Caregiver Mogendorf

Care for a 75-year-old elderly lady, 68 kg, 169 cm, with vascular dementia, high blood pressure, and incontinence. Following a fall, she is currently bedridden and requires gradual mobilization. Short-term memory and orientation are partially impaired, while long-term memory is preserved. The lady speaks little but understands many things. She requires full assistance with personal hygiene and toileting, and partial assistance with dressing and eating. She is incontinent of both urine and stool and uses incontinence briefs. Initially, she eats by herself, but later needs to be fed and reminded to eat. Given enough time and guidance, she can partially perform some activities herself. Assistance is needed with transfers from an adjustable bed to a wheelchair and with mobilization. The lady cooperates when being lifted. She can walk approximately 20-40 m with her husband, supported by the hands. She goes for walks in a wheelchair. A physiotherapist visits twice a week to show the caregiver exercises for further mobilization. The caregiver assists the husband with the lady's care, prepares meals, manages some household chores, and stays with the lady when the husband is not home. The husband performs full hygiene twice a week; the caregiver does it on other days. The husband handles laundry and hanging clothes; the caregiver irons. Nighttime assistance is not required. A guest toilet is available for the caregiver. Free time is by arrangement.