My dad has very advanced Lewy Body Dementia. He is completely aware of his toileting needs but has a difficult time verbalizing it and of course can’t use a call light. He has also lost his ability to stand alone or ambulate but can assist with a single person transfer. Since he feels the need to relieve his bladder or bowels, he stands to get up. The staff see this as agitation and want to medicate him. After 10 years of living as his caregivers we know his agitation means one of two things. Need for toileting or pain. The staff at night have begun to park my dad at the nurses station in his Geri chair after his first trip to the bathroom for his safety. I realize that he is a huge fall risk and there are rules against restraints him in bed but this feels like a worse restraint and it doesn’t allow for position changes. He is forced to sleep in the hallway on his back all night. I feel like we should be able to override the side rails rule as they are allowed for paralyzed patients. Since dad can’t remember that he can’t stand, he should not be allowed the chance to try. He is a danger to himself.
The place dad is in, is overall giving excellent care and I know they truly care for him and they are only trying to keep him safe at night. Is there any way around these rules for bed restraints so he can sleep in bed at night on his side? It doesn’t help that his room is the furthest from the nurses station with no possibilities for room changes