Mom has weak legs due to broken bones, many surgeries and polio. Can’t keep her down (she can get out of bed on her own) but can’t put her in restraints. Can’t be watched 24/7 What can I do????? At my wits end, please help!

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UPDATE: Her husband is going to request that she be sedated during the night??? I do not live in the same state and over 4 hours away we are both POA, Has anyone ever had loved one sedated?
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I’m copying this from another post I wrote for someone else. Maybe it will give you some ideas:

“In my state doctors cannot prescribe a restraint for NH residents. It makes too much sense. Here are some ways we try to keep Mom from falling out of bed or minimize the damage if she does. These are on her care plan:
Bed is lowered to its lowest setting while sleeping. 
Head and foot positions slightly raised, putting her bum in a slight well. 
Fall mats on both sides. 
Rolled up blankets placed under her fitted sheet on both sides, making it harder to get her legs over. (this was a fight to get implemented, as they considered it a restraint too, but they’re finally doing it on the down-low, just not documenting on her care plan) 
Her call bell (which actually is a 4” round disc for the visually impaired) is placed by her legs so it’s activated if she rolls on it. 
Her wheelchair and rolling table are moved to the foot of the bed so she can’t hit them if she falls. 
Her a/c unit has had the hard corners padded. 
They suggested moving her to a room right across from the nurses station, but I didn’t want her to lose her excellent roommate (who looks out for her) so I declined. But that might be an option for you if you have no attachment to her current room. 
Good luck, this is one of the most difficult and frustrating aspects of NH residency.”
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EDLass, as elders reach a certain point in their life they start falling, and there is very little we can do about it. It's like watching a toddler who can barely stand, then they fall over. It happens.

My Dad would tumble over just tying his shoes or outside pulling weeds. A rolling walker helped a lot. Dad loved his walker. But every now and then Dad would still fall forgetting he HAD to use his walker.

For my Mom, who was in a nursing home, the facility lowered her hospital bed so if she fell out of bed, the fall to the soft mats around her bed wouldn't be as jolting.

The facility tried to have Mom stay in a wheelchair because she was such a fall risk but she would forget that she could no longer stand up without falling. Even being parked near the nursing station, down she would go in a blink of an eye before a nurse/aide could get to her.

Then the facility put my Mom in a geri-recliner and placed a pillow under her knees.... great, that kept Mom falling for a while, until Mom learned to wrestle the pillow out under her knees. Then the facility tried a "seat-belt", well that lasted maybe 5 minutes... "click" the belt was opened..... [sigh].

So I had to pretty much tell myself, what will be will be.
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EDLass This may be due to many things or a combo. Eyesight with dementia, is altered, depth perception is a symptom. Medication, could cause unstable movements, dizziness, confusion etc. Decline, walking jabits deterorates with memory loss.
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Is AL still the best choice for her? I know change and moves are so difficult for all but she sounds a bit past the AL stage from my experience with the 2 my mother has been in. I would think maybe a NH might need to be considered if her behavior is chronic sad as that might seem.
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EDLass Dec 2018
I am beginning to lean that direction as the reason she got up last night was looking for her baby. She fell her first night in after rehab for broken hip at another facility. (She was moved to different facility),
Fortunately this time she did not break anything and did not need to go to hospital. There is nothing to keep her from getting up there either.
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