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My Gma (91, Alzheimer's) fell today for the 1st time in 8yrs of me being her CG.
It was a slow braced fall I caught the tail end of it but was too late. She was shaken up by the fall, but she was very close to her chair. I got her in her chair, when I did she was relieved. She can stand up but not walk, she does have pain in her hip. I've been icing & heating all day. I can changed her Diaper if she stands. So I think I'm gonna keep her in her chair tonight and me sleep on the couch. But what do I do? Shes not in pain by sitting but is in pain if I ask her to take a step or if I flex that leg. How do I know if it's bad enough to take her in? The Hospital is just as risky right now 😭
I'm asking this here because I see the falls are pretty common and I'm hoping I'm taking it out of proportion. Please Have Kindness 😭

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I'm not sure that her being confined in her chair all night is going to help. Do you have a wheelchair or a wheeled commode in the house?

If she can stand, she can transfer from chair to wheelchair, then from wheelchair to bed. Then see how she is in the morning. (any stairs to negotiate?)

If you really can't move her from the chair, then I think you'd better ring for advice. If you can get hold of her doctor or physical therapist (or any competent, qualified practitioner) on the phone, that person can talk you through what to check to decide whether she needs to be seen immediately or whether it's safe to "watch-and-wait."

The trouble is that you can never know if it's the fall that hurt the hip, or the hip (neck of femur, usually) giving way that caused the fall. How stable is she when she stands and holds during changes? - but anyway, try not to stress out too much! And do get proper medical advice.
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Covid or no Covid, your Gma needs to assed by the medical professionals. If she is not able to now walk and is having pain when trying to, that is a clear indication that there is an issue and that she needs to be seen in ER, or her regular PC.
You must remember that just because Covid is still around doesn't mean that we are to ignore our/others health issues, as that can only make things worse.

And if there is a next time that she falls, please call 911, and they will come out to not only pick her up, but will also asses her in the home. If they feel there is no need to transport her to the hospital there is no charge. Only if they have to transport her, will there be.

I hope she will be ok, and you will have wisdom and discernment as to what to do for her.
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She should be seen. Any fall in a person of that age should be checked out. And especially if she can not walk.
The staff at the hospital does everything they can to isolate those that may have symptoms but things can happen. But it is more important that your grandma be seen and properly treated.
IF she broke her hip she most likely will not walk again unless it is treated. And the life expectancy of an untreated hip fracture is about 12 months or fewer

Also if there is a break there is a very good possibility that this was a BREAK and FALL not a FALL and BREAK.
Many times the hip will break causing the fall not the other way around.
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I agree that she should be taken to Urgent Care or ER to be assessed, especially if there is a change in her abilities, mobility or pain from before the fall to after. It doesn't take much for some elders to break a bone and often it's not obvious right away. Be aware that if she did have a break there is chance she will need to go from the ER to a rehab facility because if she is immobile, it will become very challenging, if not impossible, to provide appropriate care for her at home.
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I've been reading several stories from people in similar situations to yours who have encountered chaos at the hospital, if that could be happening in your region then I'd call around first to see if there might be a better option than an ER.
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I think that she needs to be medically assessed.

My mom had vascular dementia and fell once again in the house. This was in April 2020, so the emts were afraid to bring her to the er because of the Covid risk, and just got her back into bed.

After about two days of watching her languish in bed, refuse almost all food and drink, I went in and demanded I call an ambulance and have her evaluated. They said she had a uti and vascular dementia and after a too short time in the hospital on iv antibiotics.... She was transferred to a snf for "REHAB"......... SHE NEVER IMPROVED AS FAR AS BEING BEDRIDDEN AND INCONTINENT........ BUT THAT'S ANOTHER STORY........... I THINK YOUR LO NEEDS MEDICAL EVALALUATION ASAP!
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Rosesetta Sep 2021
Hi, my mom was getting UTIs also and the last time I took her into Urgent Care, the Doctor recommended over the counter D-Mannose. She was already taking Cranberry supplements..highest dose 1in the morning and 1at night. She’s been taking the D-mannose too now and seems to be doing a lot better. I still have to remind her to drink her water. She likes her coffee, so as long as I can get fluids in her too…it helps.
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UPDATE:
I called 911 this morning & she was transported to Kaiser. They determined she did fracture her hip.😭
She is having surgery in the morning.
Please keep her in your Prayers.
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Countrymouse Sep 2021
Poor love! Well done you for getting her seen promptly. Hope she makes a speedy recovery, hugs.
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How did the surgery go?

Good on you for getting your grandma some medical attention.
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Good for you! Hip pain after a fall should always be seen even at 50 yr old!
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I have Kaiser also. They are good for giving you advice of when to come in to have her checked. Also, Kaiser has VERY strict methods of SEPARATING Covid patients from other emergency patients.
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When my mom fall when they was being really strict I called urgent care they told me to bring her to the clinic and they would like at her they took x-rays and they said she didn't break anything. So see if you can take her to one to get checked out
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I arrived late and was going to say sounds like she broke her hip, call 911.

How is she doing this morning. Don't think about bringing her home, she needs rehab to gain strength so she can come back home in a few weeks. It will be hard on her, but that is what is best for her.
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I will keep her in my prayers 🙏
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Please take her to urgent care to evaluate her hip. It might not be broken but it might be bruised or a slight dislocation. You won't know until she is evaluated.
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It sounds like this situation is resolved. But next time, does your doctor or hospital have zoom appointments? This might be an intermediate step. We have a senior care clinic and the doctor's nurse takes emergency calls to to see what is the appropriate next step. My husband had surgery and his surgeon had him send pictures of the wound rather than driving in to be checked. (One good use for sexting in this world. I teased them both that, as far as I know, this is the only sext my husband has sent.)All these devices can help in many situations. Look into these resources before they are needed. None of us usually think of it until the problem is upon us urgently.
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You could take her to an ER not a Hospital and they could take an x ray to make sure she doesnot have internal bleeding.
Mare sure nothing is broken.
It could just be sore and bruised.

BUT, better to be safe than sorry.
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call a doctor that does TeleHealth online. #1 they could assist. contact maybe also a pharmacy see what's the next best. Tele may take a minute. u can also contact the hospital and just ask what could u do.
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i don't think its poor love. she was just more scared of the Cov and making matters worse. at least she reached out and got positive feedback. family in prayer.
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Jewlmomed77
How are things? How did the surgery go?
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Hi. I would worry about a possible hip fracture. Walk in clinics would be a safer bet. I'm sure they can do X-rays.
Just an example of what I just went through 2 weeks ago. My mom fell out of bed and cut her ear deeply. We called paramedics because my mom can hardly get down the 2 sets of stairs. They agreed that it needs stitches. They would not transport her. They have to keep their ambulances free for covid patients and life and death scenarios. They suggested a walk in clinic. So got mom down the stairs and she her legs gave out in the grass. I had to pick her up by myself and get her in the car. Got to walk in clinic and the PA came out, looked at her ear and said it was too complicated for them to fix. They said go to ER. So many people in pain from one thing or another waiting in the waiting room for hours!! We waited 4 hours before being called back for just an assessment and BP check. Then back to the waiting room. It was 11:30 pm before we got out of there. I couldn't go back with her. The whole thing was horrible. They glued her ear shut instead of stitches and did a CT of the brain. So, if there is any way possible, don't go to the ER!!! Try a walk in clinic or her Dr first!!!!!
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I should have read the other responses before posting my answer. I see your grandma had surgery. Hugs and prayers for a speedy recovery!!!
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bundleofjoy Sep 2021
hugs from me too!

to everyone here on this website, and to jewledmom77. i hope your grandmother gets well soon, too!
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I was told that at that age any fall is serious. My mom fell, she only complained of her hip hurting. Dr. said to call 911. They scanned her hip which was ok but that she had a fracture in her back. It hurt her to move one of her legs and pain in the hip which was all connected to her L4 fracture.
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Friend's 85 YO dad fell last week, said he was alright but later complained of pain. ER visit and MRI showed he has 3 cracked vertebrae. Contact the Dr office and ask where to go, maybe there is a separate lab facility that can do the X-rays without going to a hospital.

Another's friends Mom complained for weeks about pain in her hip. Turns out her husband had kneed her in his sleep and broke her hip! The elderly are so fragile, it’s better to get it checked ASAP than let it go and have an injury worsen.
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Please take her to the doctor for an X-ray of her hip. She may not have much pain depending on what type of fracture it is.
This happened to my Mom and the paramedic told her it wasn’t fractured or she wouldn’t be able to walk. Good thing I wasn’t there when it happened. I would have had a few words to say to him.
My Mom did indeed have a fracture and had to have a rod implanted to fix it.
Your Mom may have just bruised her hip but an X-ray is an easy non-invasive way to find out.
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bundleofjoy Sep 2021
hugs.

i agree number1daughter.

jewledmom77, we also worried about hospital/corona, but we also decided on x-ray after fall. in our case, the person was lucky, it was a hairline fracture (can heal naturally).

in your case (jewledmom77), she has trouble taking a step, flexing. she should immediately get an x-ray. it may very well be broken. if not taken care of, she might never walk again.

we had another LO (also fell during pandemic), couldn’t stand/take a step. went for x-ray. operated, new hip. after many weeks physio, could walk again. without operation, would never have walked again, bedridden (bedridden leads to fast death. doctor said, must operate hip; must save walking ability).

hug. courage.
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She definately needs some imaging studies if she appears to have list mobility.

if you want to avoid the hospital, you may be able to take her to her PCP and go to an outpatient radiology facility.

in an abundance of caution, however, your PCP will probably direct you to an emergency room.

if she has a fracture that needs to be set, she could heal improperly without treatment.
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Just call 911 and have some qualified EMTs evaluate her! Every time she falls, no if ands or buts about it. People wind up dying from not getting medical care because of fear of a virus. Don't be one of them.
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As always - quality of life is the goal.She needs to be comfortable.
if her hip is broken - she may need particular help and assistance to be comfortable while healing properly.
x-rays may be necessary to determine this. Check with her primary care physician.
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If she can’t walk it should be seen. If she broke her hip it’s more risky than covid I would think. I’d at least call her doctor and report it. It’s important when you care for an elderly person with dementia to report any kind of incident so it becomes part of her medical record. You could be blamed for not reporting something if it’s serious.
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Anytime my dad or now my mom falls I call fire and rescue. They do a quick assessment before lifting them up. If necessary they were transported to the hospital.

Can you send her to the ER via ambulance? Sounds like there definately could be a fracture especially at her age.

With falls we really have no choice but to call 911.

My 40 year career was in Imaging btw.
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Jewledmom77: Imho, you should have notified EMS at the time of occurrence.
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