Firstly, do not panic; they cannot fall any further. Check the immediate environment for risks, such as a wet floor.
1. Ask the client if they are hurt anywhere. Did they bang their head?
2. Do they remember falling? If they appear unhurt, ask staff not required to leave
3. Place a pillow under their head for comfort – remember touching the head can be taboo in some cultures, so always talk to the client and explain what you are doing
4. Cover them if required
5. Ask if they think they could stand themselves up with instruction
6. Ask the person to roll on to their side then get on to hands and knees
7. When they have done this, ask if they are dizzy or feeling worse – if they are, get the client to lie down and hoist them instead
8. Once they are on their hands and knees, place a chair as close as possible to the client’s hip. Ask them to use the chair to lean on with their closest hand, and using their nearest leg get them to put their foot flat on the floor then push up into a sitting position using their leg and arm
9. Alternatively, the client may prefer to use their furthest leg and foot to provide extra balance, particularly if the person is large
10. If the person cannot get onto the chair, get them to lie down again and hoist them. This technique can be taught to some people who have a history of falling to reassure them that they can get up from the floor independently, particularly pre‑discharge from a hospital or care facility. They will need to crawl to a stable piece of furniture that they can use to push themselves up
One Chair
1. Assess the person
2. Ask client to roll on to their side and push up with their hands
3. Ask the person to roll on to their hands and knees
Place a chair at the person's side, close to hip
5. The person leans on chair with their closest hand
6. The person pushes up to sitting position, sliding bottom into chair using both legs and arms
Two Chairs
Take the following steps to instruct a patient to get off the floor using two chairs
Position a chair at the head of the fallen patient. Instruct them to bend their knees up and roll into the side lying. They should then bring one arm over their chest until their hand is flat on the floor. Instruct them to push up with one hand and lower arm into a side sitting position as in the one-chair method.
Instruct the patient to face the chair and place their forearms on the chair.
Instruct the patient to bend one knee and place foot of that leg onto the floor. While at the same time pushing up on their forearms and hands.
Place a second chair behind the patient, ensuring its under their hips
Instruct the patient to sit backwards onto the chair.