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Decreased Mobility/Muscle
Wasting
  *  If still mobile, the legs are growing weaker and less reliable

   *  As thighs weaken, more assistance is required when rising or walking

   *  More apathetic about movement within the house, sometimes choosing to
             spend a lot of time in a favorite chair, for example, even when self-
             movement or easy transfers are still possible

   *  Less interested in outings, which have become more difficult

   *  Eventually, it is likely that the patient will be unable to get out of bed

   *  When bedridden, it becomes increasingly difficult to turn over without help

   *  Generally, the legs lose strength before the arms do

   *  Inactivity while on Decadron does allow the drug to cause faster muscle
            atrophy, with the thighs acting as the prime target

   *  As things progress, the legs may wither considerably as muscle is lost      
What the Patient May Be Feeling

  *  Frustrated over the loss of independence

   *  Angry about being "babied" when caregivers offer physical support

   *  Curious and hopeful about whether physical therapy could regain motor
             function

   *  Passionate and desperate about exercising in a final effort to halt the deficits

   *  Apathetic toward being moved from place to place if no longer able to enjoy
             daily activities once there

   *  Short-tempered toward the caregiver if the assistance is clumsy, awkward,
             or uncomfortable

   *  Legitimately fearful of accidents and injury when transferred by the caregiver

   *  Envious that the primary caregiver has more mobility and freedom, sometimes
             leading to possessiveness, or fussing when the caregiver has been out
             of the room for longer than a few minutes

   *  Shameful over "burdening" the caregiver (especially if the primary caregiver
             is an aged spouse, is significantly smaller than the patient, or has back
             problems)

   *  Sorry that he or she is unable to offer the normal help around the house,
             especially if spending most of the time in a public room where it is more
             obvious that household chores may be neglected

   *  Mentions previous strength and stamina in an effort to remind him- or her-
             self of what they used to be capable of

   *  Depressed because outings or even changes of venue within the house have
             become more limited, meaning that the world has suddenly grown very
             small

   *  Aware that the physical deficits make him or her feel like an invalid

   *  Afraid that as motor deficits increase, his or her quality of life will be minimal
 
What the Caregiver May Be Feeling

  *  Concerned over whether he or she has the strength to support the patient
             safely

   *  Worried that the patient will attempt to walk without supervision and suffer
             a fall

   *  Achy (especially if he or she already has back problems)

   *  Afraid of hurting the patient when making bedding adjustments

   *  Curious about equipment that might be helpful

   *  Frustrated by spending so much time in one room of the house

   *  Tired, if needed throughout the night to help the patient move from the bed
             to the toilet or to address other needs resulting from the lack of physical
             mobility