Floor mat alarm
Hi,
My Mother had to go into Memory care due to Sundowning, The facility she is in seems nice and has a caregiver ration of 1 to 4 patients. The issue is she gets up at night to go to the bathroom and inevitable falls. The facility lowered her bed to the floor, but she still crawls out and the caregivers find her on the floor calling for help. I requested using a floor mat alarm, but I was told no without any explanation. Their solution was a half side-rail. From the looks of it she will figure out how to get around it. The facility is located in Arizona. I can’t seem to find any regulations for or against floor mat alarms in Arizona and hoped someone here might know the answer. Thank you.
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@azadviser Those mats sound terrific, but just like getting around a half rail, my brother-in-law's Mom quickly figured out how to avoid stepping on hers.
Also, there is the matter of whether it would be UL approved for care facility use.
Back in the day, my Grandma used to slip off her nightgown, which had an attached alarm if she tried to get up. Yet she could neither dress nor undress herself in the daytime.
As my daughter who spent 10 years as a Memory Care nurse said they never found a solution. In many ways, it's like trying to hide candy from a kid - I once found my 3 year old on the top of the refrigerator trying to get gum from the cupboard!
I hope someone here comes forward with a solution.
I’m not in AZ, but you might just ask them if there is a policy or law against it. Based on my experience when my cousin was in Memory Care, I would suspect that it’s considered a restraint. My state has laws on restraints in adult care facilities and they can be complicated. Even alarms can be considered restraints. But, I don’t know about your state.
Protecting someone from falling, especially if they get out of bed at night and have cognitive issues, is notoriously difficult. Rails can be risky too. Does she take any med to help her sleep? Could staff get her up and take her to use the bathroom during the night, before she gets up on her own?
Eventually, my cousin was not able to get off the bed and she stopped trying. And, the falls finally stopped.
I know every patient is different but in my wife’s case we could not have anything on the floor because even the slightest change in elevation became a danger to her.
We did find that s true hospital bed’s rails kept her in bed.
I hope you find a safe solution.
You could ask for a "low bed", "perimeter defined mattress", and a Fall mat. The bed is lowered at bedtime, the mattress is harder to climb over and no slipping off the edge, the floor mat is cushioning if she does. If there is a fall, it's from a low level (?8-10 in) so chance of injury is minimal. The bed is raised to normal height when it's time to get up in the morning.
Bedrails are not allowed in many states (risk of injury, a restraint). Bedmat alarms are often not allowed as the noise can be upsetting to the person and to other residents, a floor mat can also be considered a fall risk.
I can see the floormat being considered a fall risk. I don't know about legislation for care facilities.
My husband and I care for my mother-in-law, who had Alzheimer's, in a small apartment attached to our house. Even though it is now very difficult to get her out of bed or into bed or her armchair, she does sometimes manage to do it in the middle of the night or when she's alone for a little while. We are now using the Lundberg wireless be alarm and the chair alarm; they're wireless sensor pads with pager. The pager fits in one's pocket or can be hung from one's belt and one can adjust the volume level so it's not fully blaring if you're carrying it with you. Would they be open to that?
Thank you!
Would it be possible for staff to bring her to toilet, every 3 hours? Then she wouldn't need to get up on her own.