Reply To: Therapy giving up

February 11, 2014 at 9:55 pm

That does happen. In-patient therapy units do expect a certain amount of progress, or it is not a cost-effective treatment. Of course a lot depends on what the insurance company wants to do. I had to argue with my insurance company to get into a SNF with a good therapy department, because it was more expensive than other facilities. They did not know if I would make sufficient progress and insisted that I would have to advance. Fortunately, I was beginning to make a good recovery so advanced to the next level in three weeks. Then in acute rehap, I continued to make progress and was discharged home in another five weeks.

For others, it is not so easy. I know someone who was in the same acute rehab facility for a time, but had to leave because he was not making sufficient progress. Since then, he has been in a nursing facility with a therapy department. His progress is extremely slow and he has had setbacks.

Wherever your husband is, he should be receiving whatever therapy he is able to manage. The main criterion for going home is whether he can be cared for there, not whether he can stand. I went home in a wheelchair, able to stand only with a walker. I had physical therapy at home. My criterion for going home was that I could do transfers unassisted, as I was alone for much of the day. I also had a nurse come by to take blood samples. Eventually, I could walk with a cane. Then I started outpatient physical therapy.

Recovery can sometimes be quite slow — up to three years or so — and may never be 100%. It is best to be patient and persistent at working at physical therapy, whether at home or in a care facility, to make the best recovery one can.