I usually ask him to put his feet under him and make an effort at standing up while I grab under both arms with my right foot planted between his feet. He is getting more sluggish and less helpful so pulling him up off the chair (he weighs almost twice as much as I do) is nearly breaking my back. I am afraid that this will be the cause to have to place him in extended care and have permanent damage to my spine. Any suggestions would be helpful.
I am grateful that my S/O is of average weight for his height.... but he feels he wants to trim down a bit just to make it easier later on in life. I'm not going to stop him :)
I share your anxiety at the difficulties and dangers of lifting a heavy person and having to provide 90% plus if the lifting power. You are correct in thinking that you could suffer permanent damage to your lack and knees and hips.
My wife used to be capable of transferring from the bed to the wheelchair, but since breaking her hip this has become virtually impossible [she is 78 and weighs around 180lbs - I am 80 and weigh the same].
She is an above knee amputee and her remaining knee is extremely arthritic, almost worn away, so she has constant pain and cannot bear her weight on it without suffering from excruciating pain.
I have to support her when getting from bed to wheelchair, and from wheelchair to transfer bench to shower, etc. It is advisable to use a gait belt to assist in transfers, because you can get a much better grip on a belt than you can by trying to hold on to a person's body or underarms. That is dangerous for you both because of the potential for a fall or a collapse.
I don't know whether your husband would be able to use a transfer board. If he can, or if he can learn to use one, this sliding transfer is a much safer and easier way to transfer from one surface to another.
If he is unable to slide along the board from one surface to another, then you may need to ,invest in a patient lift. I bought one from eBay for $200.00, though they cost a great deal more.
If your insurance will cover it, have your doctor write an order for in-home Physical and Occupational therapy. Please do not continue struggling without searching all options, or else you will quite possibly damage your spine permanently, backs are notorious for not mending themselves, and then you will need looking after yourself.
Do you have younger, stronger neighbours that could assist with moving your husband? Any help you can get that removes the strain from your own body will be of infinite help in maintaining your own health.
Most Hoyers come with a sling as part of the outfit. What might be useful is a sling with a commode cutout.
You do not say whether your husband's condition is treatable and whether he can be expected to improve. However, I gather that since you sayhe is becoming less able to stand unaided that his condition will gradually reach the point where he will be complete bed-ridden. I am sorry, for that, but there are aids that will take the danger to you as his caregiver out of the equation, or at the very least, will minimise that risk.
You need to get all the help you can from all the sources available to be able to care for him as well and taking good care of your own health and well-being.
We have a bedside bariatric commode with drop-arms, and have it as high as possible to assist her getting from it back onto the bed. We have raised the bed by 4" so that when her leg goes over the side, she is almost nearly almost standing. It helps me make the transfer because she does not have to be lifted from a low position.
Someone mentioned a chair with a lifting seat. If it is a high-chair to begin with, a lifting seat is a great idea. Can he walk when he is on his feet? If so, you can either get a lever activated seat lifter or invest in an electric powered lifter. Like most things we cannot live without these can be pricey.
I have put a 5" high density foam block in my wife's wheelchair and that giver her a start when she has to transfer. The bed risers do the same for our bed. Our bed if a foam mattress, so there is a lot of give in it when she raises herself from it to slide or change position. Life is full of challenges for those whose capability to rise to the challenges of illness and age have largely gone walkabout!
Wrecked backs are almost solely the 'blessing' of geriatric nurses and caregivers. Proper lifting of a dead-weight patient should NEVER be attempted alone. That's one of the first things nurses are taught.
Unfortunately, those of us that live alone with our darlings do not have the luxury of a second person in attendance when they are most required. So, we have to be smart and use whatever contraptions are needed to stop us from taking to our graves prematurely.
I wish you and your husband the very best, and hope that some useful information is found in these answer that will make a difference in both your lives.
CG99
You mentioned moving him to extended care. Do you think it is time for out of home care? Have you and your husband talked about this? If you haven't, it's time to start the conversation. Bless you and your husband.
Beechgirl has an excellent suggestion. Check Youtube. Here's a Youtube video for using a gait belt to help someone stand: youtube/watch?v=i2nJ3roEyD0 If this doesn't create a link you can click, copy and paste the whole thing into your address bar and hit enter.
I can't emphasize enough how helpful an occupational therapist can be in your life. Ask your doctor.
If he is weight bearing you could try training to use a gait belt, but patient needs to cooperate with that too!
I agree with getting the patient involved with the move. I always started with "Lets move you to X to be more comfortable" "Dad I am thinking we can do this if I do X and can you do Y?" He would repeat what we would try to do together to move him and then we would do it. It made him aware and wanting to help with the move as best he could.
I would have as much equipment in the home as you ever might need to conduct a move. You need options because methods used successfully in July may not work by September etc. The patient's ability to assist will fluctuate.
Be careful. I was able to move my father who was 6'3" without having to place him in a NH. However, you have to work smart. Otherwise you are correct you will injure yourself. Lifts can be a big help as the patient's strength declines. I used them almost exclusively the last year of my father's life. They can be very safe.