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Every night, I "talk" my husband into the middle of his bed. An assist bar is necessary for him to sit up. However, he rolls to the very edge of the bed, shoulders the bar away from the bed, and rolls to the floor. I have put pillows on the edge, under the mattress pad- worked for a while. Now he rolls over the pillows, shoulders the bar away from the bed, and rolls out. His ability to move is limited. I am not strong enough to place a removable bed rail after he is in the bed or to get him off the floor. He is not able to get up without help. EMS is here 3-4 times a week. All ideas welcome!

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There are wedges that can be used that are large enough, high enough that they can not be rolled over.
For some a "pool noodle" placed at the edge under the fitted sheet will work.
Is your husband in a hospital bed? If so lower the bed as much as possible and place a mattress or other padding so if he does roll out he will not get hurt. (You may have to call for a "Lift Assist" to get him up.)
Have you tried a bed rail that he can not roll over? (They are not permitted in a facility but they can be used at home)
With a Hospital bed you can use half rails or full rails. You can have a "trapeze bar" placed above so he can use that to help sit up. there are bed alarms that you can use. They can be placed in/on the bed so if he begins to move around it will let you know so you can prevent him from rolling out. Or the alarm can be placed on the floor so you will know if he ends up there, or if he tries to get out of bed.
And if you have a hospital bed I would place 1 side of the bed up against the wall so you have only one side to worry about.
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He must not be in a hospital bed, so that would be my first recommendation. There's really no way he could roll out of that, unless of course you forget to put the side railings up. If you don't want him in a hospital bed, then do what a lot of nursing homes do and place another mattress along side his on the floor, so when he rolls out he's at least falling onto something softer than the floor, and of course make sure one side of his bed is pushed up against the wall. Good luck.
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Can you find a used hospital bed that is electric and rises and lowers pneumatically and has side bars that can go up and down? It might be covered by any insurance he may have so maybe call to ask. I just went into Craigslist.org for my city and searched "hospital bed" and 79 came up for sale in a range of styles and prices. Or you can contact charitable organizations that collect furniture to see if they have any for free. Contact your local area's Agency on Aging for more ideas and resources.
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Before my mother hospital bed I bought full length side rails at a medical supply store, it worked quite well and gave me peace of mind. EZ length adjustable bed assist rail designed for seniors and is a very good one. Use adjustable half rail getting out of bed, full rail fall for night protection.$228 marked down 30% to $160. Hospital bed is best but takes time for Medicare and paper work. I started early and it took quite some time but finally approved and it is such a relief.
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My Mom had a bed bar that went under the mattress, is this what you are talking about. Moms bar came with a strap that you attached to the bar and anchored it to the bed frame on the other side by pulling it tight. This way the bar would not budge.

In the NH Mom was given a concave mattress. Prevented her from falling out of bed.
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Hi there, I purchased a railing at Walmart. They also have at Walgreens. Bedrail, very easy, Just slide bedrail between mattress and box springs. I have one for Mom works great.
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BilliesDaughter Oct 2020
My mother has one too - it's a lifesaver!
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I have seen (in NH settings) electric beds lowered to the floor, pushed up against one wall with a 'crash mat' (a foam mattress) on the floor to land on.

But to roll the person back onto the actual bed from the crash mat can be a two person with slide sheet manouve - wouldn't like to try that alone.

I'm sorry I can't think what to do in a home setting though - I suppose I would call an aging advice line or even a dementia/Alz advice line?
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Thanks to everyone. You have given me some great ideas.
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You don't say if your husband has memory loss, or other illnesses. My friend's husband had memory loss, at the time, the support group thought he was farther along but had never been diagnosed. He fell at least 3 x a week, and the wife finally was convinced to get him to a doctor for memory loss. Each time he fell, she had to call EMT's. She couldn't handle him to lift him up. His falls stopped when he went into memory care.

Also, there are hospital beds you can buy that have side bars you probably will be able to handle. It's worth the $$ if it keeps him in his bed safely.
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Is he comfortable sleeping on his back? If so, have you considered a comfy recliner instead of the bed? Some SNFs use them for patients who are serious fall risks, but persist in getting up without calling for assistance. You can’t fall out of a recliner and it’s impossible to pull yourself up from the reclining position when you don’t have sufficient muscle strength.
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Hospital beds have gel pads which help prevent bed sores and dips a person down in the middle some, making it harder to get up. Bed rails help. A baby monitor will help too.

My mom’s dementia prevented her from remembering she could no longer walk. But her memory forgot, so she constantly tried to get up. A large font pad on the floor helps to.
it prevented her from hurting herself farther. She had a broken hip and kept knocking it out of socket.

I don’t know your situation much from your question. If it’s bad enough, you could hire a caregiver to sit with him while he slept.

Honestly, if he is determined to get up, he will continue to try. Be prepared with sunken mattresses, floor padding, rails and baby monitors. It can get frustrating to deal with, but until they lose their strength to get up - they will continue to try.
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Look into purchasing a safety rail that has a safety strap that ties to the leg of the bed on the opposite side. This will prevent him from moving the rail enough to fall out, and after installing it the first time (get some help!), you won't have to keep putting it back in. Amazon sells a number of different kinds; some have adjustable legs that go on the floor as well as the rail and the part that goes under the mattress. These are far, far more stable and can even be used on adjustable bed frames. Do a search for "bed assist rail with safety strap."

Another suggestion, if it's financially feasible, is to purchase a bed with an adjustable frame that lets you raise the head, foot, or both. This bed will help him eat or watch TV sitting up, and can relieve some pressure caused by being in the same position too long. In our case, it also proved invaluable when my fiance had trouble breathing and had to sit up and have oxygen. I really don't know what we would have done without it.

My fiance used to try to get out of bed when he really didn't have the strength to do it, and he fell a number of times before I put this rail in place. Then later, I also started placing a chair with a high wooden back up against the bed but halfway between the head and the foot. The chair back served as an additional rail, but during the day I could just move the chair out of the way.
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Definitely have doctor help you to get a hospital bed that has attached rails that raise and lower - just like the hospital uses. Dr may be able to document your ability to attach rails to the regular medicare bed. As a matter of fact, it would probably be best to start with a medical supply store and ask them because they know for sure how to have things worded on requests or could tell you straight up if a better bed would ever be considered by Medicare.

Even if you have to pay the difference between what Medicare covers and a better bed - it would be worth it. You can also start watching for used equipment on the internet - craiglist, offerup, used medical supply auctions in your area. (I found a nearly new air mattress for someone - the kind that fills air from one side to the other - for about $100).

Also check in to one of those 'slider' pads that hospitals use to pull people up higher in the bed. They have handles. He lays on it and you can pull to middle of the bed. During the night, if you check on him and he has drifted toward the edge, you could pull him back toward middle. They slide over pretty easy. If this is too much for you - do NOT do it. If you get down in your back, caregiving could be ended for you.

Wonder if some bed length round bolster type pillows would prevent him from going over the top. sew a large pocket down each side of a king sheet and insert the pillows to create a tall bumper on each side of mattress. Could even fill the pocket with pool noodles. Anything that would be much firmer than a bed pillow and create a firm wall on both sides.
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Depending on his prognosis and if hospice is called in , they will order a hospital bed. They did for my mother. It was delivered and set up and when it was no longer needed they had it picked up .. We never got a bill for it , Medicare took care of it .. I am surprised that the EMS are not charging you for coming to the house to get him off the floor .. I recently got a bill from the fire department for a few visits to my house for falls my husband had in June ..,
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chill47 Oct 2020
I can not understand why you were charged, this is a free service the fire dept. provide. I was told to call 911 and let them know that I was making a non-emergency call and that I just needed a lift assist. They will send the fire dept. out and they will check the patient out, if he is not hurt, they leave. If, the patient seems to need medical care, they will call for the EMS to come out and transport to the nearest hospital. I use their services when my husband falls, because he cannot recover from his fall and I cannot lift him.
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You can buy side rails that can go on either side of the bed. Availbale at any medical supply store or on line with Amazon. Look at Amazon first so you can get some idea of what is available.
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For my 93 yr old FIL that kept rolling out of bed we bought the safety bed rails that you put on a child's bed. You pull a latch and it folds down so he can get in and out and we keep the hand rail for him to be able to get in and out himself. Also are you sure he rolls out or is he trying to "escape" in the middle of the night. My dad did this and he would rearrange the kitchen cabinets in the middle of the night. He had Dementia and Parkinsons. We also pushed one side of his bed against the wall. Eventually we got a hospital bed. Good Luck.
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I just put the large foam rolls under his sheets on the sides of the bed. I think they're called pool noodles.
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Hi Dortj. I have bungee corded kitchen chairs to the bed frame (high side closest to the mattress). Have used the rail with latch release that goes under the mattress secured to the frame, and now we have a hospital bed with half rails. As my Mom’s mobility got worse I needed the raised head of the hospital bed to get her out of bed. So glad I did as much easier on us both. Good luck!
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Imho, ask his physician if he or she can provide a solution, i.e. different bed, etc.
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Get a few of these and line the edge of the bed with them, you'd probably only need 2.
https://www.amazon.com/gp/product/B00NGKWKS6/ref=ppx_yo_dt_b_asin_title_o07_s00?ie=UTF8&psc=1
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During her most recent (and lengthy) visit, my MIL fell numerous times during dementia sundowner episodes. She outweighs me by 30 pounds and I injured my back while helping my husband pick her up. I tend to stay up late but he has a family business to run and needs his rest. Something had to change. We put a bolster on the side of the bed to keep her from getting out.

More important, I sat down with Mom and explained to her that I could not help lift her anymore because I'd been injured. If she got out of bed and fell after DH had gone to bed, I wouldn't disrupt his sleep again by waking him to pick her up off the floor. I told her I would check to sure she wasn't hurt, then make her comfortable (pillow, blankets) where she was. As long as she was safe, she would stay on the floor until morning.

The notion of that there might be some sort of consequences seemed to get through to her. If she got out of bed and fell, there was no cavalry coming to the rescue. She did not attempt to get out of bed for the rest of her visit.
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Place a long pool noodle or 2 under the fitted sheet inside the edge of the bed. It works.
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