How to Keep Parents Safe from Dangerous Hobbies and Activities

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It's very easy to get overly protective of our elderly parents. We don't want to see our mom or dad fall. We certainly don't want Dad to get electrocuted or Mom to get burned lifting hot pans from the oven. But, what of their pleasure, their sense of self? When do we interfere?

My dad had brain surgery that threw him into severe dementia, which necessitated his move to a nursing home. In the first years after the surgery he would go through streaks of "getting in shape." This was a man who spent his life with his nose buried in books. Suddenly he wanted me to get him hand weights, which I did. If he was in a non-sleepy mood, he could sometimes be found sitting in his recliner lifting weights. This was great for him and the staff was pleased.

However, in the same mood, he would decide to race his wheeled walker up and down the hall of the nursing home. Rather than wait for help to get him balanced on his walker, he'd get himself up. Generally, he was okay. The staff would chuckle about the fact that Dad would come zooming out of his room and start racing his walker down the hall as though in a competition. The problem was, he had no judgment. There would be days when he was too sleepy or off balance to get up safely on his own. But he'd try anyway. And he'd fall. What to do?

All kinds of alarms and other options were tried, and he'd circumvent everything that made basic sense. Anything too restricting caused such psychic misery, we had to let go. We knew there would be falls, but we also knew that restraints weren't an option. Dad needed some freedom or his life, to him, wasn't worth living.

Often, people with Alzheimer's or other dementia will perk up if they have a task to do. Most adult day care centers have a variety of activities, and can determine from the person's past what they may like doing. Some women enjoy folding laundry. That's what they did when they kept house. They feel useful. Others like to bake. Some enjoy gardening. Good day care centers and nursing homes foster a sense of purpose for the people they are caring for. Home caregivers need to do the same.

Should the elderly father mentioned previously be made to give up his handyman ways? I'm certainly not close enough to the situation to say one way or the other. If he's doing things like Joe did, well, I'd try to persuade him to back off a bit. If he's trying to use power tools, you may have to so some creative "breaking" to stop him from cutting off his fingers. But I wouldn't stop it all-together, and I wouldn't step in too early.

My father-in-law always had a "shop" in the basement. For as long as he could, he'd drag himself down the stairs to his shop. He always loved to put cane seats in antique chairs, and that gave him a purpose for years. When he could no longer go to the basement to do this work, a little part of him died. Piece by piece, he lost his sense of purpose in life. I watched him fade away until the last stroke took him. I believe he was ready to go. His work was done.

Each person is different, but I think nearly all of us need to feel useful. We need a purpose. My personal belief is that people should be able to do as much as they can do, if they aren't going to hurt another person in the process. If there is some risk involved, then it should be discussed. Maybe some safeguards can be put in place or compromises made. But I'd be very, very careful about taking away hobbies or tasks that help people feel useful. They just might die because they feel no reason to live.


Elder care author, columnist and speaker Carol Bradley Bursack is an AgingCare.com contributing editor and moderator of the AgingCare.com community forum. Read her full biography

 
 

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leahtown

Give a Hug

Feb 11, 2010

It is so very important to let the elder live with dignity for as long as possible. I know it is hard at times for the caregiver to make the calls needed. Thanks for providing us such a thought provoking post, Carol.

 
 

deefer12

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Feb 11, 2010

Mom was a housewife her whole life. Now she has Parkinsons which has made it impossible to walk without help. I do have to restrain her because she also has dementia, anxiety and depression. She also has severe OCD which causes her to be in constant motion. If she is sitting, she will try to stand up 40 to 50 times/minute! She loves to fold laundry, but keeps trying to stand to do the work, or wants to put away each piece after she folds it.
The dementia has made it so that she can't understand it is unsafe for her to walk. As soon as she gets up, she falls. She has been to the hospital many times for e-rays and stitches, and was in rehab twice after falling. I am with her all the time, and can't do laundry or even cook without tying her down. I put her in a wheelchair against the table to eat. She will buck the chair back numerous times while eating.
She used to love to read, but was not a hobby person. She liked doing housework, but is no longer capable. If I try to find her something to keep her busy, she says she doesn't want to, or is bored within 5 minutes. All she wants to do is get up and walk. She cannot comprehend using a walker or wheelchair, and thinks if I let her use them, that she has free rein and can go anywhere she wants. When I do let her free, she drags me all over the house. All she wants to do is pace. I prevent her from falling dozens of times a day.
How do you deal with someone like this without restraining them. I'm exhausted from trying to keep her down. I have no ideas left to keep her busy.

 
 

My 93 year old mother was diagnosed with dementia about 6 years ago. It has been a slow process, but she is not capable of logic, or reason, and if allowed would do some very bizarre things. She is not bed ridden, and is quite mobile, and capable a getting around pretty well, even those we have notice that she is becomming more and more feable. She has always been very independent, and a workaholic. If we attempt to stop her from doing things like lighting a furnace that is already lit, or taking a hammer to a working t.v. to fix it, she becomes combative. Medication keeps her a little calmer, but she appears depressed, because she is not able to maintain the busy life style she once had. She has 24 hour care givers because she lives alone. She has never been a social person, and crowds bother her. She can only relate to close family members. She is very small in stature, she also has a bad heart, and when agitated can rip doors off the hinges. How do we deal with her without getting her agitated, and without getting injured ourselves? Is there an agency that can come to the home to help with activities.

 
 

deefer12

Give a Hug

Mar 1, 2010

Linda, Don't know what to tell you! Mom is the same way and also has Parkinsons as I said before. She only weighs 110, but is very hard to restrain when she's in her "nasty" mood. I'm only 5'2", but since I have been caring for her, I now weigh 160! Yikes!!!! I'm a very strong person and have done heavy physical work all my life, but I have trouble holding Mom when she gets ornery. I've twisted my knee, back, shoulder, which I had rotator cuff surgery on, last May. I've also gotten my fingers close to being broken when trying to keep her from falling. Some days end with me feeling like I fell down 3 flights of stairs! I don't know what to tell you. I do know that it is hard to find someone to help care for a combative elderly person. It is also hard to place them in some nursing homes, as they do not have the staff to keep a constant eye on them.
I do know that drugging them to calm them down, should be a last resort. Our results from trying such meds went terribly wrong. So I just keep doing what I do and hope that Mom is going to have a good day.
When your mom gets really bad, you might want to have her checked for a UTI. This can alter them drastically, both physically and mentally. They become very incoherent and MEAN! It's usually a sure sign for me that Mom has a UTI.
Good luck, and hope you find some answers to your dilemma. Let me know if you do.

 
 

greencandy

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Mar 5, 2010

My question is about providing a place for dignity, safety, and sense of purpose. Is there a demand for private day care for seniors living with family, who shouldn’t be left alone during the day, but who for some reason a regular adult day care is not a good option?

I read a paper on intergenerational day care where seniors and preschoolers benefit from spending time together, but it was for legislation to regulate an institutional approach to the idea. The point about the seniors and little ones interacting was that mentoring the children gave the seniors a sense of dignity and purpose, while their needs for safety and assistance were also being met.

It sparked my interest because I used to love “granny sitting” a neighbor of mine, and babysat all the time when I was a teen. Now my job is substitute teaching in a large district. It isn’t as much fun as baby sitting or visiting with senior citizens.

I am wondering if a small, private, in-home alternative would be a good option for some people. I am most interested in the idea of a couple of senior ladies and a couple of preschoolers for all day Monday to Friday, but also want to know what the demand for a drop-in hourly type option would be. Assuming the caregiver meets your every wish and expectation for quality of care and attention, would this be a service you would want? Any and all input is appreciated.

 
 

Licensing would be a key issue, as is your location. The idea is interesting. Adult day care centers often are in the same building as child day care centers so that the generations can interact, but not be together more than they wish.

Good luck with your plan. I think you may be limiting it a bit, but you are the person who has studied this.
Carol

 
 

SandwichINK

Give a Hug

Jan 18, 2011

Hi Greencandy - As a member of the Sandwich Generation, balancing my caring for my elderly parents with babysitting grandchildren is something I do on a regular basis.

Your idea does sound good, and I would think there are people who would like this type of care. There are two things you might need to take into consideration.

1. Kids can get sick often - exposing the fragile elderly to more germs than normal. You'll need to make sure any who participate are ok with that.

2. The grandkids are, indeed, a joy and delight to my senior mom - but in shorter doses than I enjoy. She loves spending time with them, but she also loves being able to retreat to her bedroom when the kids' noise gets too much for her. Quiet areas for each will be a big help to you.

Hope this helps. :)

 
 

ElderCare78

Give a Hug

Feb 9, 2012

Dealing with an aging loved one is never an easy process. There are so many little details to keep up on, I found that Dr. Marions home safety checklist was not only helpful but it kept my mind at ease.

 
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