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My mom had 2 strokes in December of 2024. She was released from the hospital and brought to a nice rehab facility in San Jose. The PT and OT are working everyday with her but she's scared to walk. She feels like she's going to fall. She has a lot of anxiety. She does go to rehab when she is suppose to but there are days she will try and there are days she will not try.

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Research Fear of Falling. That had been quite a challenge for my DH to over come. You have my sympathy
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Does she had vertigo or inner ear issues?
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GMMRUDY Feb 8, 2025
No she does not have vertigo or ear issues. She had a stroke on her brainstem.
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Ask the PT if they have access to something called a stroller walker. It can be useful for someone who is fearful of falling.
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JeanLouise Feb 27, 2025
That requires balance and decent posture as well. If their arms are outstretched, it will roll forward and down they go.
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Give her the plain truth: if she wants to go home, she cannot go home safely until she can walk. She needs to do the PT and OT. And by the way, Medicare won't cover the rehab if she won't cooperate and she will be discharged earlier than the 21 days. She will be an invalid and I would ask her what is the plan for then?

If she doesn't have dementia she needs to think about this.
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JeanLouise Feb 27, 2025
Yes, you nailed it
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Your mother needs to have it put to her plainly by the physical therapist not you, the following:

USE IT OR LOSE IT!

This is the God's honest truth. If she does not put the work in by walking and doing her PT every day, she will lose her ability to walk. It will no longer be a choice not to because she's scared. She won't be able to even if she wanted to.

The physical therapy department needs to put it to her in plain, honest terms like I've stated. She'll get over her fear.
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Dawn88 Feb 8, 2025
My 85 year old boss I had before I retired always amazed me...I asked him one day, "John, I want to be like you when I grow up! What is your trick?"

He replied, "IF YOU DON'T USE IT, YOU LOOSE IT!"
That stuck with me forever!
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Do you go to PT with her, if so maybe you shouldn't. The physical therapist should be able to help Mom with this.
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Your mother has been thru hugely traumatic events. I suggest you leave her alone to adjust to her new normal in HER own good time. Whether you feel she's "justified" or not in feeling scared is irrelevant......she IS scared and that's all that matters. Only time may help her feel less anxiety.
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The anxiety and fear are normal. What my family knows now that we didn’t know when my mom had strokes, is that depression commonly follows a stroke and needs treatment. Consider asking the doctor if mom may be dealing with this and might need medication for depression and/or anxiety. Be her encourager and be understanding, even when it’s hard to understand
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Reply to Daughterof1930
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The choice is that she continues rehab and returns to walking, which most likely results in more falls and more injuries, perhaps fatal. Or she continues in a wheelchair and then is eventually unable to walk at all. Plus there are health issues that result from being in a wheelchair, such as digestion issues, elimination problems, pressure sores and more. Neither choice is a good one.
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She is frightened and realistically smart to be so.

There is very little you can do about this.
Your mother FEELS the instability and the fact is that she IS much less stable.
Age alone, even without the strokes, makes us very unstable on our feet. I am 82, and a retired RN and I guarantee you that the brain changes mean that we are a feather in the wind no matter our weight. We cannot recover our balance. It's a brain thing, and nothing really to do with muscles and bones, tho they may contribute. Now she has weakness from strokes added to this.

PT people are highly trained. Were there an answer to it they would already have given you the answers to your question. Sadly, the fear and anxiety makes it all the worse, makes us all the less stable, leads to more falls, and for us seniors, falls are often the beginning of the end. They certainly were for my own mom.

I wish I had better news for you. I would simply encourage her and let her know that much of her fear and hesitancy is normal for her to feel. I wish you the best.
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