Hello all. Thank you in advance for taking the time to read this and offer any guidance. My fiance' and I are in what seems to be a bad situation pertaining to the care of her mother. Long story short, we are looking for a place (SNF?) where she can receive dialysis as well as trach care. Her mother had an MI and went in for an emergency cath. During this, she required intubation. The process of weaning her from the trach is now prolonged due to paralyzed vocal cords (apparently). She's breathing on her own rather well now, but due to the vocal cord issue, she may need to keep the trach. At least that's what is being conveyed to us. The facility she's in now was to specifically deal with getting rid of the ventilator assistance and trach. Now that it seems we're at an impasse, they are ready to ship her out to get PT and get her back on her feet. The only problem is that we're told the closest place to offer dialysis & trach care is 1.5 hours away. We're in Pgh.
I've been trying to locate resources on the net with little luck. Since it's Sat, I can't call to speak with the case manager. To top it off, my father-in-law-to-be really has a special way of dealing with individuals (his way or the highway approach to interpersonal communications). So, I've been on this board for some time as a student and now graduate nurse. And I thought I'd throw out a line to see if anyone bites.
Here's some specific ?'s:
1) Am I correct in assuming that if we don't want her to go to the facility they suggested, we can refuse and she can stay where she's at until a bed opens up at a closer facility?
2) Can anyone point me in the direction of searching for rehab facilities that offer dialysis and trach care?
Thank you again for any input.