Tag Archives: falling

Protecting Your Parent From Falls

by Judy Starkweather

It took awhile to convince my mother that her walking was shaky enough to warrant a cane, but once we did, it worked out well. She selected a clear acrylic one that garnered lots of compliments.  She grew to like it not only for steadying her gate, but also as a conversation piece and fashion statement!

When mom’s falls became more frequent and she needed a walker, it was a much tougher sell.  It wasn’t until she went into Assisted Living and they required her to have one, that we actually made it happen. It was equipped with wheels, a seat she could sit on if she got tired and a basket below to hold items she might need during the day. We also purchased a “purse-like” cloth bag that hangs over the front of it for easy access to things like cough drops and kleenex. My sister and I felt good knowing that my mother could now get around more independently and eventually she learned to like her new “wheels.”

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Does Your Parent Drink Enough Water?

This story was contributed by a reader who wishes to remain anonymous. It addresses the importance of hydration in our parents’ overall health & safety. 

On several occasions my sister and I noticed that my Mom’s dementia would get worse. We worried that this was the “beginning of the end” of her mental competency. I recall when she started holding a terrible grudge against one of our favorite caregivers at her Assisted Living Home. The caregiver’s name was Jane, but she insisted on calling her Alice! She would relay to me that “Alice” would take showers, try on her clothes and entertain men in her apartment when she went to bed. We tried to convince her that she would never do these things, but she stuck to her story and accused us of being very naïve when we didn’t believe her!

When we took my Mom to her primary care physician, we’d routinely review all that was going on at the time, which often included falls and the worsening dementia. The doctor would check her urine and come back with the report that she had a UTI (urinary tract infection). We learned that the infection was the result of dehydration, which in turn caused her dementia to get worse.  She told us that it could also be a contributing factor to her frequent falls.

We were happy that an antibiotic would clear the infection and therefore her dementia and we had struggled to find ways to minimize her falls, so this was an important discovery.  Her doctor indicated that the juices, sodas, coffee and Ensure my mother liked weren’t anywhere near as good as “plain ole’ water,” for staying hydrated. She suggested we try putting Crystal Lite in it to make it taste better. It took time, but eventually grew to like it and drinks it all the time now. We buy 8oz bottles of water and pour the small packs of lemonade-flavored Crystal Lite into them and shake it up well. She likes to drink it with a straw. We make sure there is always a bottle by her side, but don’t have to remind her to drink it as much as we used to. 

Dehydration can have debilitating consequences in the elderly. Watch for signs like confusion, irritability, low urine output, dry skin, constipation, dizziness, hypotension or infection. They could be indicators of dehydration, which can lead to falls, stroke and renal failure. Better yet, do whatever you can to get your parents into the water habit right now!

Many Options Allow You to Customize Wheelchairs for Parents

By Susan Melanie Levy

There are many devices designed to aid seniors physically, and of course many of these come in various levels of quality. During the seven years I helped care for my mother I learned just how important the differences can be.

My mother suffered from a form of polio when she was a child, and when she became older she had a great deal of trouble with her legs. Doctors prefer for people to try to stay on their feet as long as possible, so mom progressed from walking to the use of a cane, to a walker, but finally, after two falls, she needed a wheelchair.

When it came to selecting a wheelchair we were amazed at the level of options available. Mom first visited the Shepherd Spinal Center in Atlanta, where the technicians tested and measured her. Then they customized the wheelchair she would receive to make it as functional as possible, and give her freedom to move around. Although it took a couple of months to have the chair built, it was worth the wait. When the chair was delivered the techs also provided training so we both understood its uses and functions.

Her chair had a tilt that could be employed to take pressure off her spine. It also was designed to go anywhere in her facility, including the beauty shop, and it adjusted to the stylists’ height, so mother didn’t even have to switch chairs. It was a great help to her during some difficult times.

If your parent needs special equipment to support their physical needs, it’s definitely worth it to check out all the options available, so your mom or dad still has as much freedom as possible.

Keeping Mom in Her Home

One of our readers submitted a guest column for those trying to handle the many tasks involved in caring for aging parents.  Names have been withheld by request.

One of the hardest moments a family may have to face  when their parents get old, is telling them it’s time to move out of their home. That day might come for us, but for now, thanks to the support of her children and modern technology, we’ve been able to avoid it.

My mom has always been able to manage the two-story home plus basement, she has lived in for many years. But as she gets older, her spinal stenosis (a condition in which areas of the spinal cord narrow down, causing pressure on the cord and the adjacent nerves) is making it difficult for her to walk up and down stairs. This condition is exacerbated by problems with her heart.  We heard that in cases like this it’s helpful to install a stair chair or stair glide.  This is a device in which the person sits in a chair that glides up and down along a metal rail attached to the stairwell wall, thus providing comfort as well as safety.

Our preference was to install 2 stair chairs, one to the basement where the laundry and food pantry are located, and the other up to the second floor where bedrooms are located.  We got lots of resistance but after a hard sell on our part, Mom relented, at least partially.  She conceded to one stair chair from the first floor to the basement.  Thankfully, she liked it.  It allowed her to continue her normal daily routine.  But she was adamant that we not install one from the first to second floor.

After she fell in the kitchen one day, we decided it was time to take the next step to insure her safety, as well as her quality of life.  Again, the stair chair to the second floor was strongly resisted.  Her fear? That it would detract from the look of her beautiful home for visitors who came in through the front door.  Her underlying reason, we suspected, was that the installation of this second chair was one more unwelcome indicator of age and dependency.  Again we met her resistance with respect and common sense.  Her ability to stay in her home has to come with some accommodations.  Mom’s health and safety are simply too important.  Our family made the decision and purchased the second stair chair over her objections.

To be honest, the day it was installed I was nervous about going to my mother’s house. But  when I got there I found out that she’d already used the lift three times! And because it was so helpful to her, she began to think that it was not that bad-looking after all.  But best of all, it has paved the way for any future amendments to the home as her needs evolve.  Next time may not be so hard.

Note: Stair chairs usually cost two thousand dollars or more to purchase and install. Some do come with color coordinated rails instead of chrome, to match the décor of the home, but this detail can add several hundred to more than a thousand dollars more to the price. In most cases these devices are not covered by insurance or the government. For more information, do an internet search using the key words “stair chair,” “stair guide” or “stair lift.”