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He keeps falling. Need help and suggestions. Dad w CHF. Very weak. No longer can stand.
Refuses to vacate in depends or diapers. Cannot stand or walk even steps to a commode, but wants to and falls. What can I ?

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Discuss this with your hospice nurse she should be able to offer some suggestions as she knows your Dad. can You tell us a little more. Is he getting out of bed? falling from a wheelchair? Where does he spend his time. Could or would he use a walker? Does he use a urinal? Will he call for help when he needs to go? If he is so sick at this point he is very close to dying and will soon not even have the strength to get in a position to fall. Does he have a hospital bed set up in a living area of the home so he can be more easily observed? Above all don't try and do this alone no one can watch a patient 24/7 Although he refuses any kind of protective aides. i can understand that if all you have tried are the ones with velcro tabs, They are not comfortable or easy for the lay person to apply adequately. have you tried the depends made for men. They are a pull up product but are made of a knit fabric and colored grey so at first glance look like regular underwear. They are well padded and you can add an extra "guards" pad for added protection. Be of good heart as this too shall pass it is only a small part of the loving care you are giving your father in his final time on earth. he still has some fight in him but as he gets weaker he will relax and let you make all the decisions. place a matress on the floor beside the bed so he has something soft to fall on. Push his bed against a wall and place a heavy piece of furniture on the other side so he can't get out of bed. Give him the means to summon help. A whisle bell ot even a wireless door bell works well.
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Not getting much in way of alternatives from assigned nurse. He wears depends, but wants to use bathroom. He has a walker. Was only using occasionally, but now it really doesn't help as he doesn't have leg strength to stand. Just last night an on call hospice nurse who visited for his extreme agitated behaviour suggested bed against wall and extra mattress on floor. I did both. Most of falls occurring because he eants to use bathroom or stand to use urinal. Says he will use it sitting but does not. He just in yhis past week become more agitated, agressive at times,very confused or sometimes in a stupor or comatose type mood. Very different. He even will deny times where I know he has purposefully gone down to floor and out pillows and blankets on floor. Are there bed safety items that won't hurt him? He refuses to ask for help. Very independent type. We would like him to be home as he has declined in times he was in nursing homes for just rehab. He is not quite the nursing hone type and we just want to give him his wishes as best we can. It is becoming more challenging, but probably because there is so much I do not know as for the equipment, support available, etc...The last 72 hours have been the worse so far. He has been under hospice care since April 14. This latest physical decline was sudden. His behaviour began weeks ago.
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Sorry for typos. Thanks for suggestions.
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Could you put a commode (potty chair) right next to his bed? I have no idea if that would help, but it would be closer than trying to walk to the bathroom. Good luck, this sounds like a very difficult situation for you and for your dad.
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