Can I refuse home health care?
A severe COPD(Medicare and Co-pay) patient wants out of SNF! It has been suggested that she will need in home nursing and occupational therapy once she is discharged from SNF. She wants to go home and be left alone (yes, live independently)She is already strong enough to dress, use the bathroom, walk the halls, etc. She has in her home ALL the equipment to sustain her (nebulizer, oxygen concentrator, back up Life Alert system, once a week aid to run her errands).
Can she refuse this in home nursing and occupational therapy and still be allowed to go home? Marcia's Answer:
Ann, all patients are privileged by their patient rights. So, yes, she can refuse everything although she will have to understand the potential consequences of refusing services. In most Skilled Nursing Facilities, this is referred to as AMA (Against Medical Advice). i.e. patient is leaving AMA.
No patient can lose their basic Medicare benefits based solely on the fact that they refuse care. A medical waiver is all they need to sign - this releases the doctors and medical professionals from potential back lash should this patient suffer injury and/or death based on her own decision to refuse care.
More and more patients are refusing home care due to a growing level of insecurity - scam artists showing up at someone's door posing as a home health medical professional.
I will soon be releasing my newest e-book that explains how to be 99.9% sure that the one person at your door is supposed to be in your home. Subscribe to our periodic Newsletter
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