Foot Care Tips For Older Adults You Should Not Avoid

Getting injury on your feet, heels, or ankles can be painful as it may take some time to heal. That is why taking proper treatment from the very first moment is important. Especially elderly people, they might require some extra care for proper healing. Hence, the following are some of the basic foot care tips that may prevent further injuries, fungus, or infections.

Clean and Moisturize

A routine foot cleaning session is important for hygiene. As this routine is important to stop any fungal, viral, and bacterial infections, you might need to have this session outside of the bath and shower. You can have this wipe down session with warm water, soap, and a washcloth. With cleanliness and hygiene, it might relax and calm you down. After that, moisturize to prevent open foot sores, especially for older adults whose skin is drier. Afterwards, you can cover feet with a breathable cotton sock aid for comfort and warmth. 

Trim the toenails

This may prevent fungus, or bacterial infections, several foot injuries, inward nail growth, and help you maintain your overall hygiene. However, due to flexibility issues, it may be a bit of struggle to reach toes for many elderly people. In this case, taking external help can be helpful. If anything looks wrong then you can get them trimmed by a qualified podiatrist rather than at a nail salon. 

Pro Tip: Trim nails no shorter than the tips of the toes.

Ensure good circulation

You can include several things in your routine for better movement of your feet. Having occasional massage sessions may improve the overall blood circulation for better mobility. During the massage, keeping your feet propped up on the couch or a footstool may reduce the likelihood of swelling. In cases of sitting for a significant period of time, wiggling the toes, moving feet around can help the blood pass through the feet and toes. Including stretching in your daily routine may also boost the blood flow.

Prevent fungal infections

Constant moisture around the feet may invite fungal infections. Hence, it is important to change socks or stocks as often as necessary. You can search online bed socks for elderly to find the suitable one for your use. To prevent the foot moisture, using a good foot powder may also help in drying that up. In the cases of constant itching or burning, schedule a meeting with a podiatrist to have it checked before some infection develops.

Buy quality footwear

Equipping yourself with quality and good fittings shoes, socks are important. With loose footwear, you may develop blisters that can worsen because of shoes sliding around your feet as you move. And wearing tight shoes can cause circulation problems. In cases of mobility issues, investing in a sock aid may come of great help. That compensates for Limited Range of Motion. Patients having arthritis experience difficulty bending and reaching their feet and a sock aid can allow them to independently put on their socks.

It is a flexible or semi-flexible material attached with two long handles. You can buy bed socks for elderly online and attach the sock on it and then place your foot inside the slope of the aid. Then you can pull it with the rope to wear your sock.

Avoid Bare Feet

For elderly people, it is preferable to wear shoes even when indoors to prevent cuts, scrapes, or some heavy object falling on the feet. Especially when using the toilet, there is always the risk of bacterial and fungal infections. Slippers would act as a protective barrier against nasty foot infections such as toenail fungus and athlete's foot.

Visit your Podiatrist Regularly

Even if your feet are perfectly fine, visiting your doctor once a year will make sure that nothing severe is developing. This can be a preventive step to prevent all kinds of early-stage foot issues. Being a little active will make sure that warts, hammertoes, bunions, bone spurs, and neuromas, never get the chance to blow up into major problems that may require serious treatment.

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8 Tell-tale Signs You Might Need a Walking Stick

A walking stick is one of the most important disability aids that helps a person gain independence and enhance the quality of life. However, people may have difficulty deciding whether they require a walking cane/stick or not.

Though circumstances may vary from person to person, people generally require a walking stick to enhance body balance and stability. As a rule of thumb, your body starts indicating the need for some type of walking aid through various signs.

Let's understand in detail the most general scenarios where you may need this valuable walking aid.

• Doctor's Recommendation

If a doctor recommends using a walking aid, you should start using it without any delay. This is because only a professional is qualified enough to assess your condition thoroughly and advise you rightly.

Even if you feel you need a walking aid, it is recommendable to avoid going on a hunch. You should always seek medical advice first before picking a walking aid.

• Pain in Joints

If you experience unbearable pain in your knees or ankles while walking, a walking cane may help alleviate your pain. In some cases, a walking cane alone may suffice. In some other cases, you may need a combination of two or more disability aids like a wheelchair, over bed table, etc.

• Back Pain

People generally don't consider using a walking aid as long as they don't start facing issues with walking. However, severe back pain may also lead to poor posture and hunching problems. So, if you experience back pain while walking or later, you should go consult a physiotherapist to find out whether you need a walking cane or any other mobility aid.

• Leg Injury/Accident

A leg injury (like a minor sprain, cramp or fracture) may present problems in walking. If you try to walk without any aid, you may strain on the affected part further. A walking cane may come in handy to ease pressure on the affected part and prevent the situation from worsening.

You should seek advice from a physiotherapist to find out the right type that would fit your requirements the best.

• Assistance in Walking

If you have recently undergone surgery in your lower extremity parts like legs or thighs, you may feel (shaky/wobbly) when walking without support. If you can't walk independently and require to grab nearby objects like furniture, door knobs, you may need a walking cane.

• Balance Issues

If you suffer from a neurological disorder like:

• Acoustic neuroma
• Vertigo
• Cochlear hydrops
• Meniere's disease, etc.,

that causes balance problems then you may require a walking cane to maintain stability.

• Tiredness

Even if you don't suffer from any balance or mobility issues, you may need a walking aid if you are too tired to walk. This may be due to a condition like asthma when you run out of your breath after walking for long distances. Canes and sticks can provide you with great support during long distances and help you regain your breath.

• Old Age Issues

Though old age blesses you with wisdom, maturity and empathy; it deprives you of strength and energy. Further, several age-related issues like osteoarthritis, Parkinson's disease, spondylitis, etc. increase the risk of fall injuries.

A walking aid won't only help prevent fall injuries but also provide great support and balance for walking. It also alleviates the pain you experience due to ageing-related conditions.

Therefore, if you feel symptoms of an age-related issues, go see your doctor. Find out what exactly is the cause of those symptoms. After that, you can figure out the right mobility/disability aid(s) for you by consulting a physiotherapist.

A wrong choice of a walking stick may be of no use for you. So, you should always keep two things in mind while choosing the right model for yourself - height and weight-bearing capacity.

First, it should be strong enough to distribute and support your weight properly without breaking. Second, its height should be optimal. A very short stick or cane will force you to bend over too much putting extra pressure on your arms leading to muscle spasms. Similarly, a very long stick may fail to support your body weight properly.

The best way would be to take help from a certified physiotherapist to get this walking aid of optimal dimensions.

In a Nutshell

A walking stick is one of the disability aids that helps a person with leg injuries, short-term or chronic mobility issues. At times, deciding when to start using aids like sticks or canes may be tricky at times. 

However, you can always combine some tell-tale signs and a professional therapist's consultation to decide when to start using a walking aid.

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Choosing The Right Shower Seat

Bath aids are of great help to patients or the elderly with mobility limitations. They help them use the bathroom independently and efficiently. Out of the several bath aids available in the market, a shower seat holds great importance.

Several types of shower seats are available in the market for you to choose from. However, you need to pick the right type to ensure that it serves your purpose.

So, let's discuss in detail the several factors you need to consider for the right selection of this important bath aid.

• Weight Bearing Capacity

The weight-bearing capacity plays a crucial role in the selection of the right variant. The model you choose should be strong enough to support your weight.

The standard model is ideal for people with normal body weight. However, for people with slightly higher body weight than normal, a bariatric model may be a better choice.

While a shower stool can bear a weight of up to 100 kg, it is generally light and is an ideal fit for those who need to sit down only when feeling tired during showering. If you don't feel dizzy or require support when lifting yourself up, you can go for a shower stool.

If you need more support for sitting or lifting yourself up, a shower chair may be a more suitable choice.

Again, a shower seat is of different types like folding, non-folding, or wall-mounted.

A folding or wall-mounted variant may be ideal for little spaces. It folds down easily when not in use and hence doesn't require much storage space.

Further, a wall-mounted variant may be useful for people who have balance issues (like those rehabilitating from a stroke or half-paralysis). So, even if people tend to lean too much on one side than the other, the chair doesn't topple because of its permanent position. This can prevent possible fall-injuries.

• Design

Design is also a crucial factor to consider while selecting the right variant. While some variants have non-tilt (or upright) back supports, the other variants have tilting back supports. As a rule of thumb, the 'fixed or non-tilt back' variant may be ideal for those who don't require much assistance in showering and can hold their back in an upright position for long.

If a person needs assistance in showering or bathing, a tilt-back variant may be more suitable. Such tilt-back variants generally are more suited to places like hospitals and care centres.

• Purpose

Your purpose also determines your choice. If you want a bath aid that can help you assist you in the toilet as well, a dual-purpose shower commode chair may be an ideal choice. The additional feature of the commode chair eliminates the need for transferring individuals with mobility limitations to a commode chair separately.

If you don't require the additional commode functionality, you may go for the standard shower chair.

• Sitting Surface

The sitting surface of the variant you choose should be ideally slip-resistant, water-resistant, and durable. Moreover, you may be well off with a padded and easy-to-clean sitting surface. Many variants come with drainage holes in the sitting surface to facilitate faster drying by preventing the build-up of water.

If an individual is suffering from skin issues and is prone to pressure ulcers, it is recommendable to use a variant with a padded sitting surface. In other cases, a non-padded or contoured sitting surface may also work.

Tips to Take Care of a Shower Seat

Purchasing the right variant may not suffice alone. To make sure that your investment doesn't go waste and your seat lasts long, you can follow several care tips such as:

• Avoid using harsh detergents to clean your chair.
• Wipe off the residues from beneath the chair after every use to keep it clean.
• Let your chair dry between two uses.
• Follow the maintenance instructions in the user manual that comes with your chair properly.
• If you find any signs of damage or rusting in any part, replace that part immediately. Generally, all shower seats come with a stainless material; but there is no harm in checking once for reassurance.
   

In a Nutshell

Though a shower chair is one of the important bath aids, its wrong choice may fall flat. Therefore, ensuring that you choose the right variant is highly recommendable.

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Factors to Consider When Buying a Pressure Relief Cushion

A pressure relief cushion is of great help to those with mobility restrictions. They help prevent development of pressure sores and maintain skin integrity in bed-bound or wheelchair-bound people. Sometimes, finding a suitable pressure cushion may be tricky just like in the case of other mobility aids.

Though a professional's recommendation is always the first thing to seek for, considering some basic factors while selecting the pressure cushion may simplify your process a little.

So, let's walk you through what all points to bear in mind while selecting a pressure cushion.

• Pelvic Stability
  

Pelvic stability is an important factor to consider while selecting a pressure cushion. The pressure relief cushion you choose should provide you with sufficient pelvic stability.

This means that your pelvis should be in a 'neutral' position. It shouldn't rotate forwards or backwards. A proper coordination between your lower trunk and proximal posterior muscles helps attain stability in your spine. A stable spine helps the trunk extend properly keeping your body straight. Thus, not only your posture stays straight but also your abdomen and chest don't feel unnecessary pressure that facilitates proper breathing and digestion. Further, a stable pelvis and spine may facilitate using your arms without losing your upper body control.

To achieve pelvic stability, matching the contours of the cushion surface with those of your posterior may be a good idea.

• Immersion

Bottoming out is the condition when the pressure relief cushion doesn't provide adequate support resulting in the transfer of the person's weight to the bed base. If this happens, the pressure cushion may induce pain. Even worse, a person may develop Ischial Tuberosity or Ischial bursitis (severe inflammation of the bursa, a fluid-filled sac between tendons and muscles in Ischia, the bones in the base of pelvis) overtime.

Therefore, ensuring that your cushion supports 'immersion' is advisable. A cushion that is not too soft or easily compressible but still lets your body to sink without bottoming out may be a good choice.

• Off-Loading

Off-loading is removing the pressure from a small surface area (Ischial Tuberosities, lower pelvic bones) and distributing it to a greater surface area (to femur and thigh bones). This helps even distribution of pressure that provides more stability and skin-protection.

• Envelopment

Apart from immersion, envelopment is also a crucial factor. Immersion and envelopment are often inter-linked.

After ensuring you sink well into the cushion without bottoming out, you should also ensure that your cushion provides envelopment. This means that it envelops your bony areas and distributes pressure across the entire surface area.

This reduces pressure on bony areas preventing their inflammation.

• Heat

The increase in heat may lead to the development of ulcers. So, choosing a pressure cushion that keeps your body temperature optimal is recommendable. If you tend to perspire more, a gel cushion may help slow down the rise in body temperature and keep your body cool.

On the contrary, if you tend to feel colder, a standard foam cushion can give you extra insulation.

• Waterproofing

If you suffer from incontinence issues, a simple cushion may not suffice for you. A cushion provides adequate water-proofing may work well. Such a cushion won't only keep you dry but also prevent damage to your skin from continuous moisture.

• Fire Retardancy

Ensure that your pressure cushion is fire-proof and complies with the British Standards Institute (BSI) for pressure cushions, especially if you smoke often or need support getting up from your wheelchair or bed in an emergency.

• Portability

If you travel frequently and need to transport your cushion from one place to another, the weight of the pressure cushion also matters. A foam or gel cushion may not be as easily transportable as an air cushion due to it being heavier.

Hence, an air cushion may be an ideal choice for easy and frequent transportation.

In a Nutshell

A pressure relieving cushion is one of the essential mobility aids for the individuals bound to spend hours in sitting/seated or supine position. However, it is important to bear in mind that all mobility aids are useful only when you choose them wisely. Hence, if you consider the factors mentioned above while selecting a pressure cushion, it may help you arrive at the right decision easily.

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Tips on Buying The Right Raised Toilet Seat And Commode Chair

Toilet aids are highly useful for people with mobility restrictions. Two essential aids to make toilets accessible are a raised toilet seat and a commode chair.

A toilet seat is for those who have difficulties standing up or sitting down but can still manage to walk short distances like going to the toilet.

On the contrary, a commode is an independent toilet seat that doesn't require any plumbing system. This toilet aid has an opening with a basin that can collect urine and faeces. It can be suitable for those with severe mobility restrictions that can't walk even short distances.

However, there are some factors you should consider for selection of both these toilet aids. Let's understand them one by one.

Points to Consider when Buying a Raised Toilet Seat

Support Arms

While some variants of this toilet aid come with support arms, others don't. If you suffer from balance issues besides mobility issues, a variant with armrests may suit you more than a variant without them. Further, you can leverage the armrests to transfer yourself from your seat to bed easily.

If you don't have major balance issues and need only a little support when lowering down or getting up, a variant without armrests may also suffice.

Ease of Transportation

Several variants of toilet seats have a clamping mechanism. If you need to transport or change the location of your seat on and off, a variant with clamps may be more suitable. This is because these clamps facilitate easy installation and removal of a toilet seat.

So, even if you are away from your home, you can carry your toilet seat along. It ensures that you have a safe and easy-to-use toilet aid wherever you go.

Padding

A padded variant may be more useful if you suffer from a skin condition or are at risk of developing pressure ulcers.

If you are suffering from age-related issues that make it difficult for you to get up or sit down but you still have mobility sufficient enough to walk a little, a standard toilet seat may suffice.

If you are suffering from posterior injuries or recuperating from posterior surgery, you may require more comfort and skin protection. A padded variant may be a better choice in this scenario.

Points to Consider when Buying a Commode Chair

Versatility

Versatility is a crucial factor to consider when buying a commode. While a standard variant helps you with defecation only, a 2-in-1 variant helps you with both showering and defecation. The latter variant may be of great help to the elderly or disabled who have difficulties frequently transferring from one disability aid to the other.

Weight-bearing Capacity

The weight-bearing capacity also plays a role in the choice of a commode.

The weight-bearing capacity of the standard commode is generally around 200 pounds. If you are larger in size, a standard commode variant may present problems. For instance, you may face risks of arm support failure, buckling of commode legs, or slippage.

A heavy-duty variant may come in handy in this scenario. With strong metal handles, larger seating surface and weight-bearing capacity of up to 300 kg, this variant can accommodate heavy patients.

Height Adjustability

Whether to buy a height-adjustable variant or not depends on your requirements. If you need to use your commode in multiple locations, a height-adjustable variant may serve your purpose better. On the other hand, if you don't need to shift your commode chair to multiple locations, a non-adjustable height variant may be enough.

Storage Space

The storage space a commode requires may also determine its choice at times. If you have enough space to accommodate the commode when not in use, a non-folding variant may fit your purpose. However, a folding commode may fit in better in case you have storage space restrictions. This is because you can easily fold it when not in use and use that space for other purposes.

Price Considerations

The more enhancements you want, the higher the price of your commode goes. For instance, a folding variant may be costlier than a non-folding one. Similarly, a wheeled variant may be slightly costlier than a non-wheeled variant. Therefore, combining both your requirements and purchasing power is highly recommendable to arrive at the right decision.

Summing Up

The choice of the two essential toilet aids - raised toilet seat and commode depends on a number of factors. Always ensure that you combine the above-mentioned factors with a professional's advice. Only then will your final choice be an ideal choice.

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Slippers and Other Footwear for Swollen Feet

Suffering with swollen feet and ankles (oedema) is common among elderly people and can lead to serious discomfort. Extra wide slippers provide welcome relief, reducing pressure on the skin and significantly easing any pain caused by tight footwear.

Many modern styles have special fixing straps which accommodate not only wide feet, but those which may vary in size according to the amount of swelling on the day. Some people experience different degrees of oedema at different times, so this is a useful feature.

As well as slippers for swollen feet which are conventional in appearance, Essential Aids also supplies footwear like ‘hospital boots’. These have completely open and flexible sections which provide warmth and comfort without applying pressure.

‘Sock aids’ or devices which help putting on socks, stockings and tights, are another tool which people with enlarged feet can benefit from. We’ll come to those later.

First, we’ll run-down some of Essential Aids’ key items of footwear which help deal with swollen feet.

Slippers for swollen feet

For men

The popular Dunlop 'Arthur' Slippers are comfortable and suitable for men with a wide fitting or enlarged feet. They have a hook and loop fastening which allows for a wide range of foot widths. They are available in UK shoe sizes 6 to 12.

The Arthur slippers also have a low ankle section to accommodate people with the common problem of extra swelling in this area.

For men looking for more support around the ankles, the Dunlop 'Albert' Gents Slippers are a good option. Like the Arthurs, these have a hook and loop fastening and a wide opening, making it easier for the foot to enter than standard footwear allows.

Their slightly raised ankle section delivers more support and provides the ‘boot’ feel preferred by some.

If an even wider aperture is required, the Walter Mens Extra Extra Wide Slipper is worth consideration. This has an oversized one-touch fastening flap, stretching from the top of the foot down to the start of the toes.

For women

For women the Dunlop 'Bluebell' Ladies Slippers have a wide fitting and are great slippers for swollen feet.

They have an extra-large aperture, making it easy for the foot to slip through. They have non-slip soles and again the adjustable hook and loop fastening. This fixing means they fit snugly even at times when your feet may be less swollen than others.

Available in sizes 3 to 8 and in a choice of colours, the Bluebells have a low ankle section, similar to that on the gents’ Arthur slipper.

For more of a boot design, the Dunlop 'Betsy' Ladies Slippers are just the job. Like the men’s Alberts, these have a raised section at the ankle, improving support in this area.

Extra wide fittings

If swelling is making a dramatic difference to the size of your feet, you might want to consider extra wide fitting slippers.

Among Essential Aids’ range is the Selina Ladies Extra Wide Slipper sizes 4E-6E which an especially comfortable and accommodating design.

It has an oversized foot aperture and very broad fit, along with an inner liner with a fleece section for additional comfort. The touch fastening strap makes them exceptionally easy to put on or remove.

Footwear with open toes

A good option for women if you’re looking to go outside, are the Dora Ladies Extra Extra Wide Lightweight Shoes.

These are suitable for inside and outdoor use they feature two long and wide Velcro straps. As with the other slippers mentioned here, this enables them to remain comfortable regardless of the amount of swelling you’re experiencing on the day.

They are open-toed so not suitable for wet conditions.

Socks

Essential Aids supplies socks which can help with the skin sensitivity which often comes with swollen feet. Made from 75% cotton, 15% Spandex and 10% amorphous polymers, they are designed to reduce irritation.

Irregularities in blood flow may be exacerbated by raised edges, so these socks have hand-linked seams, providing as little impact on the skin as possible. Friction from standard seams can be problematic for diabetics.

Our diabetic socks extend up to the knee and have a gentle stretch, encouraging healthy blood flow.

Fleece-lined bed socks

Essential Aids does an excellent range of open and semi-open bed socks. These keep your feet warm but apply very little pressure to tight skin which is under the pressure of swelling.

They have a thick fleece lining which comes right up over the ankle.

Wool fleece bootees

If you want an option which puts the absolute minimum of pressure on the skin and is almost entirely open in design, the Wool Fleece Bootees are worth considering.

Open from the ankle right down the centre of the foot to the toes, this footwear could not be any easier to put on and take off.

They fasten using two long Velcro straps, which close without putting any pressure on the foot.

As with other flexible fastenings, they can be easily adjusted according to the amount of swelling present at a given time.

They are made from natural wool pile fleece which is especially gentle and warming to the skin. Because of their open design, the foot is allowed to breathe and reduces the chance of over-heating.

The two side panels fold outwards in order to create a very large aperture in which to insert the foot. The panels then fold inwards, enclosing the foot.

This type of footwear does not have a sole, so is not suitable for walking around. For this, you might consider Essential Aids ‘Hospital Boots’.

Hospital boots

These are made from a soft wool pile that naturally warms and cushions the feet.

This is uniquely adaptable footwear which allows more ‘closure’ than the wool fleece booties, retaining more warmth.

Each boot features an extra-long ‘tongue’ which attaches at the toe area of the slipper, folding forwards and out of the way to allow the foot to be inserted unobstructed.

Once the foot is in place, the tongue folds up into a conventional position. The two large side panels, similar to those on the wool fleece booties, then fold up inwards and fasten with Velcro, holding themselves and the tongue gently in place.

This softly encases the foot without adding any undue pressure to the skin.

A flexible middle section provides adjustable length and width to suit feet of most sizes and to soothe any swelling.

The soles of the hospital boots are vinyl, so they are suitable for short trips around the house.

Hospital boots offer outstanding comfort, warmth and flexibility. They are great for swollen feet, but also for those with bandages around their feet too.

Raising your feet off the ground

For many people experiencing the discomfort of swollen feet and legs, simply raising them off the ground can make a difference. It helps blood circulation and may improve comfort. Sometimes, lifting the feet above the horizontal level of your heart makes even more of a difference.

Bed wedges

If you’re in bed, pillows are an easy way to elevate the legs. Alternatively, you could use one of the triangular bed wedges supplied by Essential Aids.

These are foam filled blocks which you can position to your liking under the duvet. They come with washable covers can also be used to support your back if you want to sit up in bed.

If the triangular wedge doesn’t suit you, Essential Aids also supplies the Z-Tec Leg Support. This has a curved profile and is again great for raising your legs or feet while in bed.

Another popular option is the Foam Leg Raiser. Like bed wedges, this is made of foam with a soft removable cover. It has a contoured ‘wave’ design which allows the user’s legs to lay comfortably, gently elevated and in a natural position.

This product is particularly effective if you’re spending a lot of time in bed with your legs raised.

Leg and foot-rests

For a sofa or armchair, a leg-rest might be the answer. Essential aids does a number of leg and foot-rests designed to do exactly this job.

Most models are height-adjustable and some tilt, allowing you to find an angle of your choosing. Others have a design which supports the calves as well as the feet.

Essential Aids’ popular Tuffet Leg Rest can be set in two positions. One is lower, supporting the feet and lower legs. To convert it into a more standard horizontal foot rest, just turn it upside down.

You can adjust the softness of the Tuffet by operating a simple valve to reduce or increase its inflation.

Dressing aids

Swollen legs and feet can make it difficult to get dressed and even stretch socks, tights and stockings over your feet.

If you find this is a problem, essentialaids.com has a range of sock aids to help.

Most designs involved a plastic or metal frame which helps guide the foot into the sock or stocking.

The popular Compression Stocking Aid for example provides a wire frame onto which the tights are stretched. This provides a wide aperture in which the user inserts their foot.

Integral handles then allow the user to pull the frame up and towards them, which in turn draws the stocking on to the foot and lower leg.

Using sock aids like this takes practice, but they usually work out well with a bit of patience to learn the technique.

When putting on shoes, you may find a simple but effective tool is a shoehorn. If your feet are swollen, these can be particularly useful.

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