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My MIL was discharged early from rehab. That is a whole other story. She has declined so much from what she use to be within the last month. Do we make her eat, drink and get out of bed?

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She was not discharged early. There is no guarentee how long u will be in rehab. It all depends on the progress you make and if you hit a plateau. Mom may not have been progressing and Medicare will not pay for her stay.

Before I consider Hospice I may first take her to her PCP and see if something physical is causing her problem. Maybe just depressed. If its found she is "failure to thrive" then maybe then Hospice can be called in.
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I wouldn't force her to eat and drink. If this is her end of life I would contact hospice and get her signed up.
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She is 76. She is in very poor health. Heart disease, stage 3 kidney disease, tia, stroke, scary new findings on brain MRI. She is/was a bad diabetic but now since she is not eating much she has not needed insulin. She says she is not hungry. She can barely get of the couch by herself. She sleeps constantly. I'm worried and don't know what to do. My hubby wants to make her eat, drink and move so she can get better. I don't know if that is going to happen.
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We need age, prognosis and diagnosis. In an elder who is unable to even participate with the BIG WHIPS in rehab, I don't see how what YOU say will matter anything at all. It sounds like MIL has given up. Now the only questions is WHY?
Is she old and tired of tired and ready? That was certainly the case for my own Dad in his 90s. And was the case for many of my patients who said they could not TELL their families this because their family could not/would not "hear" them. So they told their nurse.
Or is she younger and in pretty decent shape health wise and just depressed? If so have you discussed this with her.
I would ask you to ask you MIL the question you are asking us, because she is the one with the answers. And I would ask, when she is honest with you, that you listen to her. And I would ask, if she is old and tired and spent and fragile and frail that you consider palliative care for her if she wishes.
You may want to consider Hospice.
If you give us more details we can give you better answers.You can add her age, her diagnosis and her prognosis in the answers section and we will see it, try to give you a better answer.
I am sorry; I know this is distressing. But the more honest you can be with her, the more you will learn.
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