The best way to approach an option other than home for seniors being admitted into the hospital is a very stressful time. It is filled with fear and worry. 

Studies indicate that for seniors and their family, the real danger is 30 days following the discharge when the senior says that they don’t want to go into a nursing home, meaning a skilled or acute rehabilitation. 

Instead of arguing with the older adult who says I don’t need assistance, try to follow up by asking, tell me more, what are you concerned about?

Honestly validate and respond to their concerns, without causing them to feel more fearful. Everyone wants to feel listened to, no one wants to feel lectured. Remind them that this stay is intended to be temporary. Help them to recognize if they truly are committed to physical, occupational, and speech therapy, they will most often be able to return home in a short period of time.