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My mother has 6 stage dementia and when she is in another world she will get up and walk all over her room until she falls somewhere, she is very heavy and when it is time to assist her up, then she forgets how to get up. She falls one or two time a night. No one else lives with us, and I have told her doctors, she is on trazadone but it just doesn't do the job.

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Night time agitation isn't uncommon and neither are sleep disorders with dementia patients, from what I have seen and read. I might discuss the continued problem and see if they can adjust or change her medication.

When my LO, who is in Memory Care, was getting up during the night, they installed a bed alarm, that alerts the staff when she gets up and they are able to get to her and prevent her from falling. You have to be fast to get to her though. Perhaps, sleeping in the same room might help. And, some have suggested that you put the bed low to the floor. If she's heavy, perhaps, if the bed was low, she'd have a harder time getting up? I might also explore hiring someone to watch her throughout the night and prevent her from getting up alone.

Also, do you know why she's getting up? Is she going to the bathroom or is it aimless walking with no apparent reason?
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In the NH they have hi/low hospital beds that lower almost completely to the floor which makes it very difficult to get out of bed unassisted and minimizes damage from falls, they are expensive, but may allow you to keep her home with you.
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My mom has this same issue. In fact last week, she had 2 falls in the same day from the bed. They think it may be due to her incontinence. She may feel that when she urinated, then think she has to go to the bathroom. I've been around her enough to agree with that summation. Her dr. wanted a sitter. The nursing home doesn't provide one, they told me the family would have to pay for one. But my mom is on medicaid, and I can't afford a sitter, that would be more than half of what I make working.
And, since she is on medicaid, they may consider that fraud. And she is currently under hospice care since she was recently re-diagnosed with Lewy Body Dementia.
And she had a recent (2nd major one this year) bout of pneumonia and was in hospital for 7 days.
I couldn't sleep well the day they told me this, and of course came to this site looking for some suggestions in peoples answers.
Some nursing homes do not use hospital beds with rails as the state they are in considers it to be a restraint.
So for mom, they got together to devise a different plan of attack. Due to the incontinence, they would check her every 2 hours to see if she needed her brief changed. They put a gel mat down by the bed and lowered the bed. And it already had an alarm. Some of my moms nurses even check on her every 15 minutes or so, if she is in a long sleep pattern.
This morning, once again, she fell. rolled out of bed at 3am. no breaks, vitals stable.
She seems ok. This occured just after the aid had left the room.
Falls are very common with the elderly, especially with dementia/alzhiemer patients. They forget what is where, what time of day it is, what day it is, who is who.
They may recognize you if you are the person that is with them the most, and sometimes even remember your name. But in later stages of dementia they have drastic memory issues, which contribute to their body mis-functions.
Best of luck with finding your solution to help prevent falls.
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Thanks everyone, but lynnwalker you are close to the situation. Mom is already incontinence and she walks aimlessly there are no reasons I've tried to pin point everything, she is happy for the most part. She is on hospice with the Lew Body and she is at home with me, we tried the memory care facility and they had her nasty all the time, never checked on her because I was there almost every day at random times. I know there are others but we can only afford what we can afford. I think maybe trying to see if Medicare will pay for an alarm or I may have to sleep with her in the room.
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If the doctor says it is needed, Medicare will provide the hospital bed. My mom has one. I have not had to use it in that way. Trazadone doesn't make my mom sleep either. She is up usually 2-3 nights a week but, thankfully, she can no longer walk or get out of bed. She is stage 7. I have a recliner in her room and use it when she is restless... That is where I rest/sleep. That is what I did when she could still get up too. Unfortunately, supervision is required whenever they are awake.
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Kellie50 - I use a wireless motion sensor alarm that I found on Amazon for about $35. I can use it anywhere in the house, but especially at night time. When DH begins to get out of bed and puts his feet on the floor, it sets off a door chime that wakes me up. I don't enjoy waking up several times per night, but it's better than the alternative
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