I have a 94-year old, 130 lb grandfather who is quite stubborn and tries to walk from the bed to the bathroom. We have a commode but he refuses to use it.
In any case, the other day he fell near his bed and my mother who is 63 years old herself had to work hard to try to get him back onto the bed. He has no energy left in his legs due to his energy and age so it's essentially 130 lb of dead weight. She is only one caring for him with no one else in the house to help.
Are there any belts, slings, devices that we can purchase to make it easier for him/her?
Here is some examples but I'm not sure if they work or if there's other creative solutions that we're not thinking about: https://imgur.com/a/GihLHgn
Thanks!
With my parents, there were one of two scenarios: Either my dad would fall down and then my stepmom would fall down trying to get him up and they would have to "push the button" so 911 could get them both up, or dad would push the button and Barbara would put out milk and cookies for the paramedics when they came. (They were on a first-name basis with "the boys"!) We nicknamed mom and dad "Wobble and Hobble".
Here are some things you can do to keep Grandpa happy, mom safe, and the paramedics away (but they do like their milk and cookies!):
1) Forbid your mom from ever trying to lift him - never, ever, ever!
2) Get BOTH of them "Help I've fallen and I can't get up buttons". I always recommend that they use the wristwatch type not the pendant because they can sleep and shower with them. The two most important times to have the button are at night and in the shower so it makes smart sense!
3) If Grandpa isn't using one, get him a walker. For $20 extra, get the tray that fits on top of it and a little basket for the front of it. Once he figures out that he can use it to move things more easily, he will use it more often.
4) Take a look at what's on his feet and on the floor. My dad hated to wear shoes and socks are slippery. We got him the "grippy socks" and his life got better. Are there tipping hazards on the floor? Sometimes rugs help, and sometimes they hurt. Take a look.
5) Grab bars? Professionally installed, not the suction ones can be put in hallways, and anywhere else they will make a difference.
6) Get you, mom and gramps, on Youtube and search for videos on how to get up after a fall. There are a lot of easy techniques (I like the two-chair technique) and tips to help dad get up on his own. Obviously, this is only an option if he's strong enough, but if he's walking he may be able to use one or two of those techniques.
7) Exercise and physical therapy. The stronger he is, the less likely he'll fall.
8) NEVER, EVER, EVER, EVER get mad or angry when he falls down. He didn't do it on purpose! Empathize with him - laugh it off with him and don't make him wrong, don't beg him to do "X, Y, or Z". Maybe it's a bit of reverse psychology, but having him feel bad, embarrassed, or wrong are just going to lead to more resistance.
9) Whoever said we have to treat our old folks like children is a liar and a fool. Treat them with more love, respect, kindness, and gratitude than they deserve because they deserve even more!
10) Write number 9 down on paper and put it on the fridge or the bathroom mirror so you don't forget!
I hope that helps! ~BRAD
(P.S. That thing in the link... no, no, no, no, no!)
Impossible to lift a fallen man
🤗 hugs
She needs to remind him about the fall, how she cannot afford to hurt herself trying to get him up and then tell him potty chair at night...period....no trips to the bathroom. If he insists on taking risks of falling, she'll be calling EMT next time to get him off the floor. You can tell him, if they have to come too many times, they'll get others involved and he'll end up having to live elsewhere. If he continues to take chances, he's going to have the fall that breaks something and very likely your mom will not be able to handle his care on her own anymore. So have the conversation with him - work with us and stay home longer or forever...or be ornery and reckless, take a fall, and be miserable stuck in a bed in a facility.
I would also suggest, ask the doctor to order in-home physical (legs/lower body) and occupational (upper body) therapy. It would probably help him to get a therapy routine started to help with leg strength. Medicare will cover it. I would ask for PT to start first and then switch over to OT to keep some kind of exercise going for longer period of time. If you do both at same time - they both end at same time....maybe a month or two. Then you're off for a period of time. Tell the dr about his fall and weak legs and ask for home health exercise.
Call 911 (no matter time of day) and tell them someone has fallen and you need public assist to pick them up. He always stated it is not safe to pick up a fallen person and it is likely to injure both parties.
He stated they went to the same home multiple times in the same day. They are happy to assist and it is their job,
Be safe.
How reasonable is Grandfather's judgement he is fatigued & can't walk?
Would he use a bell?
If he can walk to the bathroom independently quite safely, would he use a bell to call for help for way back? Either for walking or a commode ride back?
There are probably many reasons he has against using the commode. Ask & find out. Then tweak the routine where you can to improve safety.
Eg he may wish to preserve his independence of going to the bathroom IN the bathroom. He may not want to bother family or have trouble holding on waiting for help. They would be MY reasons.. see what his are.
Or maybe a chair halfway would give him a short resting stop?
Many men find a urinal bottle a handy thing for #1.
Prevention is always better if possible 😃. If not, follow all the advice for lift assist & CountryMouses's advice to a T.
There is equipment called "Hoya Lift". It helps transfer from bed to chair and vice versa. Contact her health insurance company and Medicare. Get her physician to write a statement and indicate that she is "fall risk". Social Services can assist with this information call them for direction. I had one for my mother it was a blessing. Make sure you get training. The seniors will not be able to handle the equipment though. Good luck.
And you still need to move the person a bit to get the sling under them. On a hard floor rolling someone back and forth to get the sling positioned would be uncomfortable.
Consider other fall prevention strategies first.
A movement alarm is used in NHs for people who require supervision/assistance but won't ask. Beeps when the person gets up from the bed or chair to alert caregivers.
I'd be trialling one of those.
They were very sneaky and didn't tell us (son and daughter ) what was going on.
When we found out, we were horrified. It's not right to rely on these people.
If he's falling, he needs more care that YOU need to organize or he needs to move to assisted living.
My dad went from falling to not being able to walk AT ALL. That required a 12 hours nurse in the house, which was very expensive but the only option since he refused to move out of his belove home.
Once he passed, mom moved into a beautiful assisted living and doesn't miss those days of taking care of dad at all. She swims in the pool, joined the chorus, plays Bingo, and is constantly thanking us for selling their house and moving her. (the only way she could afford this place was by selling her home....that's how we got her to move)
My advice is to think outside the box.....don't default to what you've done before....It was LOTS of work for my brother and I but we are proud of what we achieved for mom (and Dad, who loved his nurse).
I live 5 hrs away by car and my brother is 1 hour away, so it wasn't easy but we owe it to our parents to care for them.
Best of luck!
If she needs help, she can hire in-home assistance; if he needs constant help, then placement should be sought. There is the help on the right side of this site or they can call, "A Place For Mom."
But a Hoyer lift us not safe for many situations; any injury, mild to broken bones, especially hip, injuries to back, neck. Or carer not trained, especially on own as often takes 2 people to maneuver.
Hoyer lift definatly a great tool for those who cannot walk for transfers, but only sometimes for a 'faller' in my opinion.
It's akin to having to have a wreck at a stop sign to get a light put in. You could get hurt and so could your loved one. Call them and explain the circumstances. They don't know you're there and have a problem unless you contact them. They are happy to help.
When trying to help on your own Countrymouse's advice is very good, there are several videos available showing this technique if you search for "getting up off the floor after falls". My mom wasn't able to help at all so I used the step up method, lifting her from the floor to a low stool, then a higher stool and finally a chair - but I wouldn't recommend trying it if you aren't very, very fit.
The safest way is to call 911 or the non emergency number and ask for a "LIFT ASSIST"
In most areas without transport to the hospital there will be no charge.
The paramedics are trained to properly lift someone AND there are usually 2 people that will assist.
You, or another will be asked to sign a waiver declining transport to the hospital. But if there is a noticeable injury they may strongly encourage transport. (during the time I was caring for my Husband he fell 8 times, each time I called and there was never a charge. 7 of those times he was on Hospice so I would have declined transport anyway, if there had been an injury I would have called Hospice although I did notify them the following day)
There is another advantage to calling.
They will be aware that there is a vulnerable person in the house that may need more assistance in an emergency.
Like others have said, your mom shouldn't be trying to lift him. She could get injured then they'd both be in even worse shape.
Many time this was done when my dad and mom fell. No transfer is done to the hospital unless needed.