Urgent—Acute care facility choice

[Anonymous]

My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

[Anonymous]

You can’t go wrong - they are all good. Adventist is obviously closest and easiest to access - right next to Shady Grove Hospital. I’ve never heard any negative feedback (I work in a hospital). I don’t think Covid is as much of an issue these days.

[Anonymous]

All good. Difference between the Adventist facilities and NRH is that as a hospital based program, the requirements for therapy tolerance is higher and if your mom is t up to it, she’d have to move. At her age with a hip fracture, I’d choose the Adventist facility most convenient to those who will be visiting.

[Anonymous]

I have seen only good comments on neighborhood listserves about the NRH. Sounds like a couple of good choices - it may come down to where there is a bed.

[Anonymous]

Anonymous wrote:My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

Umm...it's not like she could just go home immobile! My mom broke her hip last summer and she was in a rehab for about 6 weeks. I literally could not have gotten her in the car physically (could not bend leg to get in car) for at least the first month.

I'm not local so I can't help there. My mom did not get covid.

[Anonymous]

You can also call around if you want a different facility.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

Umm...it's not like she could just go home immobile! My mom broke her hip last summer and she was in a rehab for about 6 weeks. I literally could not have gotten her in the car physically (could not bend leg to get in car) for at least the first month.

I'm not local so I can't help there. My mom did not get covid.

DP - regular rehab (subacute) is usually 1-3 hours a day and the stays are longer, whereas acute inpatient rehab is 3+ hours a day, and the stays are shorter. Sometimes people leave acute rehab and have to go to subacute for a while, before going home.

[Anonymous]

Anonymous wrote:All good. Difference between the Adventist facilities and NRH is that as a hospital based program, the requirements for therapy tolerance is higher and if your mom is t up to it, she’d have to move. At her age with a hip fracture, I’d choose the Adventist facility most convenient to those who will be visiting.

NRG is also acute rehab - I do t think they have subacute:

[Anonymous]

Go with whatever one is closest and more convenient for you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

Umm...it's not like she could just go home immobile! My mom broke her hip last summer and she was in a rehab for about 6 weeks. I literally could not have gotten her in the car physically (could not bend leg to get in car) for at least the first month.

I'm not local so I can't help there. My mom did not get covid.

DP - regular rehab (subacute) is usually 1-3 hours a day and the stays are longer, whereas acute inpatient rehab is 3+ hours a day, and the stays are shorter. Sometimes people leave acute rehab and have to go to subacute for a while, before going home.

PP here-I'm just suprised that they recommended acute for an elderly fall hip break patient. From my understanding with my mom's situation, a traumatic hip injury recovery is way different than an elective hip replacement. I can't imagine OP's mom being able to go home in a week or two.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

Umm...it's not like she could just go home immobile! My mom broke her hip last summer and she was in a rehab for about 6 weeks. I literally could not have gotten her in the car physically (could not bend leg to get in car) for at least the first month.

I'm not local so I can't help there. My mom did not get covid.

DP - regular rehab (subacute) is usually 1-3 hours a day and the stays are longer, whereas acute inpatient rehab is 3+ hours a day, and the stays are shorter. Sometimes people leave acute rehab and have to go to subacute for a while, before going home.

PP here-I'm just suprised that they recommended acute for an elderly fall hip break patient. From my understanding with my mom's situation, a traumatic hip injury recovery is way different than an elective hip replacement. I can't imagine OP's mom being able to go home in a week or two.

Ageism! I ended up at shady Grove Adventist which is great. PT predicts excellent outcome, though period of no weight on injured side is hard. I'd been doing personal training twice weekly which turns out to be a great investment. Ability to hop (with walker) on good leg is key. Please check your prejudices!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mom (79) just fell and fractured her hip. First time she fell in decades. She quickly got surgery at Suburban, and they just convinced her it would be good to go into an acute rehab facility for a week or two. They gave her three options: Adventist shady grove, Adventist white oak, and NRH in dc. Does anyone have experience from any of these three? Hoping we find her a single room in one of those places. And hoping not to get COVID—would be a disaster.

Umm...it's not like she could just go home immobile! My mom broke her hip last summer and she was in a rehab for about 6 weeks. I literally could not have gotten her in the car physically (could not bend leg to get in car) for at least the first month.

I'm not local so I can't help there. My mom did not get covid.

DP - regular rehab (subacute) is usually 1-3 hours a day and the stays are longer, whereas acute inpatient rehab is 3+ hours a day, and the stays are shorter. Sometimes people leave acute rehab and have to go to subacute for a while, before going home.

PP here-I'm just suprised that they recommended acute for an elderly fall hip break patient. From my understanding with my mom's situation, a traumatic hip injury recovery is way different than an elective hip replacement. I can't imagine OP's mom being able to go home in a week or two.

Ageism! I ended up at shady Grove Adventist which is great. PT predicts excellent outcome, though period of no weight on injured side is hard. I'd been doing personal training twice weekly which turns out to be a great investment. Ability to hop (with walker) on good leg is key. Please check your prejudices!

It's NOT ageism when the OP's mom is ACTUALLY 79! A hip break in a female over 70 is a BIG DEAL. EVERY doctor, including her orthopedic surgeon, emphazised to me how dangerous it is and how difficult recovery is. I can guarantee you that my 75 yo mom NEVER hopped on her good leg during PT at the rehab!

I'm assuming you are younger than 79 and had an elective hip replacement? Because your recovery is 'nothing' like what my mom and op's mom's is. So stop hurling ' ageism' at me ok.

[Anonymous]

Correct I am actually 78. There's a huge variability in functioning once you get up to older ages. My caregivers at shady Grove rehab anticipate discharge after a two week stay more or less fully able to do self care. DH will do grocery shopping etc. PT will continue for a long while.

I have same aged friends who work and play tennis regularly. Then there are those who are house bound and very limited.

If all you know is age, it's impossible to know how functional an elder is and whether they can be rehabbed. That's my point.

[Anonymous]

Oh and it's a traumatic fracture. I've never known anyone who did inpatient rehab after an elective hip replacement.

[Anonymous]

Anonymous wrote:Correct I am actually 78. There's a huge variability in functioning once you get up to older ages. My caregivers at shady Grove rehab anticipate discharge after a two week stay more or less fully able to do self care. DH will do grocery shopping etc. PT will continue for a long while.

I have same aged friends who work and play tennis regularly. Then there are those who are house bound and very limited.

If all you know is age, it's impossible to know how functional an elder is and whether they can be rehabbed. That's my point.

Well, you are very very lucky, and I am glad that rehab is going so well for you. I hope you have a full recovery.

There are age-related factors in hip fracture/survival/recovery though, so it's not prejudice or ageism. A female over age 70 with a hip fracture has a 1/3 chance of not surviving the first year. (a quick google will find multiple articles backing this).