Reply to 81 Dad Keeps Falling in Rehab Center - They Say Can’t Restrain or Extend Bedrails

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[quote=Anonymous][quote=Anonymous]I would try to pay for a 1:1.  You really, really don’t want them getting an order for a chemical restraint — which absolutely IS legal in Md, unlike physical restraint.

On that note, demand to see his current comprehensive med list since he was admitted to rehab.

Sometimes overburdened facilities will ask for and get a new order for a calming drug. from the off-site consulting MD.  Really sketch and common. ie, a bedtime dose of haldol or ativan for “agitation.”   Getting out of bed multiple times makes a compelling case for “agitation” to an off-site prescriber.

Good luck

— an RN[/quote]

NP. But there are NO facilities - rehab or otherwise - that have 24x7 supervision, unless you pay for a 1:1 caregiver/sitter. Even the memory cares cannot prevent these falls without restraints. So I understand your point that Haldol should be avoided, but when someone has dementia with agitation and is constantly trying to get out of bed, can be violent toward staff due to dementia-related hallucinations, etc - what is the alternative? What am I missing?

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