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My gran has extremely bad balance issues. She never should walk alone. We have a bell by her bed which she is supposed to ring but very occassionaly she manages to get up alone. This is very dangerous and we have to watch her sleep so that she doesn’t get up alone.
This is only a daytime issue.
i would be grateful if anyone had suggestions .
There is always someone around, so it could be a device that alerts us or something to keep her safe in bed.
As always your help/suggestions are greatly appreciated

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I have a Smart Caregiver Fall Prevention Monitor that I ordered from Amazon. There is a white plastic band that I put under my husband's chest at night and it has a wireless connector to my device that is powered by 3 C batteries. So if he tries to get up I am instantly aware. I also have a smaller (chair size) plastic square that goes under him where he is sitting. I take my monitor with me into whatever room I am working in and know instantly if he gets up from his chair. I use my device for both of the devices that he sits or lies on.
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There are two types of alarms that might help:

Bed pressure alarm - this is a mat that goes under the mattress and tells you when she's got off it.

Floor pressure mat alarm - this goes beside the bed and tells you if she stands (or puts weight) on it.

If you Google "bed pressure alarms" you'll see a range of products.
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It is a difficult situation because as soon as you turn your head away an accidental fall happens. When my mother was at risk I read that there hip protector that can be worn by a person to help prevent fractures: Safehip AirX Women's Hip Protector Undergarment - Fall Prevention Hip Support for Elderly. Unfortunately I learned about it after she broke her hip in the NH.
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There are pressure-sensitive devices that will alarm if she tries to get up on her own. Make sure that there are no rugs to trip on, tables with sharp corners to get hurt on, bed in lowest position possible, and possibly mats around her if she does fall. In nursing homes. they acknowledge that unsteady people may try to get up and walk on their own. The goal has moved from trying to prevent falls (impossible to achieve) to trying to prevent injury (achievable goal).
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I used a floor alarm. It was great. As soon as mom put her feet on the floor alarm it went off. Bed alarms have false alarms, but not the floor alarm
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You could install a camera in her room and view it and be notified from your cell phone or computer of movement.

I had my son install the Nest Camera and it is awesome and was easy to install.

If you kept her walker away from the bed, would she try to walk without it?

I had to keep my Dad's walker and wheelchair a distance away so he wouldn't try getting out of his bed or recliner.

Maybe mom doesn't like staying in her bed all day.

My Dad loved the idea of relaxing in the Den and watching TV, ect I'm a new Electric Recliner and just going to bed in the evenings.
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I should add it takes a couple of minutes for her to get up so some kind of alert is our hope, She would be very upset if we had bed rails and they could also be harmful if she tries to get around them.
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The bed and chair alarms as advised by others below. Also crashmats beside her bed once she settles for the night.

It's a very hard stage that only seems end when they lose confidence or ability.

((Hugs to you))
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There was a time for whatever reason I would fall, broke bones and was just unsteady. I got a rail for bed with bag attachment..a cane and walker. I also had to do physical therapy. I’m better but ask her doctor. Definitely fall alerts devices etc throughout house.
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My dad's memory care uses a bed alarm and fall mats. Because my dad needs constant reminders, they gave him a note that he carries with him, "I had a fall. I will not get out of bed by myself."
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