Mobility – did you know that being able to move around is part of the definition of a living being? It’s one of the things that distinguishes us from plants and minerals. When it is altered, disabled or gone we have problems.
So many of the issues we, as caregivers, deal with are mobility issues. When our family member/client can’t walk, or perform the activities of daily living it becomes our role to substitute our own effort and energy to make tasks possible and safe.
Sometimes we turn to equipment (See post on letter E) to provide mobility. Wheelchairs, walkers, lifts of various kinds, and braces are all useful, so it is good to know the general principles of how to use those things. As a caregiver for a quadriplegic woman, I appreciated this equipment and got to be pretty good at taking things apart and fixing them. Yes, like any piece of equipment, these things break and need maintenance regularly, but they do make moving possible for your person and less physically taxing for the caregiver.
But other times, less assistance is needed – enter the principles of body mechanics. Knowing how to help someone get out of or into a bed, or a chair, without hurting yourself is critical. Many times accidents and falls at home can be prevented by learning transfer techniques, a transfer belt, and preparation of the environment (taking up rugs and objects that could trip). Caregivers can learn all this useful stuff by going to occupational therapy or physical therapy with their person. These therapies are almost always available and prescribed by doctors for their patients.
My husband, like many people with Lewy Body dementia or Parkinson’s Disease, has trouble with his balance and compensates by moving slowly and carefully. He has fallen a number of times. He has a shuffling gait when walking and that was part of what led us to seek a diagnosis. One time when walking, his muscles locked up completely and I had to go for a wheelchair so he could sit and be wheeled back home. He also has a cane for times when he feels especially unsteady.
It’s so unfortunate that people with mobility problems are often also tired, weak, and unmotivated to exercise. Caregivers need to be cheerleaders (yes, another hat to wear). Encouraging your family member or client to do the activities that he/she can is how you help them to stay functional. My husband adopted an exercise routine that could be done to music. He calls it his “dance”, and it’s something he can do with other people when they don’t mind getting a little silly.
Movement, however minimal, also helps attitude and stimulates healing and recovery for some.