Who to ring when sick person falls ?

Hi all. I live with my 77 year old 19 stone father who has sadly just been diagnosed with terminal cancer, he has lung and brain met cancer along with severe heart disease and gout. He fell over in the house yesterday and I could not lift him, he was a dead weight. He didn't hurt himself thankfully but he was unable to get himself back up even with my help. I have spinal scoliosis so I am not as strong as most 40 year old men. This is the first time he has fallen over. I called 111 for paramedics but due to the fact he wasn't hurt there was no urgency. When it had got to 3 hours and they hadn't turned up my brother-in-law who lives about an hour away decided to come over to help, so I cancelled the ambulance. Sadly I may not be able to contact him for help again depending what time of day, he also has a triple hernia so hardly ideal for him. Lifting 19 stone from the floor to a chair or bed is tough when the person has not much strength in their legs.

What is normal protocol for this if someone of this size, who is terminally ill with very little strength, falls on the floor from their walking frame but hasn't injured themself ? Is there a dedicated team to phone ? Or just 111 or even 999 ? We live in North Dorset. I am just asking in case it happens again. 

Is there any way to rent a Raizer chair (or similar) ? I hear they can lift up to 22 stone from the floor to a seated position. They are over £2000 so sadly I could never afford that price. I thought of a cheaper bath lift (and just not using it in the bath) but they only raise to about 40cm which is not that high when the person needs to go from seated to standing. I also thought of using my air mattress and maybe putting it under my dad and then inflating it, but I have a feeling he would just roll off the side as it inflates. 

Also even though he has terminal brain and lung cancer can he have physio via the NHS to try and strengthen his legs ? His diagnosis has hit me very suddenly so I am not sure what I should be doing or organising to happen. I don't have the money to go private. MacMillan have contacted us but I presume they are for helping dress and undress. 

Is there any advice ? Thanks.  

  • telephone local Falls clinic for advice

    hopefully they can organise community visit, get someone to assess re home equipment etc

    also will give you advice on exact procedures to follow if fall in your area

    criteria for accessing Falls service is just one or two falls in a year (doesn't have to be any injury) for anyone over 65 so you definitely meet criteria and in most areas self-referrals can be made

    explain why so urgent and that you need clear action plan and advise in case of further fall (sometimes direct alerts can be set which go through to third party although there are limitations to some of those services and it depends where in country you are)

    another source of advice is GP/district nurses/community occupational health therapist

    also social services for provision of equipment (generally equipment needed is decided by occupational health doing community visit to assess), carers to help etc

    you need a proper assessment and plan in place rather than just relying on 111 etc

    you are entitled to proper Falls risk assessment based on prior Falls without injury

    I think there are some simple aids that may help (much cheaper than Raiser chair)

    sometimes people have more strength in arms than legs for example with advice to roll if possible, crawl and push themselves up but need to be careful in terms of what you are pushing against so that doesn't fall taking person with it and causing injury – occupational health can advise; advice may be given on "safest" way to fall to avoid injury as well as ways to get up if possible in any situation; can be individual thing what best advice is – definitely need a plan

    since you need urgent advice telephone your nearest Falls clinic today – if nothing else they should tell you protocols to follow to get help (explain everything you put in here)

    I personally have had to get someone (much bigger and heavier than me) up after falling so know what a nightmare this can be

    there are resource limitations in some areas and help isn't always being provided as quickly as it should but you need help and are entitled to it

    regarding physio in our area can do self-referral to NHS musculo-skeletal clinic for NHS physio but help is provided at clinic rather than at home

    am not sure what procedures would be if wanted to access this kind of support at home rather than local physio clinic (probably would access via Occupational therapist so can ask about it when they assess for provision of equipment)

    person I care for has a tendency to go wandering in local woods etc so we have had to set up SOS alert which will activate on both mobile phone and apple watch (calling me and services directly)

    one funny thing was that person I help care for (lot younger than your dad) got distraught the other day at home and was hitting their legs which made watch ask if fall and confirmation person ok (would have sent alert otherwise), at which point the person started laughing and stopped hitting himself (so alert worked but in a way other than intended!)

    there was an offer of using a paid for service (pendant alert with firm that would then respond) but in our case person preferred to do phone/watch alert instead – however, this could be long wait in current environment

    I had a fall myself decades ago and was on the floor for over 6 hours before ambulance could come and move me (so this isn't a recent resource issue) – needed gas and air and stretcher chair

    can't imagine what anyone elderly must go through when left waiting many hours for help (you do hear horror stories); best to get plan in place in advance best as possible 

    please let us know how you get on

    good luck!

  • Years ago my wife had trouble moving about and had a tendency to climb out of bed despite side rails and finish on the floor, we were nearly same weight and im struggling with cancer treatment so very weak we were supplied with two hoists on wheels and a saddle or sling to get patient into, (rather like you see in garage to take engine out battery powered) it wasn't easy but it worked, but lacking space was a problem. (She had carers and they struggled),in the end we were supplied with ceiling hoists (free of charge) made things easier. Things were arranged though adult social care and social services. 

    Hope you can get things sorted soon. 

    As Rose said please let us know how things go. 

    Billy