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Mostly Independent
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It will also have to do with his age and his health before the hip surgery. Its easier for a healthy 70 yr old to bounce back then a 80/90 yr old with health problems. At 90 even seemingly healthy, a hip fracture is a shock to the body. You may find Dad a little "out of it" because of the anesthesia he received. It takes longer to leave the system with the elderly. There maybe some long-term memory loss. My Dad had that at 65 after valve and bypass surgery. The longer your under, the more memory could be lost.
Well hopefully you can expect a full and total recovery for him, as long as PT is working with him daily and getting him up walking even with his RSV. If they leave him just lying in his bed without any PT, you can probably expect him to become bedridden or at least wheelchair ridden. One needs to be up walking right after a hip replacement surgery if they want to return to some sort of normal, so make sure they have your step-dad up walking several times a day. Best wishes.
My dad didn’t have hip replacement but did have multiple rounds of rehab after hospitalizations for various issues. A lot depends on how aggressive the PT is or isn’t and the level of cooperation of the person receiving it. With my dad, after each time we saw a new, slightly lower, level of functionality than before
RSV can require isolation but not remaining in the hospital. My fear is that he will miss days of actual rehab. Watch closely towards the last week of scheduled rehab because Medicare will stop paying 100%. If he is not ready to be on his own and you can see this progression the week before then consider requesting that he remains longer, but the increased cost from day 21 to up to 100 will cost about $180 per day or the cost of assisted living depending on the 2024 costs found in his Medicare plan. It is better to let the social worker know early about if there are no plans for continuing care after discharge. If you feel that he will need assisted living, consider carepatrol.com that can help you with the search. You are out of work so be prepared to do this around his date of discharge and make that hour long trip.
Does your SD have any dementia or memory impairment? If so I would keep on top of whether he is eating and drinking enough. My 100-yr old Aunt (with dementia) fell in her home and broke her hip. My family had to go daily to make sure she was cooperating with PT and getting enough nourishment. She wouldn't keep an IV in so family brought her food and encouraged her to eat and drink.
As others have suggested, keep an eye out for delirium or cognitive lag caused by anesthesia and the change in his routine and venue. Also keep an eye out for UTI if he was catheterized at all.
RSV is a nasty respiratory infection so watching for fever and pneumonia will be important.
The course will be dependent on any individual's condition and makeup. It really cannot be predicted. Most recover. Discuss this with the MD and that is the person who knows this particular patient's condition to sustain this well. Good luck.
My 85-year-old wife, who was walking normally (although more of a shuffle than a walk), fell, broke her hip and never did recover from the surgery. She can barely walk short distances now, even with the help of a walker. And she also is beginning to have cognitive issues. From living at home, to living in an assisted care home in one month. At $4300 per month, we are going through our life's savings. So, whatever the issues, it could be worse.
*Remember that PT individual sessions per week aren't an 'end all-be all', but rather a tool to a) track progress, and b) give 'homework' movements (the word 'movement' is a lot nicer and less stressful than the word 'exercise'!) to do at home. I do hope that the movements are either lying down or sitting.
There are a lot of things to do. If you need ideas, Google Silver Sneakers chair movements. They'll give you ideas, as well as the PT sheets.
Doing them to 'his' type of music makes the movements a bit more bearable. Have him do them 1/2 time, i.e. if he's doing lying-down leg lifts, go up 4 counts, down 4 counts.
Songs at the beats per minute of around 90-119 that should be used can include (sing them to yourself): 'Respect' by Aretha Franklin (116) 'Down On The Corner' by Creedence (109) 'All Along The Watchtower' by Jimi Hendrix (118) 'Soul Man' by Sam and Dave (113) 'Magic Carpet Ride' by Steppenwolf (111)
Shoot, you can do them seated next to him! As I used to say in my various aerobics classes (including teaching the Silver Sneakers/chair fitness classes, doing personal training, plus myself recovering from a right hip replacement and a left knee replacement), 'Misery loves company'.
*With the RSV, fluids and rest are the chosen recovery modes.
For coughing and mucus, a cool-mist inhaler could help.
Adults with mild RSV illness can use home remedies like honey and over-the-counter cough and cold medications to relieve symptoms.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Your Dad has to do the therapy.
If they leave him just lying in his bed without any PT, you can probably expect him to become bedridden or at least wheelchair ridden.
One needs to be up walking right after a hip replacement surgery if they want to return to some sort of normal, so make sure they have your step-dad up walking several times a day.
Best wishes.
As others have suggested, keep an eye out for delirium or cognitive lag caused by anesthesia and the change in his routine and venue. Also keep an eye out for UTI if he was catheterized at all.
RSV is a nasty respiratory infection so watching for fever and pneumonia will be important.
Infection increases confusion risk.
Both will increase falls risk.
Ask staff about fall preventative strategies.
A friend's parent fell, #hip, went to rehab, fell in rehab, #2nd hip, THEN commenced rehab again.
Hopefully he will recover well from RSV, then restart his PT & do well.
It really cannot be predicted. Most recover.
Discuss this with the MD and that is the person who knows this particular patient's condition to sustain this well. Good luck.
There are a lot of things to do. If you need ideas, Google Silver Sneakers chair movements. They'll give you ideas, as well as the PT sheets.
Doing them to 'his' type of music makes the movements a bit more bearable.
Have him do them 1/2 time, i.e. if he's doing lying-down leg lifts, go up 4 counts, down 4 counts.
Songs at the beats per minute of around 90-119 that should be used can include (sing them to yourself):
'Respect' by Aretha Franklin (116)
'Down On The Corner' by Creedence (109)
'All Along The Watchtower' by Jimi Hendrix (118)
'Soul Man' by Sam and Dave (113)
'Magic Carpet Ride' by Steppenwolf (111)
Shoot, you can do them seated next to him! As I used to say in my various aerobics classes (including teaching the Silver Sneakers/chair fitness classes, doing personal training, plus myself recovering from a right hip replacement and a left knee replacement), 'Misery loves company'.
*With the RSV, fluids and rest are the chosen recovery modes.
For coughing and mucus, a cool-mist inhaler could help.
Adults with mild RSV illness can use home remedies like honey and over-the-counter cough and cold medications to relieve symptoms.
I DO hope this helps!