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Is the physical therapy being done at her Assisted Living place? My Dad is in Independent/Assisted Living and he likes the fact he doesn't have to get all bundled up, stroll out to a car and get to a rehab center.... the rehab center comes to him... and he enjoys the attention.
Oh, another thing I noticed with Dad, if the therapist is a cute young thing, Dad would do his exercises even more trying to impress her :) Same with my late Mom, her therapist years ago was a very nice young fellow and she would follow every word he said, and 20 years later she was still doing those very same exercises at home every day :)
Elders have a fear of falling in the shower... I solved that by getting my Dad a shower chair, thus Dad is much more cooperative when it comes to bathing.... he does have caregiving help when showering. Another thing, elders sometimes get claustrophobic in a shower [I have that issue myself] so I keep the doors open a bit which helps.
What kind of rehab services are available right in the ALF? Do they have a rehab room and either someone on staff or visiting therapists who use that room? Perhaps their words would be more magical than yours.
My daughter works in an ALF. Her job is to walk with residents who have signed up for it. On nice days they walk outside. She has a stationery bike in her office and some can do that instead of/in addition to walking. Does your mom's place have any kind of service like that?
Are there walk-in tubs in your mom's ALF, and a service available to assist with that?
1. She's fallen and probably has fear of doing so again. Make sure she has a good wheelchair, walker or rollator, and is always accompanied by someone who can provide reassurance (as much as is reasonable) to her.
When you visit, take her for rides or walks (if you feel you can do it safely), but make it a very special occasion. If the AL has a garden, taken her there on nice days. If there's another special place, take her there. Perhaps take time for a chat about family, friends; have a discussion about positive things, show photos....make it an occasion for her to look forward to, so she begins to WANT to get out and around.
2. She has neuropathy; is she diabetic? If not, is there a B vitamin deficiency that's causing the neuropathy? Despite being diagnosed with it by a good, reliable neurologist, I discovered accidentally that it was cured with a B-50 supplement and more emphasis on foods with B vitamins.
Is she taking Neurontin or any other med for the neuropathy? How serious or debilitating is it - is it painful for her to walk? Have her doctors addressed the issue and is there any relief for it?
3. She's afraid of showers; prefers baths. So make arrangements for her to either just have baths, safely supported by a slide-over bath chair, or just go with the no rinse products, perhaps alternating between baths and no-rinse cleansing.
4. When did the apathy begin? After moving to AL, after falling? Try to go back to when she felt better, analyze what happened and focus on those events, trying to compensate, address, or turn them into something positive.
5. What did she enjoying doing before she began to lose interest in life? Resurrect those activities if you can. And take her to music sessions, and especially art sessions. If there aren't any, create your own. If you need suggestions on either, just post again.
When my father was in a chemically induced coma, in a state of severe "debilitation", I brought a hymnal his church uses and sang songs for him (I used to sing in a college chorus) and also brought a portable CD player and played his favorite CDs while I was there, then leaving one on for him as I left so that my departure wouldn't seem so abrupt.
I watched the monitor reflecting brain activity; the nurse commented that his brain activity was reflecting that "he was responding" to my music and singing.