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How should an older person get up off the floor? A step-by-step guide

4 min read

Falls are a significant health risk for older adults, with one in four Americans aged 65 and over falling each year. Learning how should an older person get up off the floor is a crucial skill for maintaining independence and safety, transforming a potentially frightening situation into a manageable one.

Quick Summary

An older person should assess for injuries first, roll onto their side, push up to a sitting position, crawl to a sturdy chair, and carefully use it to help stand up, avoiding a rush to stand prematurely.

Key Points

  • Assess for Injury: Before moving, stay calm and check for any severe pain or injuries, especially a head injury or broken bones. Do not proceed if injured; call for help instead.

  • Use the "Log Roll" Technique: To avoid back strain, roll gently onto your side rather than trying to sit straight up from a flat position.

  • Crawl to Support: Once on your hands and knees, crawl toward a sturdy object like a chair or bed for support, avoiding unsteady items like rolling tables.

  • Use a Sturdy Object: Place hands firmly on the sturdy object and use your arms and legs to push up slowly, one foot at a time.

  • Avoid Rushing: Once standing, pause for a moment to regain balance and prevent a second fall. Take your time throughout the entire process.

  • Know When to Call for Help: If you cannot get up safely, use a medical alert device, phone, or your voice to get assistance, and stay warm and comfortable while you wait.

In This Article

A Step-by-Step Guide to Getting Up Safely

When an older person falls, the initial reaction might be panic. However, staying calm and following a methodical process is key to preventing further injury. This detailed guide breaks down the process into actionable steps, focusing on safety and leveraging technique over brute strength.

Step 1: Stay Calm and Assess the Situation

Before attempting to move, it's vital to perform a quick self-assessment. Take a few deep breaths to calm yourself. This will help you think clearly and determine if you have any serious injuries, such as a head injury or broken bones. Do you feel any sharp, severe pain? Can you move your arms and legs without significant discomfort? If you suspect a serious injury, a broken bone, or feel dizzy, do not attempt to get up. Instead, try to get comfortable and call for help immediately. Use a personal alarm, a nearby phone, or shout for assistance.

Step 2: Roll Onto Your Side

To move from lying on your back to a more stable position, slowly and carefully roll onto your side. Use your arms and the momentum from your legs to help. This position is the safest starting point for the next steps and reduces the risk of straining your back.

Step 3: Move to Your Hands and Knees

From your side, push up with your top arm and move onto your hands and knees. Take your time with this transition. Keep your movements slow and deliberate. If you have knee pads or a soft surface nearby, you may want to move to that location. If you are on a hard floor, you can place a blanket, pillow, or a folded sweater under your knees for cushioning.

Step 4: Crawl to a Sturdy Piece of Furniture

On your hands and knees, crawl towards the nearest sturdy object that can support your weight. This could be a solid chair, a couch, or a bed frame. Avoid using objects with wheels, flimsy tables, or anything that could easily tip over. Ensure the object is stable by testing it with your hands before you start to use it for support. This step is critical for providing the necessary support as you begin to stand.

Step 5: Put One Foot Forward

Once you are next to your sturdy support object, put one foot flat on the floor in front of you. This places you in a lunge position. If necessary, use your arms to help shift your weight forward. Your knee on the floor should be at a 90-degree angle to the floor and your front foot should be firmly planted.

Step 6: Use Your Arms to Push Up

Place both hands on the sturdy piece of furniture. Use the strength in your arms and your front leg to push yourself up slowly. Distribute your weight evenly and avoid putting all the pressure on your arms. Remember to keep your back straight as you rise to a standing position. Take a moment to steady yourself once you are standing before attempting to walk away. This prevents a potential second fall.

Comparing Different Assisted Standing Methods

Method Best For Pros Cons
Sturdy Chair Method Individuals with moderate upper body and leg strength. Minimal equipment needed; easy to find a stable object. Requires careful movement; not suitable for those with severe strength limitations.
Floor-Based Riser (Lift Chair) Individuals with significant weakness or balance issues. Provides automated assistance; very low physical strain. Requires pre-planning and specialized equipment; expensive.
Assisted Stand-Up (with another person) Individuals who need full support or have injuries. Offers maximum safety and support; ideal for post-fall situations. Requires a trained or strong caregiver; must be done correctly to prevent injury.
Wall Support Individuals who can't reach a chair but have a wall nearby. Accessible in many locations; provides stable support. Can be less stable than a chair; limited maneuverability.

What to Do If You Can't Get Up

If you find that you cannot safely get yourself up, it is important to call for help. Do not exhaust yourself with repeated attempts.

  • Press a medical alert button. If you have one, use it immediately.
  • Use a phone. If a phone is within reach, call a family member, neighbor, or emergency services.
  • Shout for help. If someone might be in earshot, shouting loudly can get their attention.
  • Make yourself comfortable. While waiting, try to move into a position that puts the least amount of pressure on any potential injuries. Use clothing or other items to stay warm if the floor is cold.

Prevention is the Best Medicine

While knowing how to get up is important, preventing falls in the first place is paramount. Regular exercise focused on balance and strength training, a home safety assessment to remove hazards, and proper footwear can all significantly reduce the risk of falling. For more authoritative information on fall prevention, you can visit the Centers for Disease Control and Prevention website.

Conclusion

Falling is a common occurrence for older adults, but it doesn't have to lead to serious injury or loss of independence. By understanding the proper, step-by-step method for getting up off the floor safely, individuals can empower themselves with a crucial skill. This careful, methodical approach, combined with proactive fall prevention measures, is a cornerstone of safe and healthy aging. Remembering to stay calm, assess for injury, and use a sturdy support object can make all the difference in a fall situation.

Frequently Asked Questions

The very first thing to do is to stay calm and assess yourself for any injuries. Check for severe pain, head injuries, or broken bones. If you suspect a serious injury, do not attempt to move and call for help immediately.

The safest method is to roll to your side, get on your hands and knees, crawl to a sturdy chair or bed, and use that object to push yourself up slowly. Take frequent pauses to rest and regain your balance.

Always use a sturdy, stable piece of furniture for support, such as a strong chair, a bed frame, or a sofa. Never use objects that could easily tip or move, like wheeled walkers, flimsy tables, or unsteady shelves.

Call for emergency help if you experience a head injury, severe pain, can't move your limbs, suspect a broken bone, or feel dizzy. It is always better to be safe and have medical professionals assess your condition.

Yes, regular exercise focused on improving balance, strength, and flexibility can significantly reduce the risk of falling. Activities like tai chi, walking, and specific balance exercises are highly beneficial.

After rolling onto your side, use your arms to push your upper body up while simultaneously bending your knees to transition to a hands-and-knees position. This distributes the effort and reduces strain on your back and joints.

Ensure your home is well-lit, remove tripping hazards like loose rugs and cords, install grab bars in the bathroom, use non-slip mats, and keep frequently used items within easy reach to avoid stretching or reaching.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.