- Sue
Ron Carson wrote:
Thanks Nessa!!
What is a zimmer frame?
======================================================= On Thursday, December 18, 2003, @ 7:45 AM, you wrote:
NM> Hi Ron
NM> I'm with Jody on this one. I wrote recently about my experience with my NM> grandfather who had dementia. He also fell (and ended up being out NM> overnight, in a ditch, on a December night) and after that was NM> understandably Terrified of falling. He fell another couple of times after NM> that too. He was particularly scared on stairs. What we found (occasionally) NM> worked was motivation with something else, e.g. food. What I mean is that NM> sometimes it would take some other really strong desire to overcome the fear NM> and enable him to walk.
NM> However, when the client is That Scared of falling, and due to the dementia NM> doesn't really understand their fear, it seems to me that the most humane NM> thing we can do as therapists is help the family devise ways to minimise the NM> occasions when that fear will present whilst still keeping the client mobile NM> and addressing all personal care needs etc. Quite a challenge in itself! I NM> guess that might involve moving a bed downstairs to avoid the stairs etc.
NM> Zimmer frames can also help reduce anxiety when mobilising as they provide NM> something for the client to support themselves on. It's also something right NM> in front of them when they're looking down, so it 'breaks up' the distance NM> to the ground.
NM> Hope that provides some food for thought.
NM> Merry Christmas to everyone.
NM> Nessa
NM> ----- Original Message ----- NM> From: <[EMAIL PROTECTED]>
NM> To: <[EMAIL PROTECTED]>
NM> Sent: Thursday, December 18, 2003 4:49 AM
NM> Subject: [OTnow] Re: Help w/Client/Jody's gut reaction
NM> Ron, my gut feeling, for what its worth (and I have worked in home health
NM> for
NM> 20 years) is that you are not going to get far any time soon with
NM> remediation of underlying issues, and that you would help the client/family
NM> more by
NM> pursuing adaptive methods and equipment for her bathroom and transfer needs,
NM> and
NM> also by advocating for her that the health care system continue to explore
NM> whether pain ( due to hip fracture or other cause) is causing this
NM> ehavior. -- NM> Jody
NM> strategiesShould we
continue
working on remediation of underlying issues or begin adaptive
to
decrease the family's burden and promote the client's safety
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