Sunday, 20 August 2017

Physical ability

Here is the physical therapy training room where we spent yesterday morning watching Okaasan being put thru her paces.

Really interesting - stretches and massages, then:

* practice in sitting upright and swinging legs over the side of the "bed".
*  Walking between those bar-rails to the chair at the end, turning by changing hand position and sitting down.
* Standing up right from the wheelchair and remaining standing for a count of 20 - holding onto bars in front.

All of this while wearing heart rate monitors.

Okaasaan enjoyed it. You could really see that she enjoyed the physical challenges and chatting to the young, cute therapist. She did well and we sat nearby and watched and gave her smiles and thumbs up.

Before the therapy session started we spent an hour with Okaasan and her wheelchair. All over the hospital, looking at views, looking at prints on the walls and two trips to the toilet with the help of nursing staff.

"Can you stand by yourself?" Dear Son asked Okaasan at one point as the three of us, plus wheelchair, were squeezed in a toilet cubical.
"Stand myself? Of course I can! I couldn't live alone if I couldn't stand on my own!"

Very true.
That is the point!!
Okaasan thinks she DOES live on her own - somehow surrounded by other elderly people in wheelchairs and nursing staff in white and pink uniforms. We know she doesn't - and are trying to judge whether she can even come and live with us again and be left alone for a few hours safely every day.

The hospital did the dementia/life assessment again last week.
Maybe a score of 9/30....two years ago it was 8/30.
It was 14/30 six years ago.
Does this mean OKaasan has improved???????!!! OMG!!!

No. I don't think that interview test is so accurate. But I am surprised if they really think she is mentally the same as 2 years ago. Anyway. That interview result is considered alongside family interview and physical ability - and then the social services decide the level of public health care we can use.

Watching the physical therapy was interesting. Okaasan is getting stronger and can stand and move from bed to chair better. Her walking (aided) is good. Turning so-so.
Turning is important, because that's what we need her to do if she goes to the toilet without us at home. We need her to be able to stand up from the bed, walk thru the kitchen, open the toilet door, go in, turn round and pull her clothing down - and then sit.
Of course we can put in more hand rails - but the basic ability needs to be there.

It isn't there yet. 
Another 2 weeks? I guess that's when we could try and stay at home and see how she is.
To see if we can work it all out.
Or not.

1 comment:

  1. wow, seems impossible. You would hate to have her fall again. Maybe a bedside commode and you could split up her nursing hours to 2 in the morning, 1 at lunch and 1 at supper. I can't imagine how it would be in the winter, when you are alone. Thank goodness you planned your England trip. Sincerely, Nancy in Tokyo