Reply to 95 year old mother falling repeatedly in assisted living

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]95 year old mother was hospitalized again after a fall.  The highly rated assisted living facility she is at checks on her every 2 hours at night.  They claimed to have checked on her at 2am and she was asleep but they found her on the floor at 3am.  There are restraint laws in Virginia that prevent her from being belted into the bed.  The staff seems helpful but not overly concerned.  Anyone have experience with using fall mats next to the bed to prevent injury?  We are starting the process of looking for a night aid to hire to ensure that she does not get out of bed on her own but that may take a week or more to get into place.  Any ideas appreciated.[/quote]

Assisted living is just that. Assisted.  It's not 24 care. Yes, you will need to hire someone to warch her. This is a frequent gap issue in the care system, with assisted living encompassing too broad of a spectrum  of needs. 
[/quote]

Even if she were in a skilled nursing facility, they’d have the same issue because the nurses and aids will check frequently, but are unable to provide one-to-one care. Belts and rails are considered restraints and are no longer accepted practices in any care facilities. Unfortunately, overnight one-on-one care is the best solution. I’ve seen the “crash pads” but don’t have a brand to recommend; I would ask the staff about that.

Do you know why she’s getting up so frequently? Does she have to urinate frequently, or is she experiencing pain? Perhaps there is some problem-solving between family and staff that can be done to figure out if meeting a particular need could improve things. But other than that, you are literally doing everything you can and unfortunately there’s no way to prevent some falls unless she has an overnight aide.[/quote]

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