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Reply to "Help me understand what is going on with FIL's mixed dementia"
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[quote=Anonymous]If he is refusing to eat or drink he will continue to get weak and be prone to infections — sepsis can come back. Not to be bleak but patients near death can often “improve” before they pass. It’s called the surge. It can be hard because you think they are getting better but it’s a rally. You have to decide whether you want to have him be in rehab or on hospice. If the rehab is covered by Medicare you can’t do that and hospice. If it is private pay skilled nursing you can do that and hospice. Once he’s on hospice Medicare coverage changes and it becomes more restrictive. For example, if the sepsis returns he could not do IV antibiotics only oral. The course of treatment changes and your MIL and yourself would have to be comfortable with that. Rehab is for rehabilitation and hospice is for a comfortable death. It’s tough. Talk to the doctors and the hospice and your MIL and see what feels right. [/quote]
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