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My mom has late stage AD and has fallen 4 times in the last 3 months. Should start sleeping with her at night or is there something else I can do to prevent or minimize her falling?
hi @ibjunior, A hospital bed is sometimes v useful, but as a geriatrician I can tell you that in the hospital we *don't* raise all the rails on elderly patients because of risk that they'll get hurt trying to climb out over them.
One option would be to try a very low bed e.g. a mattress on the floor.
For falls at night I would also recommend reviewing medications. Most drugs for sleep/sedation/anxiety increase fall risk.
The other suggestions here, re looking into why she's getting up at night and why she's falling are also v good.
To prevent my mother from falling out of bed or easily getting out of bed, I situated her bed in a manner that half her body is covered by furniture. I can't use the bed rails because I'm afraid she'll try to go over them, get tangled in them and really hurt herself. I placed her bed against the wall, put her chest of drawers about three inches from the bed to cover the top of the bed, and bought a somewhat heavy arm chair and put it sideways to cover the bed from the chest of drawers down to about half way down the bed. It covers the bulk of her body. If you are afraid that she will hit her head against the chest of drawers, then put a pillow between the bed and the chest. I would rather she wet the bed or call me out of bed than have her walking around unsupervised and break a hip or a leg - that would be the worst! She doesn't get out of bed as much now because her medication does help her sleep better and longer.
Like my mom always said "you've got to die of something. She could be having mini strokes or just weak. But I don't care where she is, she can fall. It happens in nursing homes and assisted living. So as much as you try to keep it from happening, you may not be able to completely. My mom would use her walker and did have falls. Broke her pelvis twice. She would get up and walk with the broken pelvis in rehab and no walker because they would take it away. She was supposed to call for help they said. But she couldn't remember that or that her pelvis was broken. The second broken pelvis was her final straw. At 90 1/2 she passed away in Hospice. She was a trooper until the end!
it is quite difficult to give an answer if with the information provided. everyone has provided viable suggestions for different scenario's, however, it is best to know the mechanism of the fall, does she fall during the day, etc. If you are a family/layman caregiver you should discuss with your MD about getting a home health evaluation or eldercare evaluation, if she does not fulfill the requirements for home health. Get trained eyes in the home for evaluation and suggestions. National Alzheimer's Association may be able to provide direction. Best of luck
I can only see her falling simply by trying to walk on a mattress by her bedside! They make thick rubber mats that could serve the same purpose.... if they are soft enough should she fall. Nursing homes used to use those with patients who would fall out of bed. Bed rails of course, and a hospital bed for sure. You would be surprised at what is available from Medicare... I sure was!
Sounds to me like this patient is in need of a hospital bed. Discuss it with her doctor. The doctors office should have a supplier of durable medical equipment that they deal with (if not find a local one oneline),an RN in the office is usually responsible for being the go between. Getting all the paperwork required by Medicare or whatever the insurance is and thedoctor. Then get it to the supplier. It took a matter of a few weeks and a brand new motorized hospital bed, sidrails, mattress with a gel overlay were delivered. They know the procedure. For a year you pay a copay about $20 a month. When the year is over with the proper documentation the bed is yours. As the others have said with the side rails and the beepers they have if she moves off the mattress, I would also purchase a baby monitor so you can be awakened should she find a way out. Locking her in her room is a terrible idea. Scary and mean. Falling is unfortunately the beginning of a series of events that could end badly. Please speak with her doctor. I also think a mild dose of ativan for sleep could help.
"Late" stages of Alzheimer's will not allow the person to walk, so your mother is not there yet, however, you do not want her falling down. Why is she getting up? Put pads on the bed and water proof undergarments on and side rails on her bed. You can get wrist wraps that loosely prevent her from going over side rails, but try to find out why she is getting up. You can try giving her melatonin at night which will allow her to sleep all night too. I put my mother on a mattress on the floor by our bed and she did not get up. I am such a light sleeper I would have known if she had tried to get up. Good luck!
Medicare should pay for a hospital bed with rails. Also, you can buy rails online. The mattress by the bed is a good idea, I am doing this also. Perhaps the doctor could prescribe a mild sedative so she sleeps through the night.
With a hospital bed, you can raise the head and raise the feet. It'll also have rails. Unless mom is very agile, she'll have difficulty getting out of it. Bed alarm I'd do in a heartbeat so I'd hear when she got up. I know it's disturbing to YOUR sleep, but it's nothing compared to a broken hip and the problems that can result from THAT.
Lock her in her room. I'd do it in a heartbeat if it kept her from wandering the house and falling. Take the box springs off the bed so she'll have a harder time standing up. Maybe even put the mattress on the FLOOR. Heck, I can't get up myself if my knees are a lot higher than my hips. ;)
If she's falling "out of bed," put a mattress next to the bed, so that, if she falls, she has a soft landing.
Maybe some of these ideas, Ba8alou's mostly, will be helpful.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
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I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
A hospital bed is sometimes v useful, but as a geriatrician I can tell you that in the hospital we *don't* raise all the rails on elderly patients because of risk that they'll get hurt trying to climb out over them.
One option would be to try a very low bed e.g. a mattress on the floor.
For falls at night I would also recommend reviewing medications. Most drugs for sleep/sedation/anxiety increase fall risk.
The other suggestions here, re looking into why she's getting up at night and why she's falling are also v good.
Good luck!
MY ADW is now using a Rollator-walker in the house when she gets out of bed. She was diagnosed as being dehydrated at the hospital after a fall,
I have SECO alarms to let me know where she is walking.
Protective services and have them come and check on her. Explain the situation.
Lock her in her room. I'd do it in a heartbeat if it kept her from wandering the house and falling. Take the box springs off the bed so she'll have a harder time standing up. Maybe even put the mattress on the FLOOR. Heck, I can't get up myself if my knees are a lot higher than my hips. ;)
If she's falling "out of bed," put a mattress next to the bed, so that, if she falls, she has a soft landing.
Maybe some of these ideas, Ba8alou's mostly, will be helpful.