My parent is 91 yr old, frail, uses a walker, with bad hip-replacement. He has dementia and constantly wants to get up and walk around. He has fallen 2 times recently and fractured his clavicle bone. He gets angry and won't follow directions from the staff at the nursing home. Facility doesn't allow restraining him, so what can we do? We want to keep him from falling and fracturing his hip, and be more cooperative.
So I keep her off a wheelchair and only use it for transport purposes such as taking her to the mall and just wheel her around. AT home she sits on an easy chair with a hydrolic lift (cost me $800), and I use a walker to get her around the house, bathroom, teeth brushing, and so on.
During earlier stages of he Alzheimer's I depended on exercise to manage her behavior and she never needed a single narcotic or psychotropic. Exercise actually reduces falls. but there is no way you can completely eliminate them.
You have realized that there are NO good solutions to Dad’s desire to walk because he has become a serious fall risk.
SO- for better or worse, it’s time to try a less than good choice.
My LO was anxious and in constant, unfocused motion, and hostile to her caregivers, until she was assessed by a kind, quiet psychiatric PA., who recommended a trial of the LOWEST POSSIBLE DOSE of an anti depressant with tranquilizing properties.
I DID NOT want her “doped up”, and the therapist agreed. The effect of her medication was enough to give her a more peaceful outlook without depriving her of her sense of humor. She now uses a walker, and has still fallen occasionally, but with far less serious results, although ironically one of HER previous falls had resulted in a fractured clavicle too.
In the last two weeks, her comfort level has regressed a bit, but we will adjust her medication level up (or down) as circumstances warrant.
I’d give anything if there were another kinder, more compassionate, more fair way of dealing with my LO’s current problem, but if there is, I haven’t come up with it.
LO doesn’t warm readily to “strangers”, and dementia or not, she’d know the minute some smiling faced “helper” came up to her and asked her if she wanted to take a walk. The answer would be a polite, professional “No”.
Keep loving him and choosing the best of all the solutions, even when there aren’t any good ones........