She lives with my brother and sister-in-law out of state, and I try to visit often. She has almost pulled us down several times, and our arms & shoulders get very sore after helping her walk, as she's a large/heavy woman. She refuses to use a walker, saying she doesn't need one. I'm afraid we're both going to fall, and be seriously injured. How can we convince her to use her walker? Her knees are not strong enough to support her anymore; it's not a balance problem. She's almost 82.
She thought she could continue with her cane but she did much better with a walker.
Of course the opposite was true. Not a problem to put walker in trunk or backseat, corner of a restaurant, etc. Certainly an emergency room trip due to a fall is of more concern because we don’t want our loved ones to be hurt.
I solicted the help of nurses and doctors to tell her that she needed a walker and that worked for me. It became a safety issue for us due to mom having Parkinson’s disease. Best of luck to you.
Dementia patients forget they can't do many things they once could. I think the key is to try to redirect them. I knew my brother could not walk and I was prepared for him trying. However, the sadness I endured knowing he will only decline was massive. When he was refusing the walker and chair I did not let him hold himself up on me. I did stay next to him and did hold his arm - don't let them hold your arm or lean on your shoulder - you will go down. I learned a lot from the physical therapist at the nursing home on how to helping without hurting myself if he falls.
Buy a heavy duty cart and weight the bottom down if you can. This proved to be an excellent solution for my late Grandmother. She most definitely was too heavy to lean on me and I would have gone “down with the ship”.
By the way, just give it to her and insist that she use it. If she has a favorite color, get that. Throw your stuff in there if you have to. If you or she falls you will have a MUCH bigger problem on your hands.
Hope this is of some help. Good luck.
Your mother is perfectly able to use the proper assistive device. She simply refuses, and you cave to it. Only you can change this dynamic.
BTW - no judgements! Been there, my friend. I knoooow how much it sucks for a caregiver to hear “hey, you need to do one more thing.” 🙄
But if I had it to do all over again, I would have been wise to draw some different lines in the sand.
Coyote, if you only have so many fights left in you (and again, I can relate), maybe choose one existing “want vs need” tussle to loosen up on — and take up the mantle of cane/walker in its place?
Take care of yourself! It’s the truest cliche out there. And it mainly comes to light when we don’t take care of ourselves.
There are ways to delegate elements of mom’s care — even if mom does not want you to believe that. But you cannot delegate self-care.
There’s nothing wrong with putting yourself first. Everyone else’s attitudes and perceptions are just that: attitudes and perceptions. Including mom’s.
Treating yourself right and treating Mom right are not mutually exclusive. (((big hugs)))
Best Wishes ~ Jill
#itainteasy
So she had a PT eval. She said to me plaintively, "I can't understand why no one considers it a goal for me to walk on my own again...I am so frustrated by that." How's that for denial!
That's her goal. Work towards it. It doesn't matter if she never gets there.
These are the exercises recommended in the Extra Care Charitable Trust's falls prevention classes. Glance down the list and you'll see that about half of them can be done with people who can't even stand up.
Walking
Toe walking
Heel walking
Knee bends
Leg lifts
Arm movements
Standing on one leg
Stretches
It's tough to stop deferring to our elders, but it's a natural part of the life cycle of families. And in the majority white culture in the U.S. (my experience is limited to that!) it seems the natural order of things. Parents grow old, we their children must step up. It's all uncharted territory. But we aren't doing them any favors by continuing to act as though they are always in charge and we owe them obedience. I think dignity is very important, but so is love, and judgment, and safety. How dignified is it for an elderly person to fall- especially in public? It's awful for people to have to admit that they fractured a hip or got a concussion *because they fell?* If protecting their dignity is your concern, consider the indignity of them needing to wait- on the floor- for emergency personnel to arrive even just to get them back on their feet? I speak from experience. It's painful to witness. So is the guilt, even shame. My mother fell a few times on my watch, and it was hell. Sometimes at home! One time I was helping her get to the toilet on time...she was screaming at me to hurry, and I Iet go of her for one moment, she lost her balance, and went crashing into the acrylic sliding shower door- knocked it right out of its track, and somehow landed safely with no broken bones, no head injury...
One a.m. I took her to urgent care after her home health aide noticed a big purple bruise on her torso...I learned she had fallen the previous night, my sister had somehow gotten her up, and my mother reportedly refused medical attention. My sister hoped no one would know it had happened- I'm quite certain she was ashamed she'd been unable to prevent a fall. There I was with this diligent doctor, trying to explain injuries I had not witnessed and that my mother didn't even remember getting...The doctor admitted she had a dilemma... serious bruises, failure to get checked out the previous evening... This whole thing caught me completely off guard- I had never even considered that scenario before then.
People frequently develop impaired judgment as they age- it's physiological, they can't help it. And they need us to step in when their or others' safety is at risk. It might be that they re-use paper plates & plastic utensils they have "washed" and cannot tell are not clean, or skipping breakfast as a diabetic, or deciding not to drink fluids for many hours until dehydration causes lightheadedness and weakness and they fall. In my Mom's case, those were the tipping points at which we and her doctor insisted she allow a home health aide for one hour every morning- period. Until she knew we were serious, she would send them away. They'd knock on her door and she'd refuse to let them in.
There were many doctor visits and shopping trips when my mother would get out of the passenger seat, close the door and head for our destination. And I would have to say "Mom, hold on, you need your walker." She'd insist she didn't need it for a quick stop. Sometimes she would agree to use it, other times I'd have to say "Mom I'm not going in there with you if you don't use your walker." The rules- and roles- change as our parents age, and if we really love them I think we have to accept the natural order of things and deal with their reactions; what's the alternative?
By the way, I kind of miss those days. Vascular dementia has taken nearly everything from her; today's struggles are about whether she'll allow us to brush her teeth.
My mother, on the other hand, has a very serious neurological condition and suffered with very brittle bones. She had a walker, walking stick and an aide but wanted to do it “herself”. After many broken bones, a couple of orthopedic surgeries, a minor stroke and some other falls she is finally using a walker ALL THE TIME, plus she has help in her home. She also has a motorized wheel chair she can use for short trips around her neighborhood.
Everytime she hurt herself one of my siblings or her sister went running to the rescue, took time off from work, etc. This is AFTER my sister hired someone to help her. Mom instructed the person, a live in helper, NOT to help her because she wanted to try to do it herself. She then fell and broke both her knee caps and spent the next few month in a wheel chair. It is quite remarkable that she never sustained a serious head injury in any of these incidents. I am certain her current misery was exacerbated by her many falls. She could have saved herself countless hospitalizations and rehab stays if she had only used her walker or accepted the help that was offered her. Very stubborn person.
By the way, she continues driving. I really am hoping that issue does not become a headline story. She does not live near any family (her choice) and she is a person who will do what she likes when she is left to her own devices. She feels “poor me” because she needs so much assistance. Does not think “lucky me - I have so many excellent helpers to make my life safe, cook and clean for me, do my laundry and I live in the city of my choice”.
She is 85 years old and though I know it is not easy for her, she at least she does have very good care and lives in a very supportive Senior Community. That is something not every older person has.
You just enable her, you don’t try to convince her to use her walker, you tell her use your walker or we don’t go.,Then walk away don’t get into a discussion stand up for yourself. She is bullying you and quilt tripping you into putting yourself in harm’s way
she has rollator Best thing since sliced bread. 4000 mile auto trip with it. Easy in easy out of car.
My mother is in her mid 60's with a degenerative neuro muscular condition...she is in a wheelchair, she can transfer, but not walk. And we have several assistive devices to help her hold herself up...we don't use ourselves, we only guide her.
My mother is in her mid 60's with a degenerative neuro muscular condition...she is in a wheelchair, she can transfer, but not walk. And we have several assistive devices to help her hold herself up...we don't use ourselves, we only guide her.
If I were you, I would tell your mom that her walker is a tool to keep her safe when she has to walk so she won’t get broken bones if she falls. Be safe than sorry!