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At 92 last summer mom finally stopped going outside, finally stopped going upstairs. Now she doesn't go in the kitchen much. From her hospice bed in the dining room, she gets up to eat at the table in front of her, maybe walks around the table once. If she doesn't go in her briefs, or her potty, she might make a trip to the toilet. She sleeps a lot. Struggles to get up out of a chair, that is tough to watch. I have always wondered how people become bedridden, if they don't have a fall.

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Why is she on Hospice? It is an end of life care. You need to talk to the nurse. She can explain what happens when the body just starts giving out. She can explain what transition means.
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Reply to JoAnn29
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My mom will turn 101 soon. She has end stage dementia and lives with my sister. My sister spends her days researching every conceivable avenue of keeping her alive, walking, eating and happy. She has alarms on her bed and her chair. She makes sure she walks every morning with a knee brace bc she has knee pain. She wears a gait belt at all times so we can hold onto her when she transfers to her wheelchair. She crushes her meds so they are easy to swallow. The overnight caregivers help her onto and off of her commode holding onto the gait belt. She will probably eventually need PT if she becomes unable to transfer. My guess is she will probably live to 105 or 110.
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Fawnby Mar 26, 2026
The problem with elderly PT when they have dementia is that it often doesn’t work because they don’t respond to instruction. Their brains are broken, so they can’t understand or tolerate physical therapy. The therapist will try but recommend stopping if the patient isn’t making progress. Once that happens, Medicare and insurance companies won’t pay for it. Just FYI, since I’ve been through it with my parents and now my husband.
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I am sorry you are experiencing the decline of your mother. The situation you are experiencing is quiet common in elders.

It is so diffiult to process when there is no specific life altering cause. I recently lost my mother from similar events. For my mother, it was due to dementia and Type 2 diabetes complications that created mobility issues. The last year of her life she literally slept 20-22 hours per day and was only awake for 15 minute periods. She was tired and frail and because of loss of muscle was unable to bear weight. It is very common in elderly. Not all experience a life altering medical emergency that create them to be bedridden.

I wish you peace and strength during this difficult period.
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Reply to AMZebbC
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Your mom sounds exactly like my mom did a year ago. She literally just stopped walking as much, and resisted attempts to get her up and moving, yet was living on her own still. She was sleeping all the time. Last June she DID have a fall and was on the floor alone for several hours. She developed lactic acidosis which weakens already weak muscles. She did not injure herself in any other way, but it was enough to keep her from ever walking again because she was afraid of falling again. However, I think she would have been in the same place within a few months with or without falling. Nine months later, she is completely dependent on others for her care. It is so sad, and I can totally empathize with your pain as I'm right there with you.
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Reply to MyOtherMother
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Prayers and support to you.

The first wooden chair with armrest we bought from Wayfair broke after 3 months. It was cheap junk. Mom only weighed about 120 pounds at this point.

The second wooden kitchen chair with arms we bought from an Amish furniture store. It was made from solid wood and will last a hundred years. It was made to order and took about 6 weeks to get. The Amish lady was willing to loan her personal kitchen chair with arms for Mom. It was so kind and sweet.

Mom was a lifetime walker and extremely active even in her decline.
Mom battled Alzheimer's for around 18-20 years.

I believe in Mom's case her brain forgot how to stand and how to tell her body to take a step. She still had muscle tone when she could no longer stand or take a step.

When Mom could no longer stand or take a step we went to bedbound. I'd pushed walking for many years as it was the only daily joy Mom had. We never used the wheelchair much as it is dangerous to family and caregivers when the loved one can no longer stand and pivot, or take a step, or take direction.

The one thing I've learned from this is how protective even a little bit off walking is to life.

I called in hospice when Mom became bedbound.

Again, prayers to you.
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Reply to brandee
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My mom just became too weak to walk. She is not bedridden, but uses a wheelchair now. She wants to walk again, but she doesn't have the strength. She is able to transition from the wheelchair to the toilet and to the bed. Muscles weaken the older we get.
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Valentine15 Mar 24, 2026
Could she have some pt to improve muscle strength?
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My dad walked during his last years with a slow, shuffling gait using a rollator. His legs were very weak despite many rounds of physical therapy. It was likely related to the CHF that eventually took his life. He last walked, barely, five days before he died. Some people spend much longer in bed, I’m grateful he didn’t as it complicates caregiving quite a lot. You’re right, it’s hard to watch. How they become bedridden varies, some become just too weak, some give up out of fear of falling or wanting out of this world, some too sick, there are many possibilities. I wish you and mom both peace in such a tough time
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Reply to Daughterof1930
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My Husband was diagnosed with Alzheimer's but I strongly suspect he also had Vascular dementia. His declines were why I think this. They were DRASTIC declines.
He could do something one day and literally the next day he could not do the very same thing. He went from walking one day to not walking the next. I think he was having little strokes. the fact that he was non verbal for years, he had previously broken a hip so he was using a walker and his arms, hands had begun to contract maybe a stroke was not as noticeable as it would have been in a "healthy" person.

You might want to talk to the Hospice Nurse and CNA about declines and what they notice.
As a person declines they do stop doing a lot of moving around. It is one of the ways that the body is conserving energy. The energy is used to keep the heart beating, lungs moving air and other functions operating.
She will get to the point where it will be safer and more comfortable for her to keep her in bed. That is how many become bedridden without a fall.
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Reply to Grandma1954
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It is really sad to witness.

You mention her hospice bed. Which I guess means she is in home hospice care. If so, please talk to the nurse and/ or call nurse coordinator or social worker at your hospice provider. They have see this many, many times and can reassure you on what is going on and how you are feeling about it. The should offer spiritual counseling as well. Please make use of their services! They are as much for the caregiver as they are for the person.

When my dad was first in home hospice, his nurse kept telling my mom that this inability to walk/ stand was coming but she couldn’t mentally process it. The nurse was right though. It happened to him and it happens to everyone unless they pass more suddenly. In retrospect, I am grateful that my dad’s time at that stage was relatively brief. My mom and I found it very confusing and hard to think of anything else.

You have my sympathies.
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Reply to Suzy23
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At 92, she has had a very long life. It would be so depressing to know your body is giving out, and unable to enjoy much. Just waiting for the end.

Bedridden is so sad...I would want to fall asleep and never wake up. I agree it must be hard to watch.
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Reply to Dawn88
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Decline in general involves muscle atrophy, resulting in not being strong enough to stand up or walk.
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Reply to waytomisery
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They just become weak. The muscles don't respond as well in our later years.
I'm sorry it is tough for you to see her growing old and weak. It is part of the natural life cycle. And, if she is relatively healthy, she could go on for many more years like this, even without mobility.
Please make sure to get a wheelchair so you have it ready when she can no longer stand and walk. For safety, as she could fall and get seriously injured as her legs weaken.
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Reply to CaringWifeAZ
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If M “struggles to get up out of a chair”, see if you can find a more suitable chair. We keep 2 chairs that are dining chair height and have arms to push down on, just for older visitors. The ‘carvers’ from a set of dining chairs will often work.
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Reply to MargaretMcKen
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Look up "frailty in elderly people" on the internet. Frailty explains a lot.
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