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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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Like BarbBrooklyn said below, you call 911 and they will send either EMT's or the Fire Dept.(depends where you live)out to help the person up. And if the person doesn't need to be transferred to the hospital there is no charge for them to come out. I know that's the case in just about all counties in the US, but there may be some exceptions, so you can call the to find out ahead of time. I know that my local EMT's were a Godsend when my late husband was alive as there was one period when he fell 9 times in 2 months and the EMT's were always very kind when they came out to help him up. And I was never charged because thankfully he never had to be transferred to the hospital.
In NYS, there is a considerable charge when person is not transported to ER. They gave us one courtesy assist with a heads up future visits will be charged and insurance will not cover it.
My Mom would fall occasionally. I had to call the EMS a few times. I ended up getting a hoyer lift for my house and it helped me lift her without assistance. It was costly, but worth it.
It sounds like all are in danger here. The one being lifted and the one doing the lifting. Time for PT assessment and decisions about whether in home care is still possible. Sorry you are going through this, but as an RN I guarantee you that we ALL retire with "Old Nurse's Back" and it's no fun.
More people get hurt trying to lift someone else. You can only call 911 and make them comfortable for the few minutes it will take for EMS personnel to get there.
ALso, a short session with a PT who can give you some hints on helping someone to get up without hurting YOU. Sometimes falls are not that bad and the person CAN safely be lifted.
Agree Midkid58 and Alva that more people get hurt trying to lift someone. I almost hurt my back and my wrists trying to lift my aunt who fell. I couldn't lift her. She did all of the work crawling everywhere and hoisted herself onto a chair. Painful to watch.
My sister fell twice in one month. One fall requiring a visit to ER. Both times we had to call 911 for Lift Assistance as they call it. They are so good about it. Don't hesitate to use it!!
Don't. When it gets to this point, a home caregiver usually can't handle it. As others have said, call 911 for assistance.
The larger question is, How can you continue to keep her at home when she needs this level of care? She won't get any better. Start thinking about what's down the road and make plans for her 24/7 care.
My yoga teacher, who was 81 and could balance on her hands with her knees tucked on her upper arms, stressed the importance of upper body strength for the elderly. Those who have strong arms and chest muscles are more likely to be able to get themselves up from the floor when they fall. They're less likely to lie there for hours or days. She would say that this person needs to build upper body strength. True. But so few elders do it.
What to Do if an Elderly Person Falls Down 1. Stay calm and help your loved one to remain calm by encouraging them to take slow, deep breaths. 2. Examine them for injuries like bruises, bleeding, possible sprains and broken bones. 3. Ask them if they are experiencing any pain, where it is located and how severe it is. 4. If they have a serious injury (e.g., a broken bone, bleeding), then don’t move them. Call 911 and keep your loved one as warm, comfortable and still as possible until help arrives. 5. If they aren’t badly hurt and they want to get up, proceed slowly. Stop at any point if they become stuck, experience pain or become too tired to get all the way up. 6. Find two sturdy chairs. Place one next to the senior’s head and the other down by their feet. Keep in mind that your loved one must be capable of doing the physical work required to get up. Your role is to help guide them through these steps and keep them steady, not lift their weight. If they cannot do this, then call to request a lift assist. 7. Help your loved one roll over onto their side and assist them in getting onto their hands and knees. If they suffer from sore knees, place a towel beneath them to make this step more comfortable. 8. Move the chair closest to their head directly in front of where they are so they can rise up to place their hands evenly on the seat and assume a kneeling position. 9. Ask the senior to lean forward on the seat as they bring their strongest leg forward, leading with the knee to place their foot flat on the floor. The senior should look like they are in a kneeling lunge at the end of this step. 10. Move the second chair directly behind your loved one, then ask them to use both their arms and legs to push themselves up and sit back into this chair. You can use your hands to keep your loved one steady, but keep your back upright and make sure they are doing the physical work to lift themselves. 11. Keep the senior seated until you’re confident they can stand and continue moving around without hurting themselves or falling again. 12. Immediately notify their doctor that they’ve had a fall and keep an eye out for emerging pain and signs of injury.
Please ask doctor for a referral to physical therapy for evaluation and treatment. Your senior needs a cane (at least) or a walker (most likely). He/She should be able to negotiate in the home and out of the home with one of these mobility devices. If somebody falls all the time, they may need to use a wheelchair more of the time. When somebody falls, he/she should be able to crawl to a low, steady chair; use the chair to either stand or sit into the chair. If not, it takes 2 people to lift an average size person off the floor. Larger people may take 3 or more people to get them off the floor. Some lift devices can help with this task and a physical therapist can show you how to use them. A physical therapist can also recommend the right types of devices for the type of mobility issues your senior has.
You call the fire department and ask for a “fall assist”. They come for free and help. Do not call 911. Then you will get the police, ambulance and the fire department and may be charged
That might be the case where you live CoolBaptist, but every time that my late husband fell(which was often)I always called 911 and they just sent out the EMT's to get him back up, and we were never charged. The only time there will be a charge is if your loved one has to be transported to the hospital.
You can call the non emergency number to the Fire department. Ask for a "LIFT ASSIST" typically if there is no transport to the hospital there will be no charge. You will have to sign a release. If there is an obvious injury they may suggest transport. If the Person is on Hospice also call the Hospice and let them know of the fall. The good thing about calling for a Lift Assist is that they will know there is a disabled person in the house and they will know it may result in more calls. If you call after hours the call will probably be routed through to the 911 dispatch. (I have called 911 for a Lift Assist and was NOT charged for the call.) Do NOT try to lift a person yourself you could get hurt or you could hurt the person you are trying to get up off the floor. If you are walking with someone and they begin to fall do NOT try to stop the fall most likely they will take you down with them. (If the person is unsteady use a Gait Belt always, even if they use a walker or cane)
Side note about calling for a Lift Assist. Make sure your house is well light at night. Make sure walkways are clear. (good safety in any case) If you have any animals lock them up before help arrives. I used to put a note on my door that said "Dogs Locked up. Door Open" As soon as I had finished with the call for the Assist I would lock the dogs up then go stay with my Husband so he would not panic. Did that routine 9 times while he was on Hospice.
One other note of caution...if the person has a DNR or a POLST make sure it is CLEARLY visible if you ever call 911. If they do not see the document or if you can not find it they WILL make all attempt to resuscitate a person. Carry a copy with you at all times.
1. Re: the well-lit area at night-we have those motion-sensor lights above the door jambs and at the floor above the moulding. (I learned about this when we went on our cruise, for floor lighting!) Look for a 6-pack on Amazon.
They are at the entry hall above the door: in the kitchen above the door: in the bedrooms hallway above each end of the hallway: and on top of the doorway jamb in the bathroom where the door is the farthest from the light switch.
2. If the person isn't hurt: This is what I did for my 300+ # sister when she fell on the patio outside. (Drunk) Since it was a sliding door between the patio and the kitchen, I put a few of her doormats over the track, then put her silky-type of chair cover over it. She was able to maneuver onto it (doing the 'black bottom' one-cheek-at-a-time move that we used to do in the gym at school), and with her pushing her legs, I was able to drag her over the sliding glass door track, through the tile kitchen, and onto the living room rug, finally bringing her by her chair, where she could get up by herself by holding onto her chair.
I learned this in EMT school, to drag a person, even if you have to use a large black 33 gallon trash bag. Hey, it's better than an under-the-shoulders drag.
Ditto to everyone who advised not to attempt it. My dad had many falls. The local paramedics or fire dept came and kindly picked him each time. They always assessed for injury and treated dad with dignity. And they always reminded me that it wasn’t safe for either of us to lift him myself
I made the painful mistake of lugging my husband up when falling became more frequent. EMT gave us one courtesy assist and advised they must charge for future calls. Insurance will not pay in NYS if the person is not transported.
PT has improved the situation somewhat, as long as he continues with his home PT exercises. Either way, I refuse to hurt myself anymore with excessive demands. Knowing this, my DH has been a bit more motivated to follow PT recommended exercise plan to increase independence and staying home.
Wow! Our fire dept the time we used them before having a hoyer said call anytime. 90% of our calls are seniors falling. Happy to help out. We are in MD. When I asked the charge they said bring some cookies. So every Christmas we bake cookies and drop them off.
As others stated, don't try to get the person up alone.
Get one of those fall alert pendants, particularly one that has 2-way communication. They are great in situations like that - press the button and explain to the person on the other end that you need lift assistance. They will contact EMS who will come and assist. You bypass 911.
When I was very young I took a course to become a lifeguard. Now 50 years later I use the techniques I learned to pick up my disabled wife. She can not walk or stand on her own. I have picked her up off the floor and transferred her from bed to wheelchair to car. Actually the car is the most difficult. It’s all about learning how to do it safely unfortunately these thing are not taught because of our sue happy society.
Call your local fire department; they will come to the home 24/7, assess the need and, if appropriate lift the person back into chair or bed. Or if there are other emergency needs required they will facilitate contacting them.
Do NOT try to lift a fallen person yourself as you can further unknowingly injure them and, you can injure yourself.
For immediate needs, call EMS or the fire department for assistance. If this is an ongoing problem, your insurance company may be willing to help pay for a device called a hover lift, depending on her mobility challenges, to prevent further falls. Or they may send in a home health nurse and/or OT to evaluate your home and make suggestions for changes or equipment that may prevent falls.
EMT's and Fire Department will help for an immediate fall, but if this involves frequent falling, the senior needs more permanent mobility accomodations. I think the lift ClaraKate mentions is the Hoyer Lift which is used for transferring someone from bed to wheelchair etc, but I don't think it would work to help someone who has fallen to the floor.
We used a hoyer for dad, when he fell. I just managed to get the lift under dad. I had the Y or U sling. Then rolled the hoyer up to him, hooked it up and lifted him up. Have a chair close by to put them in. We had the hoyer at the house as a precaution incase dad got to the point he could no longer stand using a spyrt (sit to stand device)
There's a post in this thread that says there's a "considerable expense" in NYS for EMS to come assist. Not sure where poster is from, but it's NOT true anywhere in rural upstate NY. Most of our EMS is volunteer.
Elder care facilities call 911. They do not pick up / move anyone who falls.
Perhaps call the fire dept? Whatever you do, never ever put yourself in a situation / position to be injured.
The answer might be how to do all you can to avoid the falling. Rails? more care givers? 24/7? Rings on bed / mattress so it makes noise when a person attempts / gets up limited ability (time) to move around (esp without person there watching) Move person to assisted living.
This might be the warning sign to consider care needed.
My late husband’s nursing home did get residents who fell back up as long as they were ambulatory. Sometimes I could get him up myself when I was visiting and other times I did it with help from a nursing assistant. They always had an RN do an assessment after a fall. Sometimes the RN thought the resident needed to go to Urgent Care or the ER; sometimes s/he deemed this unnecessary. It all depends on the resident.
I'm not assuming this senior is overweight, so average weight senior you can try to get behind them, put your arms under their arm pit as far as both of you can go and secure your arms around front of senior with good grip, and lift with your knees, not your back. In nursing home they use a belt (large thick strap) to do the lifting, maneuvering. Best to use 2 people to do lift when available. Possibly best to get them into chair not to stand them up (getting senior balance may be difficult with knee problem.) EMS can and many time do charge a $100-$300 charge for the run out to location. Medicare will not reimburse. Caution: dead weight is extra heavy!! You don't want to hurt them or yourself. Mom only weighs 115 pounds and is difficult to move around sometimes by myself. There are classes available to help learn some tricks and methods of helping seniors in need.
My wife is somewhat overweight and had a broken ankle. When she fell to the ground I could not pick her up especially since I did not want her to put pressure on her ankle or break or pull something else. I finally maneuvered her up to get into a chair and then she was OK. However, it was revealing moment and did not want it to happen again. I am 81 and she is 78. After doing some research I ended up purchasing a chair lift that collapses to be almost flat on the ground so she could easily slide onto it while on the ground. The unit then has a control that lifts the chair using internal rechargeable battery to drive a motor and screw mechanism. Once the chair is raised to any desired level she could easily get off and get up onto her feet without stressing any part of her body, and without any lifting by me. So, easy on both of us and no danger of injury. Can also be used to get into and out of bathtub. These are sold on Amazon, EBay etc. I purchased a new open box on EBay for $150. Well worth it. Have not had the need to use it after that first incident. While many companies make these chair lifts the one I purchased has no brand (probably all made in China). Good luck.
Mom and I have something like this. Getting onto the platform can be tricky. What helps is if she rolls to her side and I put the platform directly under her so that she's mostly on it from just rolling up. Then nudging it up a few inches gives her some leverage and she can scoot all the way on.
When she fell in a tight spot where the lift would not fit, we both injured ourselves trying to get her up. On that occasion it would have been better to call for a lift assist.
Definitely check for injuries first. Most falls are non-injury falls, but one must be careful. Adrenalin can initially mask pain. Remember, too, that a person can be just a bit stiff on day one and then develop bad pain later.
Everyone here has given you good advice. My daughter was a fire captain and she had to go to one couples house so often that when she transferred, they gave her a going away gift. You don't say why she is falling. Physical Therapy is very helpful. I have to use a rollator and when I stand I have a tendency to fall backwards, so I always have my back to a wall when I have to stand alone. Whatever you do, DO NOT lift the patient by yourself.
DO NOT! Call 911, let specifically trained personnel assess and move your senior. Even if you have lifted people in the past, it is never a good idea to lift anyone. There’s just too much probability of doing something to make the damage worse and that opens you up to financial liability even if it is a close relative.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
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APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
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I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
And if the person doesn't need to be transferred to the hospital there is no charge for them to come out. I know that's the case in just about all counties in the US, but there may be some exceptions, so you can call the to find out ahead of time.
I know that my local EMT's were a Godsend when my late husband was alive as there was one period when he fell 9 times in 2 months and the EMT's were always very kind when they came out to help him up. And I was never charged because thankfully he never had to be transferred to the hospital.
ALso, a short session with a PT who can give you some hints on helping someone to get up without hurting YOU. Sometimes falls are not that bad and the person CAN safely be lifted.
The larger question is, How can you continue to keep her at home when she needs this level of care? She won't get any better. Start thinking about what's down the road and make plans for her 24/7 care.
My yoga teacher, who was 81 and could balance on her hands with her knees tucked on her upper arms, stressed the importance of upper body strength for the elderly. Those who have strong arms and chest muscles are more likely to be able to get themselves up from the floor when they fall. They're less likely to lie there for hours or days. She would say that this person needs to build upper body strength. True. But so few elders do it.
Good luck.
1. Stay calm and help your loved one to remain calm by encouraging them to take slow, deep breaths.
2. Examine them for injuries like bruises, bleeding, possible sprains and broken bones.
3. Ask them if they are experiencing any pain, where it is located and how severe it is.
4. If they have a serious injury (e.g., a broken bone, bleeding), then don’t move them. Call 911 and keep your loved one as warm, comfortable and still as possible until help arrives.
5. If they aren’t badly hurt and they want to get up, proceed slowly. Stop at any point if they become stuck, experience pain or become too tired to get all the way up.
6. Find two sturdy chairs. Place one next to the senior’s head and the other down by their feet. Keep in mind that your loved one must be capable of doing the physical work required to get up. Your role is to help guide them through these steps and keep them steady, not lift their weight. If they cannot do this, then call to request a lift assist.
7. Help your loved one roll over onto their side and assist them in getting onto their hands and knees. If they suffer from sore knees, place a towel beneath them to make this step more comfortable.
8. Move the chair closest to their head directly in front of where they are so they can rise up to place their hands evenly on the seat and assume a kneeling position.
9. Ask the senior to lean forward on the seat as they bring their strongest leg forward, leading with the knee to place their foot flat on the floor. The senior should look like they are in a kneeling lunge at the end of this step.
10. Move the second chair directly behind your loved one, then ask them to use both their arms and legs to push themselves up and sit back into this chair. You can use your hands to keep your loved one steady, but keep your back upright and make sure they are doing the physical work to lift themselves.
11. Keep the senior seated until you’re confident they can stand and continue moving around without hurting themselves or falling again.
12. Immediately notify their doctor that they’ve had a fall and keep an eye out for emerging pain and signs of injury.
The only time there will be a charge is if your loved one has to be transported to the hospital.
The good thing about calling for a Lift Assist is that they will know there is a disabled person in the house and they will know it may result in more calls.
If you call after hours the call will probably be routed through to the 911 dispatch.
(I have called 911 for a Lift Assist and was NOT charged for the call.)
Do NOT try to lift a person yourself you could get hurt or you could hurt the person you are trying to get up off the floor.
If you are walking with someone and they begin to fall do NOT try to stop the fall most likely they will take you down with them. (If the person is unsteady use a Gait Belt always, even if they use a walker or cane)
Side note about calling for a Lift Assist.
Make sure your house is well light at night.
Make sure walkways are clear. (good safety in any case)
If you have any animals lock them up before help arrives.
I used to put a note on my door that said "Dogs Locked up. Door Open"
As soon as I had finished with the call for the Assist I would lock the dogs up then go stay with my Husband so he would not panic. Did that routine 9 times while he was on Hospice.
One other note of caution...if the person has a DNR or a POLST make sure it is CLEARLY visible if you ever call 911. If they do not see the document or if you can not find it they WILL make all attempt to resuscitate a person. Carry a copy with you at all times.
1. Re: the well-lit area at night-we have those motion-sensor lights above the door jambs and at the floor above the moulding. (I learned about this when we went on our cruise, for floor lighting!) Look for a 6-pack on Amazon.
They are at the entry hall above the door: in the kitchen above the door: in the bedrooms hallway above each end of the hallway: and on top of the doorway jamb in the bathroom where the door is the farthest from the light switch.
2. If the person isn't hurt: This is what I did for my 300+ # sister when she fell on the patio outside. (Drunk) Since it was a sliding door between the patio and the kitchen, I put a few of her doormats over the track, then put her silky-type of chair cover over it. She was able to maneuver onto it (doing the 'black bottom' one-cheek-at-a-time move that we used to do in the gym at school), and with her pushing her legs, I was able to drag her over the sliding glass door track, through the tile kitchen, and onto the living room rug, finally bringing her by her chair, where she could get up by herself by holding onto her chair.
I learned this in EMT school, to drag a person, even if you have to use a large black 33 gallon trash bag. Hey, it's better than an under-the-shoulders drag.
PT has improved the situation somewhat, as long as he continues with his home PT exercises. Either way, I refuse to hurt myself anymore with excessive demands. Knowing this, my DH has been a bit more motivated to follow PT recommended exercise plan to increase independence and staying home.
Get one of those fall alert pendants, particularly one that has 2-way communication. They are great in situations like that - press the button and explain to the person on the other end that you need lift assistance. They will contact EMS who will come and assist. You bypass 911.
Good luck!!!
Do NOT try to lift a fallen person yourself as you can further unknowingly injure them and, you can injure yourself.
They do not pick up / move anyone who falls.
Perhaps call the fire dept?
Whatever you do, never ever put yourself in a situation / position to be injured.
The answer might be how to do all you can to avoid the falling.
Rails?
more care givers? 24/7?
Rings on bed / mattress so it makes noise when a person attempts / gets up
limited ability (time) to move around (esp without person there watching)
Move person to assisted living.
This might be the warning sign to consider care needed.
Gena / Touch Matters
When she fell in a tight spot where the lift would not fit, we both injured ourselves trying to get her up. On that occasion it would have been better to call for a lift assist.
Definitely check for injuries first. Most falls are non-injury falls, but one must be careful. Adrenalin can initially mask pain. Remember, too, that a person can be just a bit stiff on day one and then develop bad pain later.