Sentara Home Care Services v. Daisy Garland ( 1996 )


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  •                     COURT OF APPEALS OF VIRGINIA
    Present: Chief Judge Moon, Judges Coleman and Bray
    Argued at Norfolk, Virginia
    SENTARA HOME CARE SERVICES/
    SENTARA HEALTH SYSTEM AND
    CONTINENTAL INSURANCE COMPANY        MEMORANDUM OPINION * BY
    CHIEF JUDGE NORMAN K. MOON
    v.   Record No. 0246-96-1                  JULY 2, 1996
    DAISY GARLAND
    FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
    Colleen T. Dickerson (George J. Dancigers;
    Heilig, McKenry, Fraim & Lollar, P.C., on
    brief), for appellants.
    Jeffrey R. Russell (Jeffrey R. Russell, P.C.,
    on brief), for appellee.
    Sentara Home Care Services appeals from the decision of the
    Workers' Compensation Commission awarding benefits to Daisy
    Garland.    Sentara argues that Ms. Garland did not show that her
    injury arose out of her employment.   We affirm the commission's
    decision.
    At the time of her injury, Ms. Garland was a 55-year-old
    certified nursing aide employed by Sentara Home Care Services.
    She was assigned to care for Steven Glascow, a terminally ill
    AIDS patient who resided in a trailer park in Norfolk.      Ms.
    Garland had been instructed by her supervisor to assist Mr.
    Glascow with any activities that he reasonably wished to perform.
    As part of their regular routine, Ms. Garland and Mr. Glascow
    *
    Pursuant to Code § 17-116.010 this opinion is not
    designated for publication.
    walked to the Junior Market, across Newtown Road from the trailer
    park.
    On October 16, 1992, Ms. Garland and Mr. Glascow walked to
    the Junior Market for ice, a bottled drink, and chips.      Mr.
    Glascow was supposed to use a walker, but did not wish to do so
    on this occasion.    Because he was so weak, Ms. Garland supported
    him by walking with her left arm linked through his, and held the
    grocery bags in her right arm.    They reached the median strip,
    and traffic was heavy so they had to wait.      As they began to step
    off the median, Mr. Glascow leaned as if he were going to fall.
    Ms. Garland put down her grocery bags and grabbed Mr. Glascow so
    he would not fall into the street.       Then, as Ms. Garland
    testified, "When I caught Steven, me stepping down, I twisted my
    foot.    My foot went the opposite way and my knee went one way."
    Ms. Garland testified that had she not caught Mr. Glascow, he
    would have fallen.
    After the accident, Ms. Garland continued to Mr. Glascow's
    trailer and immediately began experiencing "charley horses on the
    back of my leg."    After three days of increasing symptoms, she
    was taken to the emergency room by a friend, where she was
    diagnosed with a partial impaction fraction of her femur and
    cartilage tears in her knee.
    The commission's decision that an accident arose out of the
    employment involves a mixed question of fact and law and is thus
    reviewable on appeal.     Southside Virginia Training Center v.
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    Shell, 
    20 Va. App. 199
    , 202, 
    455 S.E.2d 761
    , 763 (1995).        In
    reviewing the commission's factual findings, we view the record
    in the light most favorable to the claimant, as the prevailing
    party, and do not disturb the commission's findings so long as
    there is credible evidence to support them.     Manassas Ice & Fuel
    Co. v. Farrar, 
    13 Va. App. 227
    , 229, 
    409 S.E.2d 824
    , 826 (1991).
    To prove that the injury arose out of the employment, the
    claimant must show that a condition of the employment either
    caused or contributed to the fall.     County of Chesterfield v.
    Johnson, 
    237 Va. 180
    , 184, 
    376 S.E.2d 73
    , 75 (1989).      The
    claimant must demonstrate "a causal connection between the
    conditions under which the work is required to be performed and
    the resulting injury."   Marketing Profiles, Inc. v. Hill, 17 Va.
    App. 431, 434, 
    437 S.E.2d 727
    , 729 (1993) (en banc) (quoting
    Bradshaw v. Aronovitch, 
    170 Va. 329
    , 335, 
    196 S.E. 684
    , 686
    (1938)).
    The commission found that Ms. Garland's evidence established
    Glascow's unsteadiness as the cause of her fall.    His
    unsteadiness required Ms. Garland to catch him as he stepped off
    the median, whereupon her "stepping down" caused her to "twist
    [her] foot" and her "foot went the opposite way and my knee went
    one way."   There is no dispute that accompanying her patient to
    the store and assisting him in maintaining his balance--
    activities that posed considerable physical risk--were within Ms.
    Garland's duties as a home care provider.    The commission's
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    factual findings were supported by credible evidence, and the
    commission did not err in concluding that a condition of Ms.
    Garland's employment contributed to her injury.
    Sentara argues that this is an "unexplained fall" case, and
    asks us to rely on Memorial Hospital of Martinsville v. Hairston,
    
    2 Va. App. 677
    , 
    347 S.E.2d 527
    (1986), and other cases involving
    such falls.   Sentara bases this argument on responses Ms. Garland
    gave to questions put to her by Sentara's counsel and the deputy
    commissioner.   Taken in isolation, these statements suggest that
    Ms. Garland could not explain why she slipped and injured
    herself.   However, taken as a whole Ms. Garland's testimony shows
    that she suffered her injury as the result of a difficult
    physical maneuver that she performed in order to protect her
    patient from harm.   Thus, Ms. Garland explained her fall, and her
    explanation supports the commission's determination that her
    injury arose out of her employment.
    In Memorial Hospital of Martinsville v. Hairston, a hospital
    employee who slipped on a flat, unobstructed floor in her
    employer's hospital was unable to explain the cause of her fall
    or to show that the cause was a risk of her employment.
    
    Hairston, 2 Va. App. at 682
    , 347 S.E.2d at 529.    In Southside
    Virginia Training Center v. Shell, also cited by Sentara, the
    claimant was inattentive and slipped on stairs that posed no
    special risk of injury.    
    Shell, 20 Va. App. at 203-04
    , 455 S.E.2d
    at 763-64.    In both cases, we held that the claimant had not met
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    her burden of showing that the injury arose out of the
    employment.   In contrast, Ms. Garland established that her injury
    was caused by the special conditions of her employment.
    For these reasons, we affirm the award.
    Affirmed.
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