Mom is in Asssisted Living, has Alzheimer's, 92 yr old, uses a walker for the last year. She never asks for staff help for ANYTHING. Staff have found her on the floor in her room by her couch multiple times in the last week. We had an ER visit from a fall 7 mo ago to find a bruised tailbone. Should we take her assisted mobility devices away so that she can not get up on her own? She is already incontinent and in Depends.
Mom uses a walker and never asks the assisted living staff for any help. Last week they found her on the floor multiple times. Should we take her assisted mobility devices away so that she can't get up on her own and hurt herself?
She will feel much better, safer and sooner or later she will feel home again.
Good Luck,
Vali from Wa
Rule one: Work your legs in a P.T. facility or at the home with equipment for strengthening. When legs are stronger, begin.
Rule Two: Begin the walk on a STRAIGHT, clutter-free, walkway which may be stone or carpeted. I like carpet.
Rule Three: Hold your head up and totally RELAX. This is very important, and no one can "teach you" this.
Rule Four: Wall a SHORT distance by yourself, Look Ma, no handsl Make sure the feet are properly cared for. Foot baths and Foot creams are good. The shoes must be sneakers, Foot Solutions or specially-designed shoes for the elderly. Each day go a little bit longer. If the patient uses a bike, set it at NO RESISTANCE....just rotate the pedals. Find out what is the weakest point in the leg structure...the knees? the lower legs? the thighs? Extra strengthening for these must be recommended by a P.T.
More important: Daily, daily, daily, do not miss a "walk time".
Work with doctor or staff gerontologist using the protocol called Beers Criteria. easy to find on the net. I now have mom off ALL drugs cept ativan very rarely. Every single drug she was on cause a degree of dementia (and sometimes outright insanity) that cleared when we stopped it. Some drugs have withdrawal symptoms or should be tappered off gradually.
Amazing how many nurses I talk to who do not know about Beers. Dr. Beers developed the protocol and list to help nursing homes decide what drugs to eliminate in the elderly population. Turns out one can knock back quite a few.
Your mother may have a blood pressure problem when she first stands...stand up...light headed...down she goes. Getting acclimated gradually...sit...rest...stand...get stable...then move. You might get one of those seat walkers...something to catch her part way down.
In other words do not give up yet. See if any of the above helps her. Getting stronger helps the senior maintain balance, just helps them stand and walk.
Run this past her regular physician and he/she will guide you, but I think she's ready for next level of care. :)
Deep breaths!
Is her AL a tiered system that has a SNF component? If so,
you need to start the paperwork for moving her there.
If not, speak with the placement counselor or social worker on staff at her current AL as to where they have had other residents move into. At 92 this isn't going to get better.
You need to be proactive about this and contact her AL to tell them you recognize her needs have changed. You don't want to find yourself getting a "we just love her but can't have her
her anymore and this is your 30 day notice" letter. If they know
you recognize the situation and are awaiting an opening, they
will work with you on having mom stay a few more weeks if need be. You have to realize that if she is falling often or daily,
and this involves a runaway walker/wheelchair, she is becoming a liability for the AL and for the other residents - this is a huge issue for the AL and they can make things speed up as far as placement into a SNF. Her AL may take her device away from her because of this and restrict her to a traditional
walker (the metal kind "U" frame kind) as she does not have
the cognitive skills needed to "drive". So this all may just
be out of your hands........
IMHO not all of us are caregivers nor do we need to be for our parents or elderly relatives. There are good facilities out there.
Good luck!
Good luck.
H.
Blessings, Bridget
Personally, I am not a fan of facilities - not much personalized assistance. No facility can provide the care that you can give a loved one in your home.
Good luck...I hope you find the best placement for your dear Mother.
Lilli