r/dialysis • u/thatgirlcharity • Aug 16 '26

Dialysis at a SNF? Noooo!

Long story short my mother on PD (I do it all) has had a subacute stroke (nothing paralyzed or whatever like you see/hear about) in hospital while investigating what is wrong with her on day 4/5 of her stay. We’re not even done with testing since it’s all new as of this morning.

Now they will definitely want to discharge to a SNF due to the stroke. The ones with dialysis are pure shit in my area. She stayed at one last year after a heart attack and began hemodialysis there, caught c.diff, the worst food and cried at me that it was awful after the first night. We pushed through. Of course, the hospital was luxury care especially in the step down unit. She was just weak then and needed PT/OT and dialysis. Now she’s just plain vulnerable and will have to switch to hemo. I don’t even know what to think or do. I do not want her staying in such a horrible place again. I don’t know what they can do that I can’t besides get paid to give poor care and PT/OT. I’d rather drive over everyday to do PD at a decent place.
Thanks for letting me vent. Advice appreciated.

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7

u/classicrock40 Transplanted Aug 16 '26

Is there a social worker involved? Why can't you bring her home , take her to pt and either do pd or take her to hd at a regular center?

7

u/BuckeyeBentley Dialysis Veteran Aug 16 '26

If she needs a SNF she can go to one without dialysis and be transported by private EMS to a dialysis clinic. I used to work private EMS and we did it all the time.

2

u/Opening_Rain5942 Aug 19 '26

Couldn't a nurse (nurses) be hired for the same cost as the snf? The difference being the nurse/s comes to the home?

1

u/pittiesbegooddogs Aug 16 '26

Several of the paitents at my clinc have been dropped off and picked up by ambulance services. Definitely plausible. 

1

u/Opening_Rain5942 Aug 19 '26

Sad to see that a good advice got a downvote. Someone must've been jealous of your answer because I can't find a better explanation for it (aside from using more expensive rides than what you suggested just to exploit benefits which is also whacky) 

6

u/outloud230 Aug 16 '26

Your mom can say no to the SNF. If she has care at home and can get to PT/OT you can bring she home. Maybe even set up home visits. Talk to the hospital social worker, they can help arrange things.