There are many causes of reduced mobility and different people will be affected with varying degrees of severity. Common causes of reduced mobility in older people include stroke, dementia, arthritis, rheumatism and complications from long-term conditions such as diabetes. These can have a profound effect on how people care for their elderly loved one. But how do you asses what they need?
How is your loved one affected?
Knowing what you are dealing with allows you to plan. It is important to determine what areas of life your relative finds difficult. For example, one person may find dressing and undressing difficult because of a loss of fine motor skills but be able to walk short distances – whilst another may struggle to walk but still be crocheting hats and scarves.
Adapting the home
Healthcare professionals such as your relative’s doctor and district nurse will be able to advise on aids that can help both them, and you, around the house. Adaptations such as walk-in baths, shower seats, grab rails, transfer discs (to aid getting into and out of bed) and booster cushions can make life easier but if a task, such as lifting into the bath, requires two assistants then for your own health wait until another family member, a friend or your homecare services are around.
If you need to undertake larger scale adaptions – installing stairlifts or widening doorways for example – you may be able to apply for a grant to cover some of the costs. Your local council will be able to advise on the application procedure and will assess the extent of modifications required.
Keeping Mobile
It is important to retain what mobility your relative has to enable them to be as independent as possible. Needing to rely on others is a key factor in old-age depression and depression can make your loved one miserable in themselves and difficult for you to live with. Ensure that your loved one keeps as active as possible – encourage them to continue to take an interest in their garden or take them on days out for a change of scenery.
If your loved one cannot walk 50m then they may be eligible for a “Blue Badge”. It is worth applying for one even if they no longer drive or own a car as it will allow carers to park closer to shops and attractions which may make it easier for you to continue to support them outside the home.
Accept your limitations
You have your own life to lead and it can be extremely frustrating if you feel yourself trapped by your caring responsibilities. It is normal to feel this way and it may help to attend carers meetings where you can express your frustration and anger with others in similar situations.
If possible try to share the load within the family or with close friends. If 24 hour care is required then there are various levels of in home care available ranging from a few hours a week right up to a full-time live-in carer who will take over running the home as well as providing care.