In-home carers not allowed to lift patient after fall?

Discussion in 'Middle - later stages of dementia' started by ppm, Dec 13, 2019.

  1. LadyA

    LadyA Registered User

    Oct 19, 2009
    13,552
    Ireland
    A woman I know who worked privately as an overnight carer, even though she was trained and knew not to try and lift a client, did so one night when the man she was caring for fell. She ended up with two broken vertebrae in her back, and hasn't been able to work since. And since it was a private arrangement, she wasn't insured. So it's not just health & safety gone mad.

    With my husband, I had to call the paramedics a couple of times to get him off the floor. He was a big man, and heavy, and he couldn't follow instructions to help me get him up. In the nursing home, because he was obsessed with walking around, they put hip protectors on him. It's just like an underpants, with padding around the hip joints.
     
  2. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    Yes I agree Bunpoots, if my mother has a fall at the CH but says she is not hurt, the carers will help her to get up. But my mother is still at a stage when she can participate in the process and she can say if she's in pain - plus there are always multiple carers around, whereas at home there would just be one. The CH do use hoists as you say but I've only seen them to do this from chair to wheelchair.
     
  3. TNJJ

    TNJJ Registered User

    May 7, 2019
    972
    Female
    cornwall
    You can get someone up from the floor with a hoist but the PWD has to be able to follow instructions as the person has to lie flat on the floor. Then rolled side to side to enable the sling to be fitted. Sometimes it can take up to 3 people depending on circumstances but usually 2.
     
  4. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    Ah right, thanks TNJJ, I expect they do that if appropriate (I have never been there to witness it).
     
  5. TNJJ

    TNJJ Registered User

    May 7, 2019
    972
    Female
    cornwall
    That's ok.I was just trying to be helpful as speaking from experience.I'm not sure if I was it not.
     
  6. ppm

    ppm Registered User

    Jun 10, 2014
    52
    So the situation has changed a little...Dad fell again a few days ago and was taken to hospital as it clearly wasn't safe to leave him at home. The hospital has just advised us that he seems to have had a series of "mini heart attacks", which may have explained some or all of the falls. He is being kept in for further assessment, but we're waiting to see what his ongoing care needs will be....
     
  7. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    Sorry to hear that. It's good that it has resulted in the hospital doing an assessment though, and hopefully it will give you a clearer picture of his care needs. Please let us know how he gets on.
     
  8. ppm

    ppm Registered User

    Jun 10, 2014
    52
    Interesting feedback from visiting 2 residential care homes yesterday. When asked about how they dealt with falls, both said that they would lift the resident (probably requiring either 2 people or a hoist). This seems to be at odds with the advice given earlier on this post. Does anyone know exactly what the legal position is regarding care staff being able to lift patients after a fall?
     
  9. TNJJ

    TNJJ Registered User

    May 7, 2019
    972
    Female
    cornwall
    They are not allowed to. Unless a hoist or if they can get themselves up.They can give instructions to guide them if they can process the instructions.But if you mean physically lifting them up by themselves without a hoist ,not allowed.
     
  10. ppm

    ppm Registered User

    Jun 10, 2014
    52
    Hmmm...puzzling. TBH I'm pleased that they are prepared to, as it would avoid a repeat of the previous situation when my father was left lying on a hard floor for more than 4 hours before the ambulance arrived. It's also a strong argument for a care home over a live-in carer, who would not be able to lift him even if they were prepared to overlook the health and safety issues.
     
  11. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    Am I missing something - I don't think it is at odds with the info is it? It seems to be agreed that if the person can 'assist' by following instructions, two carers can help them up. If not, they can hoist. That assumes they are not concerned about a serious injury.

    As you say, the difference at home is there there would only be one carer, so she is unlikely to be able to lift.
     
  12. Chrissie B

    Chrissie B Registered User

    Jan 15, 2019
    97
    Female
    North Yorkshire
    All I know, is that when my mum was still walking around, and had fallen over a couple of times, she was asked to attend a falls clinic. They looked at possible reasons why she fell, and offered things such as physiotherapy and a different set of walking sticks, which at the time, my mother decided were given her in order to ensure she was crippled, she wasn't as far advanced in her Alzheimer's then and was still going through drama stage. The falls clinic was referred to her by her doctor.
    My temptation here would be to look at the reasons he keeps falling over, even if you know why, and get your dad's doctor to put him forward to what can be done about it first. A full time carer or even a fast track to the "First Response Team" should probably be made a separate issue if still required.
     
  13. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    @Chrissie B a bit further up the thread, the OP said her father is in hospital being investigated as they think he may have had a series of mini heart attacks causing the falls.

    After my mother fell in the CH and broke her hip 18 months ago, she was referred to the falls clinic (they visited her, she didn't have to go the clinic). The senior carer told me that this referral is routine, but in more advanced dementia it is usually pointless, because the first question is 'can she follow instructions' and if not, that's the end of the session. My mother is a bit frail and wobbly but refuses to use any type of walking aid, she just goes on her own merry way.
     
  14. Rosettastone57

    Rosettastone57 Registered User

    Oct 27, 2016
    1,115
    My mother-in-law was like this, she was referred to the falls clinic when she was still at home. At the first session it quickly became obvious that she could not follow the instructions or even remember to do the exercises. She refused to use any walking aids as well. The referral was a complete waste of time
     
  15. Sirena

    Sirena Registered User

    Feb 27, 2018
    1,986
    Female
    It's interesting isn't it @Rosettastone57 - I am sure the falls clinic do genuinely good work, but I think that people are too often wrongly referred to them. Several years ago I was unwell and fainted, fell back and hit my head on a wall and sustained a serious head injury. After multiple tests and scans the hospital couldn't suggest any treatment except, guess what, a referral to the falls clinic. Totally inappropriate - I didn't go!
     
  16. Lawson58

    Lawson58 Registered User

    In the very first post, ppm thought that having a live in carer was a waste of money if she couldn't lift dad after a fall. Both mum and dad were very elderly and mum, self funding wanted a live in carer so that he didn't have to go into care.

    Seems to me that all this talk about who can lift and under what circumstances is a little off the point.

    If mum is at home trying to care for dad when she is in her nineties and wants a live in carer, is that an unreasonable request? She doesn't want dad to go into care and yes, if he has a fall he is going to be on the floor for a while until help arrives. So if that isn't acceptable, then he goes into a home. Isn't there a quality of life (for both of them), lesser of two evils thing, mum can do what she likes with her money, all those things at question here?

    If I got to be 90, I wouldn't want to be caring for a PWD on my own and I think it is very unkind to think it is acceptable.
     

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