,我没有告诉她她应该得到浴板!我知道我的界限)。OT没有评估这一点,因为没有人问他有关洗澡的问题,他(可能)不知道客户可以进入这间浴室。

Anyway - so my point is, have a good clear bullet point list of what tasks she needs the DME for and your OT will find a way.
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回复Countrymouse
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