i also beach my fish in shallow water.
i never take my hand off the rod for the very reason you just wrote about.
once they are on their side in inches of water i strip several feet of line out so i can reach down with needlenose or hemo and grab the fly and give it a twist.
i do screw up lots of hooks that way but it gets the fish loose fast and the arthritis isn't so bad i can't tie more flies yet.
oh ya as for the picks i get the camera out while the fish is still in deeper water so i can start clicking as soon as it calms down.