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I have done considerable online research, but know the responsiveness of the support center (receiving and acting on the alerts) is key. Seeking feedback from users.

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Save the box the unit is shipped, with the receipt. You will need these when you want to return the unit. We chose the call service, because they call her first and then dispatch 911 if she does not respond. 911 is told where to find the key so they don't kick down the door.
Before sis had this unit, she fell, broke her vertebra at T12 and could not get up. She dragged herself to the nearest phone and called a friend nearby.
Her friend picked her up, which is the worst thing you can do!!! One wrong move and you sever the spinal cord!!! NEVER pick up an elder after a fall. Call 911 and have trained personnell transport to the ER.
Owning the unit means response is limited to YOU. If you don't answer and the stove is on fire while mom is lying on the floor, consider that 911 could have gotten there a lot faster.
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I am surprised that the home doesn't provide that. My mom's does.

Our story of these medical alerts: we had one for my mom when she lived at home. She never wore. it. Left it hanging on the bed while the monthly expense showed up on her credit card each month. But then, when we moved her to AL, it was quite the challenge to get the alert returned. They would not take it back and cancel our account unless I could prove that my mom had one from the AL. The AL had to write a letter on their letterhead and send it to the alert company to prove that she had continued coverage. Otherwise, those charges would have just kept showing up on the credit card. Also, of course, I had to box everything up and send it.

To say this differently, even though my mom would not wear the alert, we did not have the power to cancel the subscription!!!!!!!!!!!!!!!!!!!!!!! Because it was ordered by a doctor's prescription.

My point is this: it is a real commitment to the company. You need to know that before you begin. Ask the "end of service" questions. I think the people using the camera that they can install themselves (and have control over) is a more flexible way to go.

Good luck!
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One more thought-- any of the systems which has a monthly fee, is not connected directly to police or ambulance. We decided we wanted to skip the 3rd party and just rely on ourselves (first 3 phone numbers it calls are people within 5 mins) and if none of us is around, 911. If you have a monthly fee, you can also set it up that way, but why would you pay extra for something you're not going to use? The only reason they charge the monthly fee is to pay the call center. Skip that, save your money, BUY the equipment instead of renting it.. another problem most people haven't considered, is, with a rental system you have to return it (after you die) or it will bill your credit card indefinitely. Another aspect of this rental scenario is, if your credit card gets hacked and cc number changed, you have to update the call center....or your service stops. Skip all.of this nonsense, BUY it and own it yourself. After the person dies, another person can still use the system just plug it in and program the call numbers.
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We had tried the Philips life alert with fall detection, and experienced several false positives, and during same 5 months, mom did fall or slither out of her chair, and the alarm did not detect it. So while the name "fall detection" seems to imply the device would alert to these situations, it did not. We felt the extra expense for this feature was not worth it so we have gone to a regular alert pendant, which does require ability to press a button. However I have known many seniors who lived nice senior years and never had any pendant or even a cell phone. Perhaps your person could use a cell phone which is attached to their wheelchair -- and has huge oversized buttons. Check with your person's OT specialist for their recommendations.
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