My father has balance issues and has fallen outside twice and landed on his face. Miraculously he seemed fine with only some swelling & bruising. Both times he refused to go to the doctor.
I have purchased a walker for him but expect him to be reluctant to use it.
Any suggestions on how to present it?
This is worth discussion, and in times such as this one hour with a physical therapist is worth twenty with an MD in my humble opinion. I think PT is so overlooking in how much it can help the elderly. Ask your MD for a PT consult.
If, after assessment, a therapist recommends a walker I would vote against the sit on them walkers, because without expertise in them they tend to make people walk too far behind them, and people go down from getting on and off the seat. I would then explain to Dad that a fall that breaks a fragile bone could mean he had to move into care, or a higher level of care, or even be bedridden with all the complications that entails.
If none of that works, and it might not, it is a matter of time. Balance is the issue with my bro, as well, and he totally refuses to do the exercises that improved it so much in rehab. You can only do so much and the rest is out of your hands. Wishing you good luck, and Dad, too.
I think the type of walker you use depends a lot on the elders mental abilities. To use the Rollator type, four wheels, seat, brakes, you have to be quite with it. My mom was ok with one for a short while after hip replacement but as her dementia started she wouldn’t remember to set the brakes and it would roll away from her when she tried to get up from her chair and she would fall. The lift and drag type is better for lots of elders.
The biggest battle is getting elders with any dementia at all to remember to use the walker. I never won this battle with my mom.
Dad learned quickly how to use this type of walker. He liked that it had a basket in front so when he went out to get the mail, driveway has a slope to it, he could just toss the mail into the basket and head back up the driveway.
It was my Mom who didn't want my Dad to be outside in public with his new walker, someone might think he was old. HELLO, he was in his 90's. Dad ignored Mom which was brave on his part.
I doubt that's the first thing people notice when looking at a little old lady with grey/white hair, glasses, no makeup, wearing grey comfort wear style clothes with slippers in the daytime, sitting in her wheelchair. But you never know.. ;)
i agree with Alva. Be very careful about introducing walkers without proper education.
Also make sure his shoes fit properly and that his feet and nails are in good shape.
Ask his doctor to order PT to help him with his balance and to evaluate his need for a cane or walker.
Check his BP and pulse often. While sitting and when he stands.
Is he on any medication? That should also be looked at.
My aunt uses a cane. She does very well with it. I asked therapist about a walker and was told it wasn’t recommended for her. That she did better with the cane.
Your dad may need neither.
My dad never fell. My mom used a rollator walker which she was using when she had her defining fall. She never used it again and always used the lightweight walker with the two tennis balls after that.
But you are on the right track in wanting to save him from a fall that leaves him with a broken bone. Your life and his changes after a bad fall.
While you are at it, make sure he gets a bone density test.
The worst thing is for him to be afraid to walk and want to stay in his chair all day.
Sometimes elders haven’t thought it out but just feel safer staying in one spot. Not a good plan for longevity if that is something he’s concerned with.
He could also be showing signs of a mental condition that is affecting his balance.
One of the best books I’ve read to help me frame my approach to elder care is “Being Mortal, Medicine and what matters in the end” by Atul Gawande.
It elevates the conversations we have with our loved ones about living out their lives.
On the other hand, when you start having to sacrifice your own health to enable your parents bad decisions, it’s time to look for other caregivers. It’s a fine balance. Let us know how it works out.
He was fitted in rehab and trained how to safely use it. I recommend getting him fitted and trained as alvadeer recommends.
Unfortunatly people fall and I would ask the PT if they can teach him how to fall if he won't use a walker.
My mom was totally against a walking device or anything that would make people think she was 'handicapped'. We took a road trip and I brought a rollator with us (didn't tell her). We stopped to visit a site that was going to be quite a walk and I got it out. She was mad - said she didn't need it. I said I was taking in just in case she needed to sit down and I pushed it along. About half way, she needed a rest and I let her use it. She walked the rest of the way. On the way back, she took a sit for a breather and then said she would try to walk with it. Not far, but was seeing it really helped to have the support. Next stop we made - no arguments. Took a while but she eventually said it was a good thing. That was about 15 years ago. She is 95 now and still uses a rollator. (When she has been to rehab, they only gave her that metal frame looking walker and it was much too hard for her to move...even w/the tennis balls on the legs).
If Dad chooses to work with PT for assesment & walking aide trial there will more chance he will accept it & use it. The dignity of choice in his own care is huge. Depends on his temperment of course... plenty of stubborn furniture grabbers out there.. Hope your Dad can adjust as required - it's to increase his own safety after all.
PT can help teach you how to help
-Walk in front, hands on walker
-Coach LO how to walk into the walker space, and then move walker ahead
Often my dad refused a walker. PT taught me how to properly support him as we walked together. I was strong enough to keep him from falling. She instructed me to help him from a sitting position with a grip - hand to hand (my thumb under his thumb, my fingers over his wrist - like you are going to arm wrestle). Then, you put your other arm around their back, holding around their waist or holding their pants' waist, or some folks use the "walking belt". I also ALWAYS held his NON dominant hand. Dad was left-handed. Because his left hand was free, he was able to hold onto the counter, the door frame, etc. This gave him support but independence and choice, too. Walking together worked for us and also using a walker with me walking backwards worked too.
One more thing about the walker - it causes the person to "look down" which changes their perspective completely. You're not prepared for what's ahead when you're looking down, up, down, up. Again, I suggest you (all or us) try the walker, or the diapers, or as many changes as we demand for our loved ones. It opens our eyes and gives us a sense of what they are dealing with. That learned perspective can help us help them better.
My best to you!
She would hold onto the stair railing and make it up two flights of stairs in a huge old uptown New Orleans home. How she didn’t break anything is a mystery. The old saying that God looks after ‘fools and drunks’ comes to mind.
I had a nurse tell my mom to retire her cane and use a walker. I got tired of her saying that she didn’t need one. So I asked her nurse to tell her. She was able to convince mom that it was a great idea! I was grateful to her nurse for making her see it was in her best interest.
She used it from the day I bought it. It was a rollater with a seat. She loved having a seat that opened up to place her purse in.
My uncle had a three wheel one. I guess they are space saving.