My 91 year old Dad has vascular dementia and lives in the Memory Unit of his AL facility. He fell and broke his hip and shoulder. He had surgery to repair the hip fracture last Tuesday; then was discharged to a skilled nursing rehab facility. I accepted the best rated facility I could research that would accept his insurance plan. The care coordinator assured me the facility was very good with dementia patients.
When we moved him to the rehab facility, I was concerned that there were no bed alarms. (I understand the "no rails/restraints" issue). Their approach is the lower the beds to the floor, so if anyone falls, it's a short distance.
Dad doesn't understand the concept of the "nurse call" button and he can't remember that he just had hip surgery. If he wants to get up out of bed, he's going to try. The admission nurse said that if I was concerned, I should hire someone to sit with him 24/7. Is that the only alternative?
This morning I got a call from the rehab facility that he had fallen trying to get out of bed. They took him to the ER to get checked out. His xray and scans were all normal, so he survived this fall.
I've researched other facilities and they have similar policies. Apparently, this is the acceptable "standard of care".
The ortho doctor who did his surgery said there is a good chance that Dad could regain most of his strength and mobility if he can get through rehab. I'm hoping there are other facilities that have a better plan. I understand there's no place that is "fall-proof", and that falls have happened with nurses/assistants standing right next to them.
I hope he can survive rehab.