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Caregiving Caregiving Information

Taking Care of an Elderly Loved One at Home


Author:

Christina Baldasari, L.P.T.

Doylestown Hospital, Doylestown, Pennsylvania

Medically Reviewed On: March 31, 2006

Introduction

An elderly gentleman looks anxiously out the window of his rehabilitation hospital room, quietly anticipating the arrival of his daughter who is coming to pick him up. Sitting alone, he can hear the nurses shuffling their med cart down the hall and a physical therapist trying to convince his neighbor to get out of bed for a walk. Just two weeks ago he was playing baseball with his grandson. Now he needs assistance to walk to the bathroom; a sudden stroke has left him with weakness in one leg and with faltering balance. His daughter will take him home to live with her.

As a hospital-based physical therapist, I have witnessed this scene hundreds of times. Concerned and confused patients, deemed ready for discharge in the physical sense, must face the reality that they can no longer safely do all the things they once could do to care for themselves. Often the decision to accept help in the face of declining mental or physical health is made for them. Doctors or family members simply decide that Mom or Dad can no longer continue to live alone.

Of all the options, bringing a previously independent, elderly loved one to live with the family is often the most difficult. The daughter mentioned above will be taking on an enormous responsibility, almost as great as the time she brought her own children home from the hospital. She had 9 months to prepare for the arrival of her newborn but only two weeks to prepare for this newest addition to her family. In addition to preparing for the medical and emotional needs of an elderly family member, preparation must also include consideration of such issues such as home safety, mobility and independence.

What Can I Do to Make My Home Safe?

Safety is the first consideration in planning for the arrival of an older person to your home. Even the healthiest, most independent older person is at risk of falling, and the consequences of a fall can be devastating. Hip fractures, vertebral fractures and head injuries can result from even minor falls. Many medical conditions increase the risk of falls. Weakness or unsteadiness of the legs can result from stroke or other neurological problems. Many medications, including some of the most commonly used blood pressure drugs, can cause dizziness or balance problems. Vision problems, from simple cataracts to partial blindness, can make navigating an unfamiliar home difficult.

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