She has Alz. Doesn't remember to use her walker. I visited her ALF today and found her on the floor in her room, more disoriented than usual. So ambulanced to ER for assessment. (No fractures today). Has had multiple fractures (face, ribs, wrist, etc) in the last year. With her dementia she doesn't remember to use her walker. Staff only checks on her 1x/2 hours. I asked them to increase to 1x/1 hour and may ask for 1x/30 minutes check frequency. How to decrease the fall frequency or alert staff to a fall (no pendant system in place).
The other thing hospice is doing is providing me with somebody to talk to about the details of Mom's care and they are familiar with people at this level of dementia. So, things are slightly better.
My cousin, who has Vascular Dementia mixed with AD, also fell a lot. She would forget to use her walker and her balance was so bad, that even with a walker, she would fall backwards.
At first she was in regular Assisted Living. She fell repeatedly, fracturing her hand, her foot and her spine. That could not supervise her sufficiently. Eventually she ended up in a wheelchair and that was the only thing that stopped her falls. She can stand up to transfer, but other than that, she can't walk anymore. She can move her legs to propel in the wheelchair, but she cannot move them to walk. I think the stage of the dementia actually impacts their desire and ability to walk too. As your mom's condition progresses, she may stop trying to walk.
I had to move my cousin to a Memory Care facility and almost everyone in there is in a wheelchair. It was a relief in a way, as we are not ending up with her and fractures every week.
When my husband was falling all the time, even with a walker, a wheelchair was much safer for him. He loved that he could scoot around safely, using his feet. But he was not as memory-impaired at that point as your mother is.
The falling is extremely challenging. I wish you and your mother some success, at least at minimizing the injury risk.
There isn't anything anyone can do to stop the falls, it is just part of getting older. My Dad was always tumbling over at least every week, so physical therapy suggested he get a rolling walker... what a difference as Dad didn't like using the walker that only had one set of wheels... how he loved the 4 wheel walker and he had no problem learning about the braking system. Plus Dad's Caregivers have pretty much trained him to use THE DARN WALKER.
My Mom refused to use a walker as she was afraid it would make her look old.... she was 97 at the time, so I guess she would finally use it when she was 107.