Thursday, August 6, 2020

Part Six: The Reluctant Caretaker's Guide to Broken Hip Recovery


Friends and family
It’s hard to measure the importance of good friends and family members.
Realize that you’re tired and may feel like you’d rather be left alone, but please allow friends to drop in. It will do both of you good. Frequent visits help keep your loved one’s spirits up, and you can use that time for a quick nap or shower or other self-care.
Sometimes people will visit on their own. Other times you’ll need to invite them specifically. We’re always afraid of intruding in this culture of ours, but don’t be shy about what would work for you. It also helps you keep connected and expands your world beyond the sick room.
My husband and I were blessed with a steady stream of caring people coming over or calling. It kept him from becoming depressed and really helped with the whole recovery process.
Copy the experts
While visiting my husband in rehab for Hip #1, I had the opportunity to observe what the nurses and techs do. Those absorbent squares—the uncomfortable but necessary ones—that they put under patients? They rolled up half of it, wedged it under my husband while he was on his side, then turned him to the other side and voila! The sheet unrolled easily and they got it under him without having to haul him out of bed. You can remove and replace entire bedsheets the same way.
For dressing his lower half: they slid briefs and pants on as far as possible, then rolled him from side to side to get them over his hips and rear. From a sitting position, you can slide shorts as high as the thighs and then finish the job when he stands.  Later, when stronger, have him on his back, plant his feet and bridge an inch or two—that’s all you need—to get those pants up.
For bed positioning, have another person stand on the other side of the bed. Put a half-sheet under him (by rolling if necessary). Now, you and the friend grab the sheet with both hands and count—one, two, three!—and pull him up to where he needs to be. When stronger, install some bedrails and he can pull himself up.
While your loved one is in rehab, ask for a family session with the physical or occupational therapists for advice and practice with transfers from wheelchair to bed, etc. We used a combination of walker and foot pivot to get him in and out of the wheelchair, so ask about equipment needed as well.
The most important thing about wheelchairs/transport chairs is to lock them when the patient is moving in or out of them. The hospital/rehab staff will be happy to show you how, as well as deal with the removable footrests.
The difference between the two contraptions? Wheelchairs have huge wheels that the patient can theoretically propel himself, while transport chairs have little wheels and require another person to push. Transport chairs are cheaper, lighter, and smaller—so they may fit better in your house and will be easier to pack into car trunks.
Just be sure to get one that fits the patient’s height and weight. We had a transport chair that was too small and it tipped over—although any wheeled device can tip, so be careful. Tell the patient: No plopping down, or you’ll end up tipping over into a dead bug position with your legs in the air and possibly hurting yourself. And you, dear caregiver, will be calling the fire department again to pick them up from the floor! Not that this happened to us, you understand. Or that the same guys who originally took him to the hospital showed up again. Thankfully, he wasn’t hurt. And also thankfully, the EMTs didn’t laugh.