Physical effects

Physical consequences of being a caregiver

Shower Day

Bathroom fixtures for mobility impairments.

For most people, a shower is just a routine part of their day.  It takes no more preparation than making sure you have shampoo and soap and clothes to put on afterward.  Not so, if the person who needs a shower is in a wheelchair and cannot help themselves.

When I first started bathing Lynn, I had a shower seat I put in the tube.  I lifted him onto the bench, shifted his legs over the edge of the container, and used a hand-held spray for bathing him.  Reaching over the side of the tub was difficult, and we were both soaked by the end of the bath.   My back also was usually aching by then too. We choose this method because it was the only room I could get a wheelchair into since bathroom doors are more narrow than other entries.  (why is that by the way?)

Then our church got us a shower into which we could roll a wheelchair.  That was wonderful.  I lifted him from the transport wheelchair onto the shower seat.  It allowed me to be in the shower with him and not get wet but have plenty of room to bathe him.  The only issue was lifting him back into the wheelchair while he was soaked.  Lifting him while soaked didn’t feel very safe, and a few times, I wasn’t sure I would make it from the shower seat to getting him back safely into the wheelchair due to slippery surfaces.

Then we hit upon the perfect answer…a shower wheelchair!  Now we have the best of both worlds.  I can roll him into the shower, stay relatively dry while I bathe him and I don’t have to lift him while he’s wet.

But still, shower day is a big job.  It takes a lot of preparation time to get everything ready, then time for the bathing and drying and dressing.  I always wait until after I bathe him to take my bath because I get pretty sweaty from working in the hot shower, but this is SO much better than what we had before.

One word of caution, though.  Today I was going to save time by coloring my hair while I also bathed him.  I put the color on and put a shower cap over it.  You’re only supposed to have the color on for about 30 minutes.  We had some unexpected events with the shower today, and an hour later, I still had not washed out the color!  Nothing happened. I still have my hair, and the color’s okay so no big deal but trying to combine the two might not be such a good idea in case you’re ever considering doing the same thing!

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Love/Hate Relationship with the Night

I’ve always loved to sleep.  I don’t nap during the day, but if I had my preference I would go to bed between 10 and 11 p.m. and not get up again till 9:00 a.m.  A good night’s sleep for me is 9 hours. During that time I might get up once to go to the bathroom but most of the time I would spend in slumber.  I also love after a good night’s sleep to slowly come awake–stretch a bit, and allow myself to fully come awake.

I can’t remember when I last had a “good night’s sleep” based on the description above. I long to go to bed (which is the “love” part of the relationship) but I hate how often I have to get up at night.  A typical night for me now is to get into bed between 1:30 a.m. and 3:00 a.m depending on how long it takes Lynn to eat dinner (he likes to eat around midnight) and how long to get him settled and comfortable afterwards.  It takes him about 45 minutes to eat dinner. After I feed him, then I help him do his teeth. Then I put him to bed.

Bed time is a ritual.  He’s very difficult to get comfortable in bed. Since he cannot move any part of his body himself (other than his left arm), I spend a lot of time moving body parts, positioning them with pillows or whatever, putting corn starch in places that might rub, putting his “contractor prevention” boots on, then setting up and strapping on his Hayek shell (making sure it doesn’t have any leaks) etc.  Meanwhile I put in a catheter to drain his bladder, adjust the settings on the Hayek and heat up 2-3 heating “pads” in the microwave to put in various places against his body because the air movement from the Hayek over his chest makes him cold.  Then he gets some water, sleeping aid, and dry mouth gel.  I pull his covers up tight under his chin and tell him goodnight and then go off to get ready for bed myself.  Some nights I have to repeat some of the above a few times.  Other nights I just about get him settled and his leg starts “jumping” (muscle spasms).
If his leg starts to jump, that means undoing all the above, getting him back up and dressed in his wheelchair, setting up the peddlar (make sure it’s not rubbing any ankle bones after it’s jumped a few times), putting weights on the peddlar so the spasms don’t knock it out of position, then putting a head strap on his head to keep his head from falling onto his chest when he falls asleep and putting a terri-cloth cape over him and his wheelchair so he won’t get cold.  Then I go to bed.

Somewhere around 1 1/2 – 2 1/2 hours later, I hear, “Hey sweetie, I want to go to bed.”  I get out of bed, take him off the peddlar and start the process outlined above (cath, Hayek, heating pads, boots, water, mouth gel, covers).  Then I go back to bed.  Usually about 2-3 hours later, I hear, “Hey sweetie, I need to get up; I’m stiff.”  So up I go and reverse the process again.  Usually I put him to bed about three times a night and get him out of bed twice. The last time I put him to bed is usually when I’m getting up for the day which is usually six or seven hours after I go to bed; sometimes five but always less than it seems because of being up so much.

When I get up most days now, I’m tired, sleepy, and my body aches.  The body aches are a combination of sore muscles from lifting but also age so I guess if I had a full night’s sleep I would still be achy. The sleep deprivation is a bear, however.  Coffee helps a lot but just keeping up movement does, too.  I usually hit a wall around 5 p.m and if I’m lucky, I can catch a 30-60 minute nap before he gets me up for something he needs.  That keeps my feeling pretty rested till bedtime. But with all that I have to do at night now, I feel like I’m “on” 24-hours a day without a break.  Night-time just isn’t what it used to be anymore.

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