Getting By with a Little Help……

735910_64656392Many people benefit from products known as assistive devices in the medical equipment world.  These are products that help people continue to be independent in their activities of daily living.  They allow people with physical limitations to feed, bathe and dress themselves, do things around the house, as well as move from place to place.  All kinds of activities can be maintained through the accommodations made with assistive devices.

We are all familiar with the most obvious ones like canes, walkers, wheelchairs and scooters.  And many of you may also have seen raised toilet seats and grab bars.  But there are also all kinds of reachers, grabbers, extenders and grippers that can modify activities such as pulling on your socks, reaching your lower legs and feet in the shower, grasping your toothbrush and holding onto your utensils.  These devices not only create a way to complete a task but also, often, a safer way to do them.

Simple things like grab bars, raised toilet seats and shower chairs can make bathroom activities safer and easier to do.  Many items you can find on your own and purchase from a medical supply store.  You’ll even find a basic selection of these types of items in drug stores and the other stores you frequent.

However, if you know that your loved one needs some assistance but are unsure of what would really help the most, you might want to consider asking the physician for an order for a Physical Therapy and/or Occupational Therapy assessment.  The therapist can work with you and your loved one to identify the deficits, maximize their ability and make recommendations about the products that might be helpful as well as work with them on how to use the device!

Also remember that many medical/assistive devices may be covered by Medicare or your insurance (with a script from your physician).  It would be worth asking and investigating the possibilities before making a purchase (look for the Durable Medical Equipment benefit information in your policy).

There are also many little things that you can try based on your own observations!  While my father was still living at home I noticed that he was having a difficult time with the heavy glassware that my mother was using and actually dropped his glass at dinner one evening.  I suggested to my mother that she try using lighter glasses at meals and this really helped!  With the increased number of falls that Dad was having I also encouraged Mom to pull up all the little scatter rugs (tripping hazards along with clutter, electrical cords, poor lighting, and raised doorway thresholds).  Just be observant and try minor adjustments.

For a time, my father was using walking sticks to aid with his balance (something one of his friends suggested to him) and it did seem to work well for him until his dementia advanced and weakness became more prominent.  Then, I came to refer to them as his tripping sticks as he was no longer able to use them in a beneficial way and more often than not they were getting tangled up in his feet rather than aiding him in his balance.  He resisted the change to a walker but when he had to be placed in a facility, the therapist was able to prevail upon him that the walker would be safer and he began to use the walker (though the dementia still affected his safety awareness and judgment when using it).

For optimal mental health and wellbeing, the goal is to stay independent for as long as possible in the safest way!  Seek the help of a physician and/or therapist in helping you to find the devices that might best help you help your loved one remain active!

On the journey with you…….Kathy

For more information about fall prevention check out:  http://www.scdhec.gov/health/chcdp/injury/docs/home%20safety.pdf

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4 responses to “Getting By with a Little Help……

  1. Been out of touch for so long, I thought I’d check in. We don’t much need fall prevention devices since Dad is in a dementia care facility, but I sure doesn’t take much for them to fall. We took Dad out for brunch and he nearly feel stepping off the elevator at his home. If we hadn’t have three of his big grown grandsons right by, he probably would have fallen. Keep up the good work.

    • Glad to see you circulating again! I, too, have been a bit less active these days…. Falls can lead to some very unpleasant places so I’m glad your father was saved by the grandsons! Both of my in-laws began their final downward spirals with falls and broken hips that they never fully recovered from….

  2. Hi Kathy, I totally agree with all you’ve said but in my experience I’ve found that people, both old and not so young, can be very, very resistant to using assistive devices even though they may be very curtailed in what they can do without them.
    It seems to come from a sense of not wanting to ‘accept’ that there is a need and possibly hope that everything will be okay in a few days ~ when everyone else knows it won’t.
    I reckon there has to be great sensitivity around all this as what can seem like the clearest, most practical thing in the world to others may feel like the ‘end’ to the person with the disability.
    Obviously, there are many who embrace assistive devices but what a sticking point they can be for others.

    • You are so right about the resistance! I think a lot of the resistance, on many fronts, comes from the fact that as we get to the point of needing things to change, so much is changing (lots of loss….. physical, mental, health, social, etc…..) that we don’t want to give in to one more change/loss! And, we can’t force any of this. Sometimes, unfortunately, the ‘worst’ does have to happen before we are able to make a change that we feel needs to happen. I am a big advocate for a seniors right to make decisions for themselves!!! Patience really is a virtue…..;-)

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