Our expert says:
Hi there A,
I know from personal experience how awful this sort of situation is. Its understandable that your dad is scared to try to walk, for fear of falling again. A geriatrician's assessment might help, to be sure of how bad the situation is ( and, hopefully, isn't ) and how things are likely to progress. Depending on what happened a diabetic coma can include a degree of brain damage, which might just have made things that bit more difficult for him, and tipped the balance between confidence continence and occasional accidents.
The situation can be complex. He could be developing a degree of incontinence, and may fall because he realizes rather late that he needs the toiled, and tries to rush, leading to a fall. Scared of falling, he may postpone such visits as long as possible - leading to accidents. Think of possible aids - a commode or bedpan, for instance, to provide available toilet facility close to him without needing a walk - but having the helper encourage him to walk at other times, without urgency, to regain strength and confidence. There are adult nappies which can be quite effective, as well as absorbent pads he could sit or lie on, that can reduce the probelsm if he does have a spillage.
And of course the longer he feels unable to walk, the weaker he may become, and the less able to walk.
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