Caring for Someone with Limited Mobility

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Caring for a loved one with mobility issues can be challenging, but with the right strategies and support, it’s possible to enhance quality of life while ensuring safety and comfort. Limited mobility can result from aging, injury, illness or disability, and addressing this properly requires a holistic approach.

THE BIGGEST CULPRIT?  FALLS

Falls are by far the leading cause of injury among older adults. In fact, 1 in 4 older adults takes a tumble every year. This led to more than 3 million emergency room visits and more than 32,000 deaths among Americans aged 65 and older in 2020, according to the most recent data available from the Centers for Disease Control and Prevention.

Below, some proven information and helpful tips for caregivers and families assisting someone with limited mobility.

Understanding the Needs of Those with Limited Mobility

Physical Support
Addressing physical needs involves ensuring that the individual can move safely and comfortably. This might include using wheelchairs, walkers, or transfer boards.

Emotional Well-Being
Limited mobility can lead to feelings of frustration, isolation, or depression.
Emotional support is a must for maintaining mental health.

Safety Precautions
The home environment must be thoughtfully adapted to minimize
fall risks and make daily activities easier.

Independence
Encouraging and facilitating as much independence as possible helps
foster confidence and dignity.

Sensible Strategies for Effective Care

Use of Mobility Aids:

  • Canes, walkers, or crutches for added stability.
  • Wheelchairs or scooters for severe mobility limitations.
  • Orthotics or braces for joint support.
  • Prosthetics for limb loss or congenital conditions
  • As always, consult with a physical therapist to determine the most appropriate aids.

Ensure devices are well-maintained and adjusted to the user’s height and weight.

Home Modifications:

  • Install ramps for wheelchair access.
  • Get a medical alert system to wear on their wrist or around their neck
  • Widen doorways (minimum 32 inches) to accommodate wheelchairs and walkers
  • Install grab bars in bathrooms and handrails on stairs.
  • Use non-slip mats and remove tripping hazards like loose rugs.
  • Try a walk-in tub or curbless shower for easy access.
  • Arrange furniture to allow easy navigation.
  • Remove tripping hazards from stairs.
  • Add task lighting.
  • Put a nightlight in the bathroom, and keep the floor dry.

Safe Transfers and Positioning:

  • Learn proper techniques for transferring individuals to avoid injury.
  • Use tools like hoists or sliding sheets for safer movement.
  • Regularly reposition the person to prevent bedsores and improve circulation.

Encourage Physical Activity:

  • Engage in gentle exercises like stretching, seated yoga, tai chi,
    or physical therapy routines to maintain mobility and prevent stiffness.
  • Tailor activities to the individual’s abilities and consult healthcare
    professionals for guidance.

Maintain Good Nutrition:

  • Collaborate with a dietitian to create a balanced diet that supports overall health.
  • Ensure proper hydration and monitor for signs of malnutrition.

Emotional and Social Support

Foster Communication

  • Encourage open discussions about feelings, fears, and preferences.
  • Actively listen and validate their experiences.

Combat Isolation

  • Facilitate visits from friends and family or use technology for virtual connections.
  • Encourage participation in community programs or support groups.

Engage in Enjoyable Activities

  • Identify hobbies or interests that can be adapted to their mobility level, such as painting, reading, or listening to music.

Provide Reassurance

  • Remind them of their value and contributions to the family and community.
  • Offer emotional support during difficult moments.

TRY SCARE TACTICS

Appeal to their desire to stay safe.
As AARP recently reported: Most people, even if they’re 90 on the outside, feel 40 on the inside. All of us think that we’re younger than we actually are. Try to appeal to their staying independent more than anything else. Say, “Don’t you know anybody who’s broken a hip?” And they almost always do – and they know it can be devastating. It’s a great motivator.

Integrating Daily Activities

Create a Routine

  • Establish consistent daily schedules for meals, hygiene, and activities. Predictable routines provide comfort and structure.

Simplify Tasks

  • Break down tasks into smaller steps to make them more manageable.
  • Use adaptive tools like long-handled reachers or utensils with grips.

Assist with Personal Care

  • Maintain the individual’s dignity during bathing, dressing, or grooming
    by involving them as much as possible.
  • Use specialized equipment like shower chairs or commodes for ease and safety.

Promote Mobility

  • Encourage regular movement, even if it’s a short walk or standing with support.
  • Assist with stretching exercises to improve flexibility and circulation.

Monitor Health

  • Regularly check for pressure sores, infections, or other
    complications related to immobility.
  • Keep track of medical appointments and medications.

Overcoming Common Challenges

Resistance to Help

Approach resistance with empathy and patience. Explain the benefits of
assistance and involve the individual in decision-making.

Financial Strain

Research insurance coverage, government programs, or nonprofit
organizations that provide financial assistance or free equipment.

Balancing Responsibilities

Delegate tasks among family members or hire additional help to share the caregiving load.

Adapting to Changes

Be flexible and willing to adjust routines and strategies as the individual’s needs evolve.

Sources:

AARP
Centers for Disease Control

Yale Medicine
World Health Organization

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