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He eats in a dining room which is where most of the incidents are happening and it's a problem because no one is directly paying attention to him and anytime a nurse sees someone fall and possibly hit their head, they have to call an ambulance and send them to the ER. Most of the time it hasn't been necessary and it's expensive! He tends to fall asleep easily and then leans of course but the chairs have thin arms and he falls out easy. He also has dementia so he wouldn't remember to always bring some sort of device with him to meals. Any ideas on what I can do to help?

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Your father may have an underlying medical issue going on and need further assessment by a physician. I would ask to set up a meeting and a doctor's appointment. It wouldn't hurt to have an Occupational Therapy screening to assess the multiple falls and help to make any recommendations to increase his overall safety and minimize any further fall risks.
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Should he be in assisted living? It sounds like he is ready for a nursing home.
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gayeluella: Wow! I believe my late mother had Syncope.
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My husband has fallen from chairs, too. After taking him to the ER and getting no explanation from them, I have realized that it is Syncope. My friend whose husband did this often, was told by a Dr. in the ER that Syncope 'happens quite often to the elderly.' Now I don't worry about it. He falls over and after five or 10 minutes is able to get up. We live in a senior community so the ER  Dr.'s do see a lot of Syncope.
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there are all kinds of geriatric chairs and beds, some of these have a tray table that can be removed after meals and there are also soft pillow like wraps that prevent these falls. he simply is not safe in a regular chair, something needs to be done asap period.
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Inform the staff of their errors.
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I would be checking to see what kind of rating this specific place has. I would look them up online and look under ratings and reviews and to see how many more complaints are against this particular place because it sounds to me like negligence on their part. If you just placed him in this specific facility without doing your homework then you're also part to blame for not doing your homework ahead of time before placing your dad there. You might be surprised to find out that this particular place may have had a history of not just negligence, but maybe even abuse and who knows what else they've been doing. doing your homework ahead of time will help reduce the chances of this kind of thing happening, and one good place to start is online. On Google, you want to type in this particular facility's name and then ratings and reviews. I would save that particular page in my book marks where are the results are and then click on the link and find out how many complaints or against this place. I would also save that page as well and even copy it to your clipboard and into your device notebook because you're probably going to need it to help you when you file a complaint against the facility with the BBB in that particular area where the facility is located. I would also explain that you found a page online where there are other complaints against the same facility and what some of those complaints include. If you file your complaint online, you can copy and paste that link into your contact form.

Meanwhile, I would be finding another place for your dad. If you didn't do your homework last time, hopefully this particular incident has taught you a lesson to carefully research facilities before placing anyone in there. Be thankful that your dad survived and he falls he had at this particular facility because hitting your head at an advanced age can actually be fatal to some people. Let this be a lesson learned.

You might want to talk to the next facility and have him put into a geriatric chair for his safety in case he does fall asleep. They can put him in a slightly reclined position in that chair or just let him stay in bed and eat. At very least they can use the electronic feature on the bed and prop him up to a comfortable sitting or slightly reclined position. That way, if he does happen to fall asleep at least he'll be in his own bed but he must be in a position where if he falls asleep he won't fall out of bed either. 

As for strapping someone in, there are solutions for that. Some special wheelchairs are equipped with side panels that go up on either side of your ribs, and some of them even have reclining features. That way, the person is not strapped in but just propped up and prevented from actually falling over
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Sounds like he should not be in a regular dining char, or even one without arms. Sounds like he should be in a wheelchair.
Although you can not "restrain" a person there are clip on tables for wheelchairs that will sort of prevent one from sliding out, or tipping out.
My Husband would list to one side and I would keep the back of the wheelchair slightly reclined so that he was not in a complete upright position. Made it a bit more difficult to lean forward to slide out.
The last chair I had for my Husband was a Broda Chair. it had slight sides to it almost like one of the "old fashioned" wing back chairs. With that bit of a side up near the shoulders he was less likely to slip and the "wings" prevented him from leaning too far to one side.
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Try being there at mealtime. You might need to have him eat in his quarters.

Sadly, they are not allowed to 'strap him in' - and falls will happen. They are following procedure to call an ambulance. Think of the lawsuits if they didn't.
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Contact the facility's administrator and nursing director to get some answers. A report must be filied every time he falls and this would impact the facility's overall rating. The facility should be concerned.
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Maybe assisted living is the wrong plan for your father, although the wheelchair idea has merit.
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I'm surprised the staff hasn't taken him to the dining room in a wheelchair. That's the obvious solution. I agree it's time for a care conference.
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I agree with the above. Years ago when Dad was recovering from an illness, he couldn't sit up in one of those chairs without leaning too far over the side, so he had to be in a wheelchair, as well. I also agree that it's the facility's responsibility to make sure he has the fall alarm in use. You can't expect the patient to remember!
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Since these incidents are causing injuries, you need to call a Care Conference with the staff, including the director, and voice your concerns. If Dad is a fall risk, he needs to be supervised when he's out of his room. Since he has fallen more than once, the staff should realize he needs to be watched at mealtimes. Not only are they required to call 911, they also need to fill out paperwork each and every time he falls, and that's a pain. It would be easier to assign someone to keep an eye on him at mealtimes. When my mom was in Memory Care, there were always at least 2 aides in the dining room supervising.

You might also consider bringing him to the dining room in a wheelchair. Those are harder to fall out of. High sides and the table in front of him. He could even be belted in.
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Mom's table mate was restricted to her wheelchair during meals, and the facility clipped an alarm to her shoulder that went off whenever she leaned too far forward. And it should be up to the facility to ensure he is using the fall alert, not him.
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