Spontaneous fractures, unfortunately, do occur. We had a LOL once who was just walking down the hall, went to the floor for no apparent reason, and BAM...broken femur. And she had been a good walker...steady, good posture...it was the craziest thing. On the other hand, staff do need to be careful with care giving on fragile residents. Way back when, when I was a CNA, I was trying to put a pull-over sweatshirt on a res. I had to reach through the sleeve to pull her arm through, and when I did, her arm jerked, I lost my grip, and somehow my arm flew back and smacked her right in the face
. She ended up with a HUGE black eye. Needless to say, there was an investigation and it was found to be an accident, but I still felt awful. Sometimes it's almost impossible to dress/undress people who are contracted, resistive, etc. Who's idea is it anyway to buy these residents pull over tops and snug-fitting clothing? Anyway, I'm rambling...back to the subject. Yes, it is possible for injuries to "just happen". And sadly, it is common for "nothing" to be done, since sometimes the residents condition does not make repair possible. The most we can do is try to keep them comfortable.