To walk or not to walk that is the question.
My mom is 78 just discharged from Acute Rehab from my unit . I am a Rehab RN , so I know how to walk her . The problem is she walked 75 feet in rehab with bilateral DVT 's , min assist in shower , standby assistance to stand . Last night she came home via medical transport , I knew she would be to tired to get out of the car ,so I set up transport to pick her up . She gets home last night I got her changed cleaned up and said ok let's walk to bed ... She said no , I said what ?? I said mom there's no reason you can't stay home unless you walk . She said no ,needless to say I was mad ,, yet I tried to explain I just worked a 13 hour shift she knows because she was on my unit and I was in charge . I explained I'm tired and haven't eaten yet today . She has dementia and Alzehemiers but mild .. She said " that's your problem ,,, ugh ...she has very bad arthritis in her knees and the bilateral blood clots in her legs. So I understand she has pain , I gave her a pain pill and tried again , she said no push me in my wheelchair . I said mom I worked all day I have psoriatic arthritis and there is no reason for you to ride on the wheelchair get up and walk , I asked her why she wouldn't walk she say she was tired ,,,,, holy moly I was disgusted ...I said you will walk she then walked a few feet and sat down and said there .. Ugh by then I said forget it pushed her to bed and she climbed in. I made her walk this am and she did mid to mod assist sitting every 3 feet .. Oh Lord ,,, I was very patient and gave positive reinforcement .. But it was a struggle .... So my question is ,, she needs to walk , and I want to keep her mobile ... But if she refuses I get stuck pushing that wheelchair when I know she can walk... She is a retired RN of 50 years , my sister was my only helper as a caregiver and she died suddenly from a Pulmonary Embolus August 10 2013 ,,,age 49 we were RNs at the same hospital , I have a brother out of state who sends money when I ask . She has plenty of caregivers when I work ,,,,what do I do when she refuses to walk and makes me push that wheelchair ? She weighs 245lbs and is 5foot 4 . I have PT and OT coming to the house she usually refuses ... I love mom she's all I have I take excellent care of her and lacks for nothing . I'm just need to know how to handle her when she refuses to walk .. Thank you for listening to me vent