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Usually the bed is lowered as low as it can possibly go and a mattress or other padding is placed on the floor to cushion.
Alarms are not considered a restraint but they are often not reliable as they go off very easily. What is used more is an alarm that is attached to the chair and the resident and when they try to get out of the chair the alarm will sound. Less likely to go off with just normal movement.
The use of restraints in Facilities have not been used in many years. (thank goodness)
Even the use of hand protectors to prevent scratching at wounds can be considered a restraint.
I would not be concerned about the lack of restraints, I would be concerned if they used them
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Its against the law to use restraints. Has been for a long time. There are concaved mattresses. Mats they put on the floor. Alarms are used but have heard that these may stop to.
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AnnReid Nov 2020
I think I recall that this was a federal law. It was very strictly observed when my mom was in residential care.
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Restraints were not permitted by nursing home regulations when my mother was a resident in one. Bed alarms were used. My family was there a lot, my dad never missed a day, others of us were often there, and we never saw a resident fall. The key was good and vigilant care. I can’t say it never happened, but you’ll quickly learn of the quality of care in a place.
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Yes, all licensed facilities are moving away from restraints. People have died in them unfortunately. Facilities can actually lose licensure for using them. There are many ways to get around them; have you discussed options with both hospice and the facility? To tell the truth, one place I know of has foam pads below the beds for frequent fall people. This is such a tough dilemma. Just occasionally, on very fragile patients, net beds are used. They have basically a zipped larger than mosquito net hole canopy with sides. They were what was most used in my nursing facility before my retirement. They were called either "vale" bed or "veil" bed, and I am uncertain whether they are still used or not. I retired about the time that restraints became an absolute no-no. Please update us if a solution is found that you can share with us.
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NeedHelpWithMom Nov 2020
Alva,

I bought a netted cover at a specialty baby shop for my daughter’s crib. My youngest daughter was an escape artist!

She was a tiny little thing but was very agile and climbed out of her crib. She was too little to put in a ‘big girl’ bed so we had to do something.

I didn’t realize that they made those for adult beds. Good idea!
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