It's a hot topic. Dementia resident rights.

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I've heard that residents in a secured memory care community have to be allowed to leave the building if they stand at the door and ask to be let out. It's part of resident's rights. In other words, it usurps power of attorney legalities.
This will mean that communities caring for residents with dementia, will have to have someone to escort them out the door, in order to keep them safe and try to redirect them inside. This is going to raise the price of care.
Can anyone add to this and maybe give me the code in the law?

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No way! The dementia patient does not get to make the decision!
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That makes as much sense as letting a 2-year-old out in the cold in the middle of the night because they felt like opening the door and walking. How quickly would there be an objection when the dementia patient who wanders has to be searched for by police, volunteers, helicopters, etc.? It's obviously a question of safety, but it's really a moot point because they'll forget they wanted out in a couple of minutes anyway. In Canada, the hospital gives families a document showing that there has been a doctor's order for involuntary commitment, which lasts for 30 days and can be renewed by the doctor. There is a process for disputing it if desired, but dementia patients' families don't, for obvious reasons. We put knob covers on all the doors at home before Mom left, and no one would think we were keeping her unfairly confined, just safe.
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Under Medicare/Medicaid see regulation 483.15 (d) "Participation in Other Activities"
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The nursing home mom was in had a patio area that was escape proof. She also had an ankle bracelet that would trigger an alarm if she got within 3 feet of the main entry doors. Some states require secure outdoor areas, while others require patient supervision when going outdoors. Check your state rules.
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Here is a report from the alz org of the UK that addresses competence and restriction of freedom.

http://www.alzheimer-europe.org/Ethics/Ethical-issues-in-practice/The-ethical-issues-linked-to-restrictions-of-freedom-of-people-with-dementia/Restriction-of-the-freedom-to-choose-one-s-residence-or-place-of-stay
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Can you imagine this for school children. The teachers would have to let them go outside if they said they wanted to. When a child enters a school or when a dementia patient enters a locked memory unit, I'm sure there are exceptions made to human civil rights that reflect the competence of the people. People in charge of the person place their loved ones in the care of these places with confidence that they will keep them safe inside.
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I have never heard this before. Some facilities have a lock down for those who have extreme Dementia/Alzheimers. Family members are given codes to get in and out and are aware not to allow residents out of the unit without supervision. I have seen personel tell a resident they can't go out and take them back to their room or common room saying something "lets go see". I think facilities have been sued when someone gets out and something happens to them. I personally would not like the idea of my Mom being let outside because she wanted to. Now some places have a courtyard where people can go out and sit but all doors go back into the facility.
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Well written, Windy. I would tend to agree. Any fool can start a rumor that spreads like wildfire and frightens people w/o justification. These kinds of rumors need to be stopped before they get too far along and cause so much damage and fear, as the so-called death panel rhetoric has.
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I'm calling BS on this one. Sounds just like the DEATH PANEL crap the tea baggers tried to get going.
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This strikes me as being wrong. Imagine if it were true, then anytime someone says, "I want to go home," it would be a violation of rights not to open the door and release them. That doesn't happen, so there must be a written code on what can be done. What it is, I have no idea. Are people in locked memory facilities deemed incompetent, so considered unable to make sound decisions about such things? It seems likely.
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