Client in early 70's has Osteo-arthritis in shoulders, hips (needs a hip replacement)and knee's. Spends virtually all her waking hours in her chair reading, because of lack of mobility and sitting eases the pain.
Uses the stairs once in the morning and to go to bed at night, some times will sleep in armchair. Client reliant on one walking stick and leaning on furniture, cannot carry objects at sametime, cannot bend down to pick up objects from floor, reliant on friends and neighbours to pick stuff up for her. Goes outdoors once or twice a week to local shop 150 yards drives and supermarker 3 miles away, drove 350 miles last 12 months. Problems with getting in and out of car, at supermarket leans on trolley, staff help her by carrying shopping to car, neighbours unload for her etc.
Very very unsteady on feet, has stumbled numerous times, but not fallen so far, if she fell i think and she definitely asserts she wouldn't be able to get up without help.
Medical evidence suggests both hips are crumbling, so the consequences of a fall appear to be potentially grim (apparently 20% of women of her age group die within the first 12 months of a serious fall/breaking hip).
Her life consists of being virtually housebound, and despite her stocism she struggles with everything.Both DM's and Tribunals around here appear fixated on history of falls, as already mentioned she hasn't fallen, but nevertheless she appears very vulnerable to falling, and the fact she hasn't appears due to good fortune and going outdoors on a very limited basis.
Anyone got any thoughts, ideas or observations?
andy
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