Medical Forum / Diseases and Disorders / Arthritis / November 2005
Infants and crutches/scooters/wheelchairs advice please
|
|
Thread rating:  |
spodosaurus - 30 Nov 2005 16:13 GMT Hi all,
We're going to be having some infants with us for several months. At night, seeing as I have a circadian rhythm sleep disorder and the medication+pain keep me up anyway, I'll be doing the feeding and the changing (we're taking precautions to minimise the risk of infection to me, but it's pretty safe with these kids, it's not like I'm risking toxoplasmosis from cleaning cat litter or the like).
My main problem is how am I going to safely carry them. This won't just be at night around the house. I'll likely have to bring them with me durng the day, sometimes with their double stroller (double pram for the other folks in the Commonwealth).
Most of you know my situation, but here's a summary and some updates: -bilateral hip replacement -collapsed and osteonecrotic right ankle - I can move short distance without a crutch, but cannot carry anything without a crutch -multiple stress fractures in both feet, spine, etc (they're FINALLY starting to heal) -diagnosed today with an as yet unspecified type of autoimmine spondyloarthropathy (negative in blood tests to RA and not positive for ankylosing spondylitis antigens) affecting pretty much every synovial joint and extending down the ligaments -etc etc etc (and my signature refers to apastic anaemia)
Now, in their infinite wisdom, the health services here refuse to provide me with a motorised wheelchair (I cannot operate a manual one due to the need to continually clean my hands during use to prevent infection, the spinal pain/damage involved in operating it that does NOT get better with rest, the line in my chest that doesn't like me pushing the wheels, damage to my hands and wrists that make even using crutches difficult if it wasn't a necessity, etc etc etc) and the only other grant system that I'm aware of has decided that since I'm not completely bed ridden yet (because I'm a stubborn bastard) that they're not going to give me the grant for a basic one that the hospital's OT says I need. I have a small scooter, but no means of deploying it myself from the back of our little compact car (and the lack of seat padding in addition to solid tyres makes every tiny little bump go right to my multiple spinal injuries).
Some of the things I need advice with:
-We're going to be getting another vehicle, but we're not sure which one will be suitable for either a larger scooter or a motorised wheelchair (we're looking at getting one of the remaining stock of the ShopRider Snappy wheelchairs). Even if we just get a better scooter (a much cheaper option) we're going to want the ability to put in a bigger lift and stow the wheelchair if I absolutely must have it in the future (if we had more money, I'd have it now). It'll have to be big enough for at least two adults and two children, as well as a scooter or wheelchair AND a double stroller plus baby materials.
-I'm not quite sure how I'm going to carry the infants. Whenever I leave the house and am on unfamiliar ground or have to move more than about 10 meters I use two crutches (these hurt the damage in my wrists and hands, but the stress and pain using two crutches places on my spinal damage+fractures as well as the joints of my sternum is not good). If I use a motorised wheelchair, how am I going to get them in and out of their crib or onto and off the changing table. Standing up causes me a lot of pain, and sitting down isn't much better. These children are pretty much newborns, so I suspect there'll be a lot of diaper changing and feeding and such during the night! I'm wondering if one crutch would be better, but I'm worried about the off centre load of carrying the kids repeatedly every night on my spine. I've never had to do this since I got this /great/ new body :-(
-Finally, wheelchair or scooter? I can move short distances on two crutches outside, but not shopping (I may have no choice but to go and do emergency shopping from time to time, despite the infection risk in being exposed to crowds) and not around the university library or campus. I can't deploy the little Shoprider QT4 I have now, and as I mentioned above this thing hurts me to use unless I'm on a very smooth surface. I also need something that I can carry at least one large school bag with around campus (I currently put this bag behind my feet and the laptop in the basket behind the seat). The turning radius is not appropriate for in home use, and it's not nearly as precise as a wheelchair (I'm worried about bumping into the things, like a crib, using it). Maybe I should get something for in the house and something deployable from a vehicle? Money *is* a major issue here.
As you can imagine, I'm feeling just a wee little bit stressed! I'm out of my experience here, so I'm hoping to draw on yours.
TIA,
Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Adelle - 30 Nov 2005 17:17 GMT Hi!
Just a couple of thoughts -
Not sure if you are able to do this w/the spinal fractures, but can you wear a baby sling? Not sure it works for twins; you might need to go to a parenting group for advice on that. But with a sling, once you find where you need to wear them for the right weight distribution, it's wonderful. I carried my son around Disney World in one when he was 15 months old.
Part of the issue will be the pulling on your clavicle and upper back/ribs of side child is on. Second will be lifting them and putting them in the sling. Third, if you need to remove the sling to put them down, it's heavier and more cumbersome. How much weight are you permitted to lift?
Another option (the one my hubby and I used) - another person gets up, changes diaper, and brings baby to you for feeding. Then the issue is getting them back to bed after feeding (and another change if they need it). If they are young enough that they won't fall asleep in their own in crib, you may need to set up a second sleeping area next to where they will be fed, so you won't need to carry them.
Or, you can do the entire change and feed without lifting them from the crib. It's not as satisfying to the adult nor the best thing developmentally - you/they don't get the cuddling. You will also be spending considerable time bent over, holding the bottle. But if they get lots of cuddles during the day, it should be OK.
> Hi all, > [quoted text clipped - 82 lines] > > Ari spodosaurus - 30 Nov 2005 18:17 GMT > Hi! > [quoted text clipped - 10 lines] > sling. Third, if you need to remove the sling to put them down, it's heavier > and more cumbersome. How much weight are you permitted to lift? Standing upright, as long as the weight is fairly close to my body I can lift up to 20kg (44lbs). Leaning over, though, that's the hard part with the spinal fractures and other spinal injuries. It's difficult for me to adapt to, seeing as I still routinely bench press 120% of my body weight and that's not near a maximum. The difference there is that my back's supported and I'm not gripping very much with my thumbs (which are pretty screwed up at the moment from fractures and the new arthritis I mentioned). I was actually thinking of a baby sling, seeing as it's close to the body. My AC joints were hurting pretty badly today (like every other joint in my body for the last few weeks now that the prednisone has been discontinued) but I think that's probably the best option. I can even use two crutches for extra stability that way. I can walk with one crutch and carry 10kg (22lbs) by taking very small steps.
> Another option (the one my hubby and I used) - another person gets up, > changes diaper, and brings baby to you for feeding. I'm afraid I'm going to be the sole carer from 10pm on while the others get some sleep, especially the mom.
> Then the issue is > getting them back to bed after feeding (and another change if they need it). > If they are young enough that they won't fall asleep in their own in crib, > you may need to set up a second sleeping area next to where they will be > fed, so you won't need to carry them. I was thinking of setting up change tables in the front /and/ back rooms. Space is pretty precious, but we could probably find enough room to set up two cribs in the lounge room near where I'll be at night (but far enough away that it'll be quiet and dark enough for sleep).
> Or, you can do the entire change and feed without lifting them from the > crib. It's not as satisfying to the adult nor the best thing > developmentally - you/they don't get the cuddling. You will also be spending > considerable time bent over, holding the bottle. That's a problem for my back. Often, bending over is very painful and the muscles have trouble stabilising due to the pain.
> But if they get lots of > cuddles during the day, it should be OK. Thanks Adelle.
Cheers,
Ari
>>Hi all, >> [quoted text clipped - 82 lines] >> >>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Jo Firey - 30 Nov 2005 17:40 GMT > Hi all, > [quoted text clipped - 4 lines] > me, but it's pretty safe with these kids, it's not like I'm risking > toxoplasmosis from cleaning cat litter or the like). If they are that young, I would not take them out of the crib at night for feeding and changing. I'd have the crib mattresses put in at the high setting. If you can lower the rail to feed and change them, good. Or you might be able to do so while reaching over the rail. Years ago it was a pain if the waterproof pad over the crib sheet got dirty and had to be changed and washed often. Now days you can get disposable. And wipes are so much easier than washcloths.
It really does not sound like it is practical for you to try to lift or carry them.
I put in a lot of hours when my grandsons were infants and my knees were a mess. But only when someone else was around. I'd sit for hours with them in the rocking chair but they had to be brought to me and collected from me.
Knees are now better. I'm thinking most of the tissue that used to be inflamed is now gone. Boys are 18 and 16 and 8. The leather sofa we bought to protect from diapers and spitup and general child messes is still looking not too shabby.
Do not try to force more than you are able to do. More injuries will only make things harder, on you and everyone else.
I wish you well. And envy the time you will spend with the darlings snuggled into your arms. Nothing smells as good as baby breath.
Jo
spodosaurus - 30 Nov 2005 18:22 GMT >>Hi all, >> [quoted text clipped - 9 lines] > setting. If you can lower the rail to feed and change them, good. Or you > might be able to do so while reaching over the rail. Adelle suggested something similar. I didn't realise that cribs are made with differing height adjustments now! It's been a while since I was doing all this each day for my youngest brother (whose crib was recycled from probably a decade earlier).
> Years ago it was a > pain if the waterproof pad over the crib sheet got dirty and had to be > changed and washed often. Now days you can get disposable. And wipes are > so much easier than washcloths. I really need to do more research on what products are available these days. It seems the world of baby care has moved on since I remember it!
> It really does not sound like it is practical for you to try to lift or > carry them. Every so often, it'll be okay, but with two of them and doing it a six to 12 times a night, it seems to me that it'll be a problem.
> I put in a lot of hours when my grandsons were infants and my knees were a > mess. But only when someone else was around. I'd sit for hours with them [quoted text clipped - 4 lines] > to protect from diapers and spitup and general child messes is still looking > not too shabby. We're getting a higher sofa for me. The one we have now is so hard on my knees and spine getting up and down from because it's so low.
> Do not try to force more than you are able to do. More injuries will only > make things harder, on you and everyone else. Don't I know it! My wife has to do so much more to help care for me each day since the fractures started this year, and she was already doing a lot.
> I wish you well. And envy the time you will spend with the darlings > snuggled into your arms. Nothing smells as good as baby breath. > > Jo Thanks Jo.
Cheers,
Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Joan Carter - 30 Nov 2005 19:44 GMT >Every so often, it'll be okay, but with two of them and doing it a six >to 12 times a night, it seems to me that it'll be a problem. Wish I could help you, Ari, babies were my thing for many years. However, I'm a bit far away. --- Joan
JA - 30 Nov 2005 23:17 GMT > Hi all, > [quoted text clipped - 4 lines] > me, but it's pretty safe with these kids, it's not like I'm risking > toxoplasmosis from cleaning cat litter or the like). ...text snipped...
Check out http://www.disabledparents.net/
It may have ideas you can use.
|
|
|