The key to maintaining independence
Advice from Maureen Cable, registered nurse.
What a lifetime in care taught me.
The importance of nursing, care and medicine was crystal clear to me from my earliest years. Being raised in a nursing/medical family, stories about injuries, treatments and outcomes were normal conversation at home. Inevitably I trained as a nurse and was privileged to work with many excellent colleagues in general medicine and surgery, A&E, oncology, ITU, and orthopaedics, nursing people back to health after accidents or medical emergencies.
After a full-time clinical career, I ran nursing and care services and latterly had my own personal alarm company. Throughout all that time the one consistent winning factor for best outcomes has been the immediate access to skilled treatment and care.
Many of those early stories were of battlefield injuries and field hospital care. My peacetime career still underscored the importance of immediate help. You don’t need to be a care professional to know the importance of staunching bleeding, we all know to apply pressure to the bleeding point.
But it’s not just blood loss, we all also know the need for urgency in treating heart attacks and strokes. Late treatment of heart attack can mean breathlessness and poor exercise tolerance thereafter. If a stroke is left untreated significant permanent paralysis can be the outcome.
What happens when help arrives in time.
The principle is the same across lesser as well as major accidents and emergencies. A fall for example, where someone is alone and unable to summon help, can, over time, in addition to the initial trauma, lead to dehydration, shock, infection, hypothermia, and loss of consciousness – to say nothing of the psychological distress and loss of confidence that such an episode can cause.
Getting immediate help, however, can mean that the stroke victim is left with few symptoms, the heart attack patient can be treated and resume their normal life, and the person who has had a fall can get picked up, treated appropriately and returned to independent living.
Family members and friends frequently see danger and the potential for mishap before the person themselves. Older people have a tendency to brush aside the concerns of loved ones, missing the anxiety that those nearest to them may be feeling. This almost deliberate failure to engage or alleviate the families’ pervading anxiety can cause great hurt and frustration. When help is accepted, however, the relief for friends and family is palpable, an act of kindness on the part of the accepting relative!
Very early in the life of my alarm company, an installer told of an installation he had done in stony silence because the alarm recipient had very unwillingly agreed to wear the device for which his son was paying. But the installer made him promise to wear the alarm for his son’s sake if not his own. We didn’t get any answer from a routine care call shortly afterwards, and we later found out that within days of our visit, the gentleman had had a medical emergency and because he had been able to get urgent treatment his life had been saved – we had a lovely letter of thanks from him and his son.
We have many country lanes in the UK where the likelihood of a passer-by coming to someone’s aid is non-existent. Add in other factors such as a cold winter and poor light, then dangers become much more obvious. One cold January afternoon one of our alarm wearers had a fall in the lane just outside her cottage and fractured her hip, she was unable to move; hypothermia would soon have had life threatening consequences for her, but because even from outside her house she was able to press her alarm button and get help, she was soon back at home with a new hip, independent and safe.
Alarms give people confidence to live independently at home. Once talking to the response service becomes a familiar occurrence, it is a lot easier to press the alarm and speak to a friendly operator. Perhaps just to say, ‘I don’t feel like getting out of bed today’, if a family member is alerted to such a change in condition, a far more serious medical occurrence can be avoided. Operators are alert to changes in condition, voice quality, perhaps confusion, and will always respond appropriately to mobilise the help that can restore independence.
Maureen Cable
Registered nurser, midwife and Careline365 ambassador
Maureen's career in care spans five decades, from nursing and midwifery to intensive care and A&E. It was there that she formed a belief she has carried ever since: early access to emergency care saves lives.
That belief led her from clinical practice to founding a nursing agency, and eventually to personal alarms for older and vulnerable people at home. Today she works in a consultancy role and serves as a Governor for her local NHS Partnership Trust.
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