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My husband has been through both inpatient, outpatient and at home rehabilitation. He was doing great after he had his hip repaired. He has taken a long time to heal. He doesn't seem to want to give the wheelchair up now.


I know he has to be self-motivated and that no one can force him to do anything. I support him in doing his exercises, which he does, sometimes. I think depression may be playing a role. He was active before the fall (he fell out of bed).


I may ask him to speak to his doctor to see if he will adjust his medication. We've had conversations about the subject. We've gone through how he feels about everything, how he's feeling, and consequences of his not continuing to work on his walking skills. I know it's not my job to do it for him.


Anybody face a similar situation?

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Jean, rollators can be adjusted as can any walker. No one should be hunch over whem using either one.
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A Rollater Is Good They Can sit down On That .
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JeanLouise Feb 26, 2025
My DH found a rollater was not beneficial for his posture, which added to his mobility problems
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I've have to do PT. My motivation is sports. I'll have a game on the TV and think about what all athletes do to stay in shape or recovering from an injury. It's not easy, it's not supposed to be easy, but if I don't do PT, then I won't be able to do PT. My grandpa spent the last half of his life in a wheel chair, he would have given anything to have gotten out of it.
Great comments and observations here.
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Reply to Ariadnee
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I am sure many people face a similar situation. (I haven't though.)

I am quite impressed with your level of awareness and care.
You already stated several ideas/thoughts I have.

I wonder how old your husband is.
Consider (with MD / specialists) if there are other reasons he doesn't want to get up - pain ? where ? position sitting ... to a standing position?

Do talk to his MD 'together.' I wouldn't leave it up to him solely to take the lead to call his MD, esp if he is depressed and at times, giving up. He may not have the motivation to call. Plus, you need to know what the MD says.

I wonder if day care would be good for him - to engage with others, something new (if it is), support him to be / feel more motivated.
Has he been in day care ?

Perhaps he just needs more time to adjust.
From what I can tell from your post, you are doing 100% in your considerations and support. I presume that you are taking care of yourself, too (?) it sounds like you know how to set boundaries.

How are you feeling about this situation?
I wonder / intuit that there is more going on with you than you share.
Are you afraid (for him)
Afraid of losing him?
Fear he will be more dependent on you? and you are already tired?

These are questions for you to consider, not necessarily share with us.
Depression is a nasty one - coupled with aging and the brain changing (as MINE is) ... it is a dance I would rather not have a card for ... for those of us who remember the symbolism of a dance card. I don't know if they were real at one point. I think in the 1920s, the women did have dance cards.

Gena / Touch Matters
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Reply to TouchMatters
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It is very difficult to realize you cannot do the things you used to be able to do.
I think everyone wants to age well! We all want to keep our brain capacity like Betty White. Most may want to make it to 100 if healthy, but when we fall short of being able to stay healthy (for whatever reason) it is depressing. It feels like you are an anchor on your family or a burden.
It can feel like no one values you, your feelings, opinions, or any remaining abilities. People used to value the elders, but now it seems like so many people just think elders are in the way and more trouble than they are worth. It is so sad.
I just wish people would try to value the elderly much more. I think you are very sweet to value your husband and support him. Hopefully, he feels your love.
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Reply to Tiger8
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Post cognitive dysfunction caused my dad to become immobile after surgery. Physical therapy did not help my dad. Not sure how old your husband is or if he has any diagnosed dementia, but general anesthesia is hard on older folks. Please be patient.
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Reply to Onlychild2024
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I had to enforce clear boundaries with my DH. After a below knee amputation, left to his own devices he would make every excuse and not apply himself. Although not perfect, he has much improved due to tough love; I flat refuse to push a wheelchair or enable when he is CAPABLE of regaining mobility. It was not easy but both of us have much better quality of life. He walks with forearm crutches just fine. Many thanks to the wise advice from this site.
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JeanLouise Feb 26, 2025
A follow up to our situation; My DH is 84 and has mild Parkinson’s symptoms. He continues to have PT twice a week. Rest of the week we make sure to put in a decent walk and he follows an exercise routine recommend by his prosthetic provider. If he gave in to not applying himself, he would be in a wheelchair chair and likely placed. I know this scenario isn’t an option for everyone, but if you CAN, quality of life improvement is worth it. For both of you.
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He may feel unsteady on his feet and fear falling. Encourage exercises to maintain his strength, and continue PT. Meeting with a physical therapist will force him to work on exercises if he's not motivated to do on his own.
Given more time, he could gain the confidence to get out of the chair more.
But, if he feels uncomfortable giving up the wheelchair, I wouldn't push him.

Have an honest talk about what you are willing to do (and not do) to accommodate him in a wheelchair bound state.
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Reply to CaringWifeAZ
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If rewards don't work, threaten you won't take care of him if he doesn't try to get out of the chair and that he would need to go to a facility.
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JeanLouise Feb 9, 2025
That's exactly what worked for my DH. I wasn't going to drive myself into the ground to enable a capable man.
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My Dad, who was very active before breaking his hip in 2020, also came home from rehab in a wheelchair. He seemed to like the chair and I could tell he was willing to give up walking. My husband and I said - no, You don’t - and we worked with the PT people and him to get him walking again. One thing we did was to put up a long handrail on one wall to give him a place to work on balance and strength. Good luck.
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Reply to jemfleming
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Create situations where he is rewarded for walking - getting a treat, playing his favorite music...
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Reply to Taarna
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CarolynAces: Perhaps YOU need to speak to his physician.
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Reply to Llamalover47
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It sounds to me you are on the right track.
I found with my brother, after his rehab, that the more I kind of nagged at him the more stubborn he got about NOT doing the balance exercises that had so helped him in rehab. He honestly never did do them and the poor balance returned. He DID however, walk more, and managed to correct for it. I think that with aging and impairment it is all so much to deal with, and there's such a depressing lack of "control" that it becomes all very personal. You have given us an excellent profile rightup and it sounds the two of you are very close. Be honest with him as in "Am I nagging you too much; do I need to step back and let you make your own decisions now?" and see what he says. I think he will be touched that you are even asking that.

Best of luck to you both.
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Reply to AlvaDeer
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Adding to Geaton’s good advice, don’t expect a person with depression to reach out to his doctor. You need to do this for him, explaining what you’re seeing and asking for further help and adjustments to meds
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Reply to Daughterof1930
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Has he been tested for cognitive decline? You don't mention how old he is. But if he's already on meds for depression then yes, I would ask his doctor to review the dosage or type.

Yes, you are right in understanding that you can't make an uncooperative adult do something they resist. Sounds like you've been an excellent advocate/cheerleader for him. But you need to resist "projecting" how you think he should be living. I also get that his being in a wheelchair going forward will have a big impact on both your lives.

Have you considered a male companion aid for him? Someone to take him places, do things with him? It may be time to start trying other strategies to see if any positive change for him can be made.

Make sure to make yourself a priority and do lots of self-care so that you don't burn out!
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