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I keep trying to explain why she needs this but it just doesn’t sink in. Why after 8 years does she feel she no longer needs it? I know if she falls, I’ll feel like the neglecting caregiver!! Any ideas?

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Buckiiz, older people fall, that is what they do. There is no way we can stop this unless one is duct taped to their parent, and even then both could fall. Thus you are not neglecting your Mom, but it difficult when they do tumble. We don't want to see them get hurt.

My own Mom refused to use a walker, and would only use her cane when going to doctor appointments. Heaven forbid the neighbors seeing Mom with a cane, they might think she was old. HELLO, Mom, you're 98.

My Dad loved his rolling walker, you would think I had bought him a Mustang. But Mom didn't want Dad to use the walker outside the house. Thankfully Dad bravely ignored Mom when he wanted to walk down the driveway to get the mail. He remembered a time when he fell backwards and hit his head trying to use only a cane. 911.
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My mom's most recent fall at her memory care facility was last weekend. Walker right next to her bed, bathroom only a few feet away, she gets up in the middle of the night to go potty and doesn't use the walker. Couldn't tell us why. Chalk up another ER visit.
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lealonnie1 Jul 2019
I'm waiting for the next ER visit for mother myself since she's always caught transferring alone with NO aid of any kind, and she's wheelchair bound. Maybe a broken pelvis, or at least a hip, who knows? But at 92 and in memory care, it's HER life, HER stubbornness and HER insistence on flipping us all off that will lead to her demise, nothing else. A bed alarm and a chair alarm won't be enough either, when the time comes to face the next crisis. Actually, she's due for another horrible bloody nose within the next few weeks, it's been about a month since the last one. That will require another ER visit and ambulance ride. Sigh
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I'm 56 but I don't see myself as 'nearly 60', even though clearly, that's exactly what I am. I still feel youthful in spite of my knees!

Your mom is the same. "Why would I need a walker?" she says to herself. "I'm not an old person who needs a walker. I'm fine!"
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lealonnie1 Jul 2019
My mind may feel youthful, but my body tells me differently. When I need a cane, I use a cane. When I needed a walker after hip replacement, I used a walker. It's common sense, and the desire to prevent my loved ones from having to deal with MY inflated ego telling me I'm something I'm not. I know better.
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It’s just What They Do. And it’s hopeless.

OLD AGE PRIDE. These folks are in their 8th/9th decade..... with white hair and a full wardrobe of easy on/off clothing, but “don’t want to look old” by using that cane or walker or rollator.

IF/WHEN THE MIND STARTS TO SLIP: All bets are off.

Delusions of being more capable than they are? Paranoia about “being seen like that”? Straight-up incapable of simple logic? Choose one or choose all - the net effect is the same.

Now lump in some extra frustration for the caregiver:

•Obvious (to us) dementia, yet undiagnosed. Whether by accident. Or design. Or a “nice” doctor who doesn’t want to upset the patient.

•Showtiming! Our stubborn elders can summon up enough “normal” to fool people at church, shopping, etc.

•Post-showtiming fallout. Our stubborn elders “let it all hang out” with us - in the car and at home. They reserve the bursts of anger for US. The people who spend the most time with them. The people who are their lifeline.

Back to the original question: It’s somewhere between damn-hard and impossible for us caregivers to convince our stubborn elders to use assistive devices properly and consistently.

We can try. We can coach. And if the cane/walker/rollator convo with your parent always ends in a fight, you might need to “table” this topic in favor of other fights. (Nutrition? Toileting? Keeping utilities/taxes paid? Protecting from predatory charities or scammers? Driving privileges?) **Your mileage may vary.**

This is does not mean that safe ambulation is not important. It IS important. But safe ambulation will only happen if it is important to Your Stubborn Elder.

Worried about Worst Case Scenario? Stop worrying. It’ll either happen, or it won’t.

For some, a bad fall is the only thing that transitions a stubborn elder to the level of care he/she previously refused to accept.

For some, a bad fall is what ends his/her life. I have personal experience with this outcome.

My heart goes out to all caregivers who struggle with the cane/walker/rollator issue.

It’s a common (but certainly not the only) manifestation of the Sad Dichotomy Of Caregiving: What seems like a no-brainer to us is often the lowest priority for Our Stubborn Elders.

Back in my naive past, if someone had tried to tell me that the last 5 years of my mother’s life would be a zero-sum game (at the expense of my sanity..... and at the expense of how I was perceived by family/“friends”/neighbors), I would have never believed it. Silly me.
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Ahh.....can so totally relate to this. Mom (89) has already fallen, broke her hip....one week in hospital, 3 weeks in rehab. because she did not use her walker. STILL plays games with excuses as to why she walks without it. Yet she'll insist she uses it most of the time. No. Both my sister and I continually catch her without it. She has two....has baskets, four reaching sticks (never uses). When dad leaves (he gets totally stir crazy with her constant demands and whining) I'm sure she does whatever she pleases.....mostly things she is restricted from doing. It's just a matter of time and we keep reminding her that if she falls again she will not return home. She claims she's strong now since she does her exercises and is in better shape prior to surgery. She has mild dementia (but seems to be getting worse), severe osteoporosis, compression fractures, and PMR. In spite of knowing the obvious, it still causes a lot of stress......keeping our fingers crossed while waiting for the next tumble.

Bottom line.....you are no way responsible if she falls. Outside of being constantly with her when she's upright you cannot prevent her falling. They are stubborn and dislike being told what they should do......even when drs. explain explicitly the need for a walker for their own safety. So no, I don't have an answer for you....but hope you can take some comfort in knowing you are not alone. Best of luck.
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Mother thinks she is able to manage w/o her walker--but watching her 'walk around' is terrifying. She moves carefully and slowly from counter to chair to door frame...it's awful to watch. She has 3 walkers of some kind in the apartment at all times, but if you go visit her and she is unaware that you're seeing her through the windows--she's often hobbling around w/o the walker.

She thinks it makes her look old.

She's 90. I think that IS kind of old. And I do wish she could walk around without the walker, but that's life.

Always just waiting for the next fall.
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Is she living with you?
I suggest that you get a Gait Belt and put it on her so you have some stability and a way to grab hold of her if she were to start to fall.
The way I got my Husband to use the walker is I would ask if he would carry some things for me in the basket. He would do just about anything I asked so getting him to use the walker to make things easy for me was a no brainer.
If you can get her to use the walker when you are with her great.
If you are not with her and she does not use the walker that really is not on you. Much like when your kids were learning to walk, you would watch them but if you went into the other room and they started walking and they fell that was not negligence on your part.
One true fact....Falls WILL happen. It is not a matter of IF but WHEN.
You can try to limit them but you will not eliminate them.
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They don't want to admit an infirmity. I don't know how old your is, mine depression era.,mind over matter.

I have told this story before I think here. I took my mom shopping. Mom let's look at this Alfred Dunner line.no. that's for old people. Where's the Liz? ( Claiborne) she was 89 at the time.

My mom could not master a walker. And we had 5. Different models and colors. Nope.

In memory care. Would push a wheelchair while she could still walk,but not sit in. I feel you.
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My mother was using a walker for 5 years and now became wheelchair bound as she's declined physically and mentally, due to dementia. Suddenly, she feels like she can just "jump up real quick" and use the toilet, or get out of the chair, the bed, etc. No matter how many times I tell her she needs to ask for assistance when getting up, she just doesn't get it. It's the nature of dementia, which I assume your mom is suffering from as well since your question is filed under that category. There is no sense to dementia......they revert to children again and have no concept of safety at ALL. Reality no longer exists. You are not a neglectful caregiver if she falls.......there is nothing much you can do to prevent it short of putting alarms on her bed and chair. Even then it can be too late to prevent the fall. My mother has fallen over 3 dozen times over the past couple of years and has broken ribs and sternum bones which are in various stages of healing. How do I know this? Recent CT scans and MRIs taken at the hospital for a stay with pneumonia. She fell under the radar at the ALF and wouldn't call for help when she needed it, wouldn't use her walker, etc. You can't save a person from themself, I'm afraid. You can only do your best and let the chips fall where they may. Before the dementia got bad, I used to tell mom, " I guess I'll meet the ambulance at the hospital next time you forget to use your walker and fall again." Sigh. It's a tough road for all, isn't It?
Best of luck
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If she had been using it for eight years it is probable that her dementia has reached a stage where she simply forgets that she is old and frail. Perhaps you could get a bed or chair alarm that will alert you when she is on the move.
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Does your mom have dementia and that's why you can't get through to her?

My MIL is really bad at using her walker too. I tell her "if your feet are on the ground, your hands need to be on the walker". She does have falls but has been sooooo lucky to, so far, get away with minor bruising, etc.

I catch her very often leaving it here and there and then making stories up as to why it's not with her.

It seems like all the convos in the world don't matter. They forget or think they're fine without it.
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