Skip to content

How to help an elderly person get up from the floor? A complete guide for caregivers

5 min read

Over one in four adults aged 65 and older experience a fall each year, with many needing help to get up safely. Knowing how to help an elderly person get up from the floor is crucial for preventing further injury and maintaining their confidence after a distressing event.

Quick Summary

If an elderly person falls, first check for injuries and remain calm. If uninjured, guide them through a safe, slow process using a sturdy chair to help them rise, ensuring you provide support without lifting their full weight. If injury is suspected, do not move them and call for medical help.

Key Points

  • Stay Calm and Assess First: Before attempting to move a fallen person, remain calm and check for serious injuries like head, neck, or back trauma. If injury is suspected, call 911 immediately.

  • Use a Sturdy Chair: A strong, stable chair is your most important tool for helping an uninjured person rise safely. Position it near their head to facilitate a supported transition to a seated position.

  • Support, Don't Lift: Guide the person through the process of rolling to their side, kneeling, and using their own strength with the chair's support. Avoid pulling or lifting their full weight, which can cause injury to both of you.

  • Consider Assistive Devices: For individuals with limited mobility or repeated falls, lifting devices provide a safe, dignified alternative to manual lifting and minimize strain on caregivers.

  • Monitor for 24 Hours: Even after a seemingly minor fall, observe the person for a full day for any delayed signs of injury, pain, or confusion.

  • Prioritize Prevention: Addressing the root cause of the fall, whether it's environmental hazards or physical weakness, is the best strategy for long-term safety and independence.

In This Article

Over one in four adults aged 65 and older experience a fall each year, with many needing help to get up safely. Knowing how to help an elderly person get up from the floor is crucial for preventing further injury and maintaining their confidence after a distressing event.

Immediate Actions: Assess the Situation First

Before you do anything else, it is paramount to remain calm and assess the situation. Your first priority is to ensure the person is not seriously injured and that it is safe to move them.

Check for injuries and consciousness

  • Stay calm and reassure them: Panic can distress the person further. Use a calm, reassuring voice to encourage them to breathe slowly and stay still.
  • Ask if they are hurt: Ask them if they are in any pain, and if so, where. Look for visible injuries like bleeding, swelling, or bruising.
  • Do not move them if: You suspect a head, neck, or back injury; they are in significant pain; they are unconscious or confused; they cannot move their limbs. In any of these cases, call 911 immediately. Try to keep them warm with a blanket or jacket and as still as possible until help arrives.
  • Clear the area: If they are safe to move, quickly clear any nearby furniture, rugs, or other obstacles that could cause another fall during the process.

The Safe Step-by-Step Method Using a Chair

If you have determined that the person is not seriously injured and is able to follow instructions, use this step-by-step process. Never try to lift the person by yourself, as this can cause injury to both of you.

  1. Bring a sturdy, non-wheeled chair: Place a strong, stable chair near the person's head. The chair will be their main support for getting up.
  2. Help them roll onto their side: Gently guide the person to roll onto their side, if they are not already. Encourage them to move slowly to avoid dizziness.
  3. Assist them to their hands and knees: With support, have them get onto their hands and knees in a crawling position. You can place a pillow or towel under their knees for comfort.
  4. Position their hands on the chair: Guide them to crawl toward the chair and place their hands firmly on the seat of the chair.
  5. Lift one leg forward: Instruct them to place their strongest foot flat on the floor, so they are in a kneeling lunge position.
  6. Move the second chair: Once stable, move the second chair (or the first, if you only have one) directly behind them.
  7. Guide them to sit: As they push up with their arms and the leg on the floor, support them from behind. They should be lifting themselves up to sit on the chair. Do not pull on their arms.
  8. Rest and recover: Let them sit for a few minutes to regain their balance and composure before attempting to stand and walk again. Monitor them for any signs of discomfort or dizziness.

What to Do When They Cannot Get Up (Even Without Injury)

Sometimes, a person may be uninjured but simply lacks the strength to follow the steps above. In this case, you may need a different approach.

Using a lifting device

For repeated fall risks or for individuals who lack the strength to assist, investing in a lifting device can be a safer long-term solution. These devices are designed to lift a person without strain on the caregiver.

Feature Manual Lifting Assistive Lifting Device
Safety High risk of injury to both parties if done incorrectly. Low risk of injury, especially when professionally trained.
Physical Strain High strain on caregiver's back and arms. Minimal to no physical strain on the caregiver.
Independence Can be embarrassing or frightening for the fallen person. Restores dignity and independence for the fallen person.
Time Can be slow and difficult depending on the person's strength. Efficient and quick, following proper device instructions.
Cost Free, but can result in expensive medical bills from injury. Initial cost for the device, but pays off in safety and peace of mind.

Requesting professional "lift assist" help

Many emergency services offer a non-emergency “lift assist” service for situations where a person has fallen but is not injured. You can call your local fire department's non-emergency line for this. Do not hesitate to call if you are unsure or feel it is beyond your physical capabilities.

Post-Fall Assessment and Prevention

After the person is safely back in a chair, it's important to assess the situation and take steps to prevent future incidents.

The 24-hour observation

Even if there were no obvious injuries, it's wise to monitor the individual for the next 24 hours. Look for delayed pain, dizziness, or confusion. Sometimes, a fall's full impact isn't felt right away. Be on the lookout for hidden injuries that may become apparent later.

Identify and address the cause of the fall

Understanding why the person fell is key to prevention. Discuss the following with them and their doctor:

  • Environmental hazards: Were there loose rugs, poor lighting, or clutter? Perform a home safety assessment to identify and correct potential hazards.
  • Physical factors: Were they feeling dizzy, weak, or unbalanced? Regular exercise focused on strength and balance, like tai chi, can help.
  • Medication side effects: Some medications can cause dizziness or drowsiness. Talk to their doctor about potential side effects or medication adjustments. For more detailed information on preventing falls, consider exploring resources from the National Institute on Aging.

Conclusion: Your Role in Safety and Dignity

Knowing how to help an elderly person get up from the floor is a vital skill for caregivers and family members. By staying calm, assessing for injuries, and using a safe, structured method with a sturdy chair, you can assist effectively while protecting both yourself and your loved one. Remember that preventing future falls through home safety modifications and addressing underlying health issues is the most important long-term strategy for promoting health, independence, and peace of mind. Always prioritize safety and do not hesitate to call for professional assistance when in doubt.

Frequently Asked Questions

Call 911 immediately if the person is unconscious, has hit their head, is in severe pain, or you suspect a serious injury to the head, neck, or back. If you are unsure or unable to lift them safely, it is always best to call for professional help.

If you cannot safely assist them, do not attempt to lift their full weight. Call your local fire department's non-emergency line for a "lift assist." They have trained personnel and equipment to help without risk of injury.

It is normal to feel dizzy or lightheaded when getting up too quickly. Have the person rest in a seated position for several minutes before attempting to stand or walk again. If the dizziness persists, contact a doctor.

A walker or cane is not sturdy enough to provide the necessary support for getting up from the floor and can tip over. Use only a stable, non-wheeled piece of furniture, like a heavy chair or sofa.

To prevent future falls, perform a home safety check. Remove loose rugs, ensure adequate lighting, install grab bars in bathrooms, and keep pathways clear of clutter and electrical cords.

Encourage a slow and careful approach, even if they feel fine. The shock of a fall can mask initial pain. Guide them through the steps to ensure they rise slowly and use proper support, minimizing the risk of further injury.

Assistive lifting devices, such as manual or powered floor lifts, can be used by trained caregivers. These tools safely and gently elevate the person, reducing the risk of injury for both the person and the caregiver.

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.