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I took my 89-year-old client to the beach. We sat on towels. when it came time to stand up, I had to ask someone to help us. What’s the proper position to put the senior citizen in before you help them stand up?

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This is negligence. You should not be a caregiver. Is this a paid position? We all know that the elderly fall, but to purposely place an 89 yo in sand is very poor judgment. The answer to your question of how to get them up is easy. You willingly put them in this dangerous situation. It never should have happened. Also, you should have called EMS for a lift assist instead of getting random people to help.
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Reply to Sandra2424
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In the city where my mom lived, the EMS charges for helping people who have fallen. It doesn't matter whether it's not an emergency. This is very common. Nobody should assume that a non-emergency, no-medical-care-provided response by EMS will be free.
Here's some information from an AI overview, original source Washington Post: "Lift-Assists: Non-injury calls where a person simply needs help getting back up (often called 'lift-assists') average around 1,800 calls per day nationwide tracked through fire and EMS reporting systems."
From the AI overview, original source National Institutes of Health:  "The National Institutes of Health (NIH) and NEMSIS datasets show that roughly 17% to 17.4% of 911 EMS calls involve senior citizens who have fallen and cannot get up. For adults aged 60 and older, falls account for roughly 11% to 11.5% of all EMS responses."
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Reply to Rosered6
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Several towns around me have started charging $500 for a 911 pick up off floor calll.
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Reply to jwellsy
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MAYDAY Oct 9, 2026
The last time my LO fell, I called 911.the operator quickly stated it's not an emergency and hung up.

Since the fire department was just up the street, I drove up and asked when the have time, please come over and pick LO up..they said I needed to call 911. I told them I did and was declined..

LO was in home and safe, so there was no hurry. They kindly came over within 20 minutes..

falls should not happen, but they do, mostly unexpectedly.
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We needed the NYC fire department to show up to get my dad out of bed several times and to pick him up when he fell once.

I think you know now not to put your client in such a situation. The best thing to do always is to call 911
.
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Reply to Hothouseflower
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MAYDAY Oct 9, 2026
Skip the 911 call if it is
NOT AN EMERGENCY.

try contacting your local fire department if the patient is ok.

if the PATIENT IS HURT- call 911
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Are you a trained caregicer? Why would you do this?
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Reply to Sandra2424
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MG8522 Oct 9, 2026
That is my question. Why not bring a chair? I think even walking on sand might be precarious for a senior, although maybe not for this one.
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Honestly...you don't let an 89 year old sit on a towel on the beach or anywhere for that matter. You bring a char...and not one of the low get your a55 wet chairs, a real chair that has arms so you can get out of it.

As a caregiver it is your obligation to keep your client safe. Sitting them on the ground is not keeping them safe.
Asking others that are untrained to help lift your client is placing your client in danger of getting hurt. It is placing well meaning strangers in danger of getting hurt, or hurting your client.
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Reply to Grandma1954
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Sandra2424 Oct 9, 2026
I totally agree. This is a great comment.
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Put your question on Google and you will get quite a bit of information as well as links to videos and websites that demonstrate tips. This is what I used .. proper way to help senior up from seated position at beach youtube

Now that you have had this experience have whoever deals with clients medical needs request they have an evaluation by a physical therapist for needed therapy. You both will learn some safety tips and ways to keep you both safer. Ask the doctor for balance assistance as no one wants a senior to fall. Once you are with the therapist you can go into more detail.

The proper, safe method for assisting them involves specific positioning and leverage: [1]
1. Prep the Ground and Feet

Flatten the sand: Ensure the area directly under and in front of their feet is as flat and packed as possible so they don't slip.

Stagger the feet: Have the senior widen their feet to shoulder-width apart. Slide their stronger foot slightly forward and tuck the other foot back slightly. [1, 2]

2. Use the "Nose Over Toes" Technique

Scoot forward: If they are in a beach chair, have them slide their bottom halfway to the front edge.

Lean forward: Instruct them to lean their torso forward, bringing their nose over their toes. This crucial shift moves their center of gravity forward so they aren't fighting gravity to pull themselves upright. [1, 2, 3, 4, 5]

3. Apply Proper Caregiver Support (The Safe Hold)

NEVER pull their arms: Pulling on a senior's hands or arms can dislocate shoulders, strain muscles, or cause them to lose balance. [1]

The Shoulder & Hip Hold: Stand slightly to their side or in front of them with your knees bent and a straight spine. Place your hands in a cupped position. Place the heel of one hand firmly on the front of their shoulder and your other hand on their lower back or opposite hip. [1]

Use your legs: On a clear verbal cue like "Ready, steady, stand," guide them upward by pushing through your own legs. Let your hands act as a firm, stable guide rather than trying to physically hoist their dead weight. [1]

4. Utilize Pivot Points if They Are Ultra-Low

**If they are sitting directly on the sand or an exceptionally low chair, they will need a closer pivot point.

Instruct them to place their hands directly on the chair frame, or right underneath their own bottom on the seat, pushing straight down to elevate their hips first before driving forward. [1]

Alternatively, look at physical therapy guidance from channels like PrimeAge Physio or Doctor Jo which suggest placing a second, more stable standard-height chair directly in front of the senior for them to grab onto as they push up. [1, 2, 3]

Once they are standing, have them remain still for a few moments to ensure they don't experience sudden dizziness from the change in position. [1, 2]

** And for what it is worth, my DH aunt was able to get up off the floor with no assistance into her early 90s. One of her therapist said he wished he could get in and out of the bathtub as easily as she.

I never took her to the beach but she could get up from her lawn, the beach sand would be the problem. Her dementia made her bedbound by her mid 90s. It is sometimes a big surprise when we find we can’t do what we once could.

Therapy is very helpful in keeping anyone mobil longer than if left on their own if they are not routinely exercising.
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Reply to 97yroldmom
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One time, when my mom was still living at home, she got up from her recliner, took two steps to pick up something from the back of the couch, and fell down. It took two or three strong family members to get her up; her knees were on the floor and her face was on the seat of the couch.
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Reply to Rosered6
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Always sit in front of a lifeguard station at the beach.
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Reply to Sendhelp
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My Mom sort of fell in the shower. Sort of because she slid down the wall. TG it was the shower stall and not the one with a tub. My daughter RN, lives up the street so I called her.

She made sure Moms legs were positioned in front of her. She stood facing my Mom, spread her own legs apart, bent over and had Mom put her arms around her neck and clasp her hands. Then my daughter wrapped her arms around Mom and lifted her using her legs not her back to lift Mom up. At that point, Mom could grab the bar.
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Reply to JoAnn29
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You don't put an 89 year old on the ground. Next time, just have a chair to sit on and a gait belt to help them get up. I can't imagine you two were on the sand. This is a fall risk.
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Reply to Scampie1
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MAYDAY Oct 8, 2026
regarding my mother and me, it wasn't a fall risk. It was a get up issue..
again she was a bit younger, ya, I really don't know how we managed getting her down safely, unless I built a sand chair.. 🧐..
the chairs need to be a standard size chair, not the low seating chairs that basically touch the sand..
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Who would've thought..
I had that happen to my mother too.,
i don't think she was 89. I believe she was younger.. the both of us just laughed embarrassingly. Oops, Who Would've Thunk this could happen to us? I believe she rolled over on her knees and hands. I think someone did come up to help me get her up..,
All mom said, next time bring a beach chair.. now I'm getting a big older. I certainly am not graceful getting my body up off the floor..yikes.
.. IM NOT 29 ANYMORE.
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Reply to MAYDAY
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Hi one more pointer - if they lack the strength to push up from one knee you can help by having them put their hands on your shoulders while you grab their waistband and help to haul them up (this assumes they are wearing sturdy pants and not a bathing suit).
Of course as all the others have pointed out none of this is as good as planning ahead and preventing the need in the first place.
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Reply to cwillie
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I was a CNA caregiver for many years both agency-hired and priivate duty before going into the business of it. Right off the bat you should have already known that you don't sit an 89 year old on the ground. You have a lot to learn and really should start learning.

Please for your care clients' health and safety as well as your own, take CNA or First Responder classes. You will learn about lifting, transfers, and Body Mechanics which helps protect yourself from injury on the job and your care clients. You should also know CPR and how to help someone who is choking. These are skills caregivers need to have. In fact, everyone should know how to do these things.
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Reply to BurntCaregiver
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I'm going to assume that an 89 year old who is able to go to the beach and willing to sit on a towel is pretty spry and just needed a little boost. Have them get on hands and knees, then put one foot up in front, then you take their hands and forearms and steady them as they stand.
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Reply to cwillie
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I'd have to say by not letting them get too low to the ground in the first place.
Next time you go to the beach with them take along a folding lawn chair for them to sit on, and you won't have said issue.
And of course if they fall to the ground you should always call 911 if you can't get them up by yourself, as most if not all cities will send out EMT's to come get them up for free. That is of course if they haven't actually hurt themselves and have to be taken to the ER.
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Reply to funkygrandma59
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My 97 Mom has fallen in her home and I get her on her hands and knees (assuming she is not injured) then I put a stable chair in front of her and she's able to scale up it with her hands and then get back on her feet, or return to sitting. People are not supposed to pull elders up by their arms or even under their arms: my Mom's shoulders are compromised and very painful when moved by others. They could be further injured. You can also put your own back out trying to lift dead weight... never do it!

Respectfully, if you are a private hire you seem to need to educate yourself about taking care of the elderly. There is not one person on this forum who would have expected an 89-yr old to sit on the sand and not a chair. If you are from an agency, they should have trained you in this very basic skill. For both of your sakes, please find resources where you can learn proper caregiving of the elderly.
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Reply to Geaton777
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For my MIL, it would have been for her to turn over and find a solid armchair to lean on. Then put a low stool under MIL’s bottom and move her weight onto it. Then find another higher prop for her to lean forward onto, with a higher prop under the bottom again. A push down is less likely to do damage than a pull up.
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Reply to MargaretMcKen
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