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!
He needs to be in a wheelchair if he has no strength left in his legs.
What may work better is to leave him on the floor (a pillow and a blanket for comfort) until someone is available to help. Your mother shouldn't be trying to pick him up. Three or four hours lying on the floor won’t do him any harm, and may help him to change his mind about the commode versus walking from the bed to the bathroom. ‘Stubborn’ may not be ‘stupid’.
(Teaching any person depends on their open mindedness, physical ability & memory or course).
I'll look for the 'MacGyver style' video link:
https://youtu.be/4ETgQD8QhZs
Back injuries are no joke and she may find herself imobile and in a lot of excruciating pain. Not to mention long term damage to her back down the road.
The only safe way for her and him is to call and have the paramedics get him back up.
#1 check he isn't hurt
#2 reassure him and allow him to recover - don't let him panic and be in too much of a hurry to get up again
#3 prompt him verbally to move himself into a sitting position, and then rest for a minute or two. If he can get himself onto all fours, so much the better.
#4 from there, see if he is able to move himself to a sturdy piece of furniture with a flat surface (by crawling or bottom-shuffling, for example) and pull himself up to his knees, onto one foot, onto both feet and sit - you can guide his hips onto the bed or place a chair ready for him - there are plenty of YouTube videos showing how.
Do not pull on any bits of him, do not hold him round the waist and yank at him, do not use any physical strength to assist him. As he begins to rise, you can place your hands to support his balance and to prevent him coming into contact with any corners or edges on his way up.
If he can't get himself up after one or two attempts, call 911 or your local falls response team (these are gaining in popularity - it's a waste of resources to send a full paramedic team out to a straightforward fall with no injuries).
There are falls cushions commercially available, but a) these are not cheap and b) it would be best to get some training in how to use them properly.
But whatever happens - you Do Not Lift.
Many time this was done when my dad and mom fell. No transfer is done to the hospital unless needed.
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.
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.
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.
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.
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.
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."
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!
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.
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.
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.