Care Home Fall

[Windmill34]

mil had a fall in her bedroom on Friday night being taken from chair(next to bed) and being put to bed for the night.

she was taken to a&e and has broken both
knee caps. consultant said had it of been one they could of operated but because of her
age 90 they are just putting them in leg brace.
She has dementia and can’t remember and doesn’t really know where she is.

So to anyone that works or has parent in care home

When being put to bed for the night
is it 1-1 carer & patient or 2-1 2 carers & patient
As it’s not my mum and dp is not good at thinking why/what etc, I’m just relaying to him my thoughts.
His sister is POA and also a bit dippy sometimes

so thought I’d ask on here

Thankyou so much for your reply I am waiting for word from the manager who only works weekdays and this seems to be happening weekends overnight. Half the staff don't speak English very well so that's another worry and I believe bank staff are employed quite often so no continuity of care either. But I will be looking into a new place. Thanks again

How would bed sores be addressed when a patient in nursing home can’t move ? Don’t think she’s walked since being in there, as she did v v little walking when she was at home before moving to nursing home

Only thing she does is chair- bed watching tv or dozing
I’d imagine she has Oesto .

Havnt got any answers if sister(pOA) yet as to what actually happened

The bedsores should be assessed and graded by DNs who then will provide the correct dressings and packing ( if wound was deep)
She then should be repositioned regularly (2-4) hrs to help the sores heal.

Pressure mattress and cushions (probably the constant inflating/deflating type) and frequent repositioning, brisk all-over massage when doing the morning and evening wash to help the circulation so no more develop, and regular dressing of existing ones.

Where I worked the nurses would dress and pack the wounds. Does she have a body chart documenting all bed sores? Also, are they providing pressure relief when she is on the chair and through the night?

@comeagainx you can't fall backwards out of a stand aid. I'm taking the mechanical hoist type stand aid and it absolutely would be possible to fall forwards and bash your knees hard against the supports if you were not supported correctly.
Although I would also expect other injuries to either face or arms if that occurred.
Mechanical stand aids have always been 1-1 operated. I've worked in care for more than 15 years and they have always been so.

you can't fall backwards out of a stand aid. I'm taking the mechanical hoist type stand aid

A hoist is normally referred to as a hoist not "a stand aid". I thought you meant an actual stand aid - like a Sara Stedy or similar - like this:

https://www.arjo.com/en-gb/products/patient-handling/standing-and-raising-aid/sara-stedy/

I still don't think you could break both knee caps together on a hoist. If the patient doesn't assist, normally what will happen is the sling/attachment will slide up under their armpits and give them injury there rather than a fall forward with such force to break knee caps - that's a lot of force.

@comeagainx I was thinking one more like this.
If you pull someone up using this and their knees where not properly in the supports then you absolutely could break kneecaps. The knee supports are solid and if you're being forced into them as you stood up....

It's still negligent care as the carers role is to ensure that the client is positioned properly.

https://glebehealthcare.co.uk/products/oxford-journey-stand-aid-hoist?gclid=Cj0KCQiA2eKtBhDcARIsAEGTG43CjJdbB2rcehVluV0v3LaTFNTyJY1EWB8aCz-PB0ypvqWf0PDuasaAp1yEALww_wcB