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[quote=Anonymous][quote=Anonymous]This really depends on her current cognitive state as well as physical capabilities.
The first thing to do is do NOT let them try to discharge her from skilled nursing rehab until you have a plan in place at home for the level of care she requires.
The key words here: “unsafe discharge”—you just insist that you are setting up what is needed as quickly as possible, but to discharge her before those plans are in place is unsafe. This will buy you a few days.

Once she is in rehab, start contacting places that can offer RESPITE care.
 If your loved one’s stroke resulted in memory impairment, contact Olney Assisted Living or Arden Courts (potomac or silver spring) to see if they can offer a respite stay. This can actually be considerably less expensive than having someone come into the home 24/7.
If you want your loved one to stay at home, and you have *some* coverage but you need nighttime hours or daytime hours only, you will want to figure out the shifts needed and then start calling home health services that provide trained in-home certified nursing assistant care at about $32/hour. 
Companies like:
Right at Home
Capital City Nurses
Synergy home care

Keep in mind that CNAs are NOT nurses so you will need to do medication management yourself or they will need to have a nurse do that. Most CNAs can give meds once they are in those little daily containers, but they cannot be the ones to sort them into the containers from the prescription bottles. Also these companies will ask you questions about your loved one’s level of care needs that you will need to be prepared to answer—such as do they need meals prepared, help with changing/dressing, help with toileting, showering, etc. This info will help match your MIL with a good “fit” for a caregiver. They will likely schedule an appt for a nurse to come visit your MIL for an assessment.

If she has long term care insurance, now is the time to use it. If not, the costs will be out of pocket and will unfortunately be very expensive. :(
I’m so sorry,OP. I know this is very stressful.[/quote]

As someone who has gone through this, you are a wonderful person to take the time to answer OP.[/quote]

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