I'm talking about someone who simply refuses to walk. When my mother was 55 she stopped driving. When she was 60 she stopped walking. At least beyond her door. Whenever they left the house my father pushed her in a wheelchair. He died 16 years ago and I've been her caregiver. On numerous occasions she's been in physical therapy in hospitals and she does great. Then she comes home and oops. She can't walk. She is now 90.
The next day I joined Weight Watchers and by hook or by crook, I rarely miss a 1/2 hour weekly meeting (their support is unwavering). As of today, I've lost 30 lbs. and still would like to lose another 20. I had an epiphany that day and said to myself that I cannot take care of my elders if I didn't put me first.
So to all of us caregivers, I plead with you all to take care of your needs first. You deserve it.
This is ALL totally for attention.
She can walk independently, but has had so many falls, she really is supposed to use a walker anywhere outside her small apt (which has grab bars all around). She will try to look "younger" and stronger by walking, but she isn't fooling anyone. The walker is for trips to Bingo and to lunch with friends. The wheelchair is for ALL dr visits and if some member of the family she has not seen in ages comes over. It's really obvious and more than ridiculous. Her apt is small and she is now talking about getting a "Jazzy" chair. I don't know why, it won't go through the doorways.
We all are aware of her manipulation and so it doesn't really work on us.
Your mom quit walking at 60?? I'm going to be 60 in a few months and the thought of being in a wheelchair this young is horrifying!
Fast forward 15 years to today: She is 75 and in a nursing home. Why?
1. Her health issues need to be monitored 24/7
2. I can't afford to get the kind of help I need in the home to keep her here
3. She flatly refuses to do anything that is for her own good - like showering or walking or doing any sort of PT to keep her legs under her.
Now that she's in the NH and is no longer considered a PT/rehab patient by Medicare, but a long-term resident, she absolutely refuses to do any sort of therapy. Once the PT department told her they were releasing her from their program and she had the choice to do PT or not, she started refusing to do it. They tried every day to get her to come down to PT, and occasionally she would go, but then just sit there and refuse to do anything. She now walks from her bed to the bathroom with the aid of a walker and a CNA close at hand. And since she has refused to do anything to keep her muscles working for several months now, they are really starting to betray her and are beginning to stop working completely. At this rate, she will be completely bed or wheelchair-bound by the end of this year. And she doesn't seem to care.
So yes, my mother is one that stopped walking (much) around age 60 - mostly because it hurt to walk due to her weight, but also because she just stopped caring. But with her dementia that is now starting to worsen, she insists that she can do things that we know full well she can't. She nearly fell today when I took her out for a ride and she had to make about 5 steps sideways to transfer from the van seat to the wheelchair. She stopped after 2 steps and insisted she couldn't go any further and needed to sit down - I told her she *couldn't* sit down, she was between seats and needed to go one way or the other. She finally did it, but then flopped down on the front edge of the wheelchair seat and darn near tipped it right over. Yet she insists she can make a 600+ mile trip (1200 miles round trip) to her hometown, and that she can come home for the day because she can walk up the wheelchair ramp on her own speed. Her dementia tells her she can. It's my job, unfortunately, to tell her she can't, and I hate that.
So we told her if she didnt help, she didnt go. Shed have a tantrum about it, but my husband and i hurt ourselves too many times carrying her around when she was completely capable of doing it herself.
Recently she refuses to stand in the bathroom, so at the suggestion of OT and PT, we got a Hoyer lift, and she stays in bed, or she goes to the chair. Thats it. We change her in bed, move her side to side (which she has tantrums about) but if, she wont help, then no one is going to hurt themselves catering to her.
If anything here sounds familiar, you may want to wise up and stop catering. If the person really wants to do something bad enough or if I want something bad enough, let them sit there until they finally feel ready to get up and get and do things for themselves. This is what I had to do with my elderly friend, because it seems like since I was one of the closest ones to him he thought he could use me for his agenda until someone let me in on a little secret. When someone let the cat out of the bag, I had to self-discipline and retrain myself to start pulling back. He wanted things when he wanted it, he was very demanding and impatient. I eventually had to start self-discipline to even stop coming around so much and make myself just a little less available. He actually tried to get me to ruin my own housing arrangement since I'm on section 8 and a rental lease. He wanted me to give up my own life and move in with him into a much smaller apartment. He wanted me to give up everything, move in with him and I know I would've been stuck catering to him and waiting on him hand and foot. He got mad when I didn't fall for it because I think he knew I was onto him. He was also jealous because I can drive and he can't. What really made him mad is that I just had a seasonal motorbike and I never take passengers because it makes the bike too heavy. I know he wanted to be on the road again, so he was actually going to buy a car, put it in my name and make me put it on my own insurance policy. Something about it just didn't sound right, so I didn't fall for it and he got very angry with me. I'm glad I didn't fall for it because he eventually admitted to vandalizing someone's car by busting out a headlight when they either couldn't give him a ride when he asked. He really expected people to jump on demand even at the worst possible times, even when they were having a medical problem at the time. I'm glad he ended up in a nursing home and out of everyone's lives because he was actually ruining peoples lives
Now, if he happens to be using a wheelchair, it may be that he has problems with his upper body strength. If he happens to be developing arthritis and other strain related problems in those overused areas, this may be what's going on. You may also want to have him checked for other health related issues to see why he gets weak and shaky
However, have you ever had her checked for arthritis? This would definitely be my next step if it hasn't already been taken. It may be that she can't be on her feet very long due to arthritis somewhere in her feet, legs, hips or lower back. If she doesn't have arthritis, check for some other underlying problem like a heart condition or how well she's able to breathe. If you have the right kind of doctor do a full work up physical and check up on her and find nothing wrong, then definitely take away the wheelchair and proceed with my first suggestion. What I would do however, is check into putting her into a nursing home because they'll make her walk. I saw this with one elderly man I used to know before you died. He became overly dependent on his power chair but he became a danger to himself and others because he was legally blind and couldn't drive anymore. If he couldn't drive anymore, he should've never been allowed to have access to a power chair or scooter if he couldn't see well enough to safely operate one. He eventually ended up being forced into a nursing home. Somehow his VA owned power chair was taken away and returned to the VA, and his mobility scooter was sold. At the nursing home, he was put onto a walker and made to walk. Yes, they took him to physical therapy and made him walk. I'm not sure how far he had to walk or how long he had to stand, but they made him do it because I think someone eventually gained guardianship of him
Wow. Ramiller an cwillie are right of course. At this point her sense of entitlement has won out over any desire to be self-sufficient, and has been too strongly reinforced. You don't say where she is cognitively and it is probably hard to tell... Any little triumph over this sad set-up will be a real accomplishment!