 Safety Issues with Seniors
by Sandy Dunlap, RN, LCSW
We have discussed the problem of falling in a past newsletter. The question has been posed about having a physical therapist involved in assuring the safety of older adults. There are several situations in which a physical therapist can be beneficial to individuals and families concerned about the safety of a loved one.
- The individual does not exercise regularly
- The individual has a progressively deteriorating disease such as Parkinson’s disease, multiple sclerosis, post-polio syndrome, stroke, diabetes, arthritis, or spinal problems
- The family or caregivers have not received training on techniques for helping the care recipient or have not been trained in performing exercise activities with the elder
A physical therapy evaluation can provide information about any assistive devices that may be needed and educate the caregivers or family how to assist their loved one. This evaluation will also give the family information about general safety for the care recipient.
Some of the following difficulties may indicate the need for a physical therapy evaluation and training:
- Falls or unsteadiness
- Inability to get up out of a chair or off the toilet
- Inability to stand
- Feelings of weakness
- Inactive lifestyle
- Contractures or skin breakdown
- Difficulty getting in and out of a car
- Weakness in limbs
- Unsteadiness when bathing or dressing
- Pain that limits activity or movement
- Fear of moving due to pain, frailty or lack of experience
There are times when even experienced caregivers require a consult with a physical therapist to provide new techniques when moving a person. A disabled person may become fearful of moving and therefore limit their cooperation with the caregiver.
There are also many reasons to have a consult with a physical therapist to help with prevention of other more serious health problems, such as pneumonia, skin breakdown and caregiver injuries. Furthermore, using good body mechanics and techniques for safety will improve quality of life for both the care giver and the care recipient.
Rona Bartelstone Care Management & Home Healthcare can help you to know when it is advisable to have a consultation with a physical therapist and to coordinate the delivery of that service. |