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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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My BiL said he fell to ground at night twice in one week. SNF said the reason for not having it on all beds is that some people hurt themself by rails. We are concerned about his wound and falling. Do you have any thoughts on this?
Bed rails became against policy after residents became trapped between the mattress and the rails and suffocated or broke limbs being unable to get themselves out. Some places have put the mattress on the floor, others have added padding to the floor on the sides of the bed. There are also bed alarms but they only alert to a fall that’s occurred. It’s a frustrating situation for many, as with many things in caregiving, trying to prevent one issue causes another.
I don't think nursing homes are allowed to have bed rails on beds anymore which I think is a danger in itself. My mother is in a nursing home and she wants the bed rails because she is afraid of falling out of bed and has at least twice that I know of. Her roommate told me that my mother got stuck between the bed and the wall once. Doesn't sound safe to me. She is mostly immobile so she can't move herself around in her bed very easily. Anyway to answer your question my mom's bed can be lowered to very close to the floor so if she does fall out of bed it is a very short drop to the floor and she won't be injured.
That's what this SNF is doing right now, we'll see how it goes. Hopefully he won't fall much and lay his open wounded side on floor for too long. Thank you.
Bed rails are against the law, and that's that. If your BIL is on hospice now, or when he does get on hospice, they can bring in a pillow bolster for the bed that sort of cups the person inside of it, thereby preventing a LOT of falls out of bed. Here's what it looks like on Amazon (sort of):
You may want to see if such a device is allowed NOW at your BILs SNF, just on the off chance such a thing would be approved. When my mother was given this type of bolster by hospice, it immediately STOPPED her from falling out of bed, which was a weekly happening beforehand.
In my state bedrails are considered a restraint and can't be used even in private homes. My MIL's facility puts the mattress directly on the floor so the resident cannot get out without assistant. Nightime falls on the way to the bathroom is a major reason why residents fall in facilities (and maybe even in private homes).
My Mom was given a concave mattress. Her bed was taken down as far as it would go and pads put on each side of her bed. The small railing will probably not be allowed. My Mom had one at the AL and when the head Nurse found out it was there, I was asked to remove it. It was suggested by PT after a back fracture procedure to help her sit up. Also helped steady her when she stood. It did keep her from falling out of bed but that was not the purpose. My RN daughter, 20 yrs in NHs, felt I may have been able to fight it. But I didn't try.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Her roommate told me that my mother got stuck between the bed and the wall once. Doesn't sound safe to me. She is mostly immobile so she can't move herself around in her bed very easily. Anyway to answer your question my mom's bed can be lowered to very close to the floor so if she does fall out of bed it is a very short drop to the floor and she won't be injured.
https://www.amazon.com/Prevention-Bolster-Mattress-Defined-Perimeter/dp/B07X5F5P54/ref=sr_1_6?crid=LUFKM4OKK6PG&keywords=bed+bolsters+for+adults&qid=1664814120&qu=eyJxc2MiOiI2LjQ1IiwicXNhIjoiNS43OCIsInFzcCI6IjUuMDgifQ%3D%3D&sprefix=bed+bolster%2Caps%2C222&sr=8-6&ufe=app_do%3Aamzn1.fos.f5122f16-c3e8-4386-bf32-63e904010ad0
You may want to see if such a device is allowed NOW at your BILs SNF, just on the off chance such a thing would be approved. When my mother was given this type of bolster by hospice, it immediately STOPPED her from falling out of bed, which was a weekly happening beforehand.
Good luck.
I did find a recent article warning about these portable bedrails.
https://www.npr.org/2022/06/06/1103279085/adult-portable-bed-rail-recall
The small railing will probably not be allowed. My Mom had one at the AL and when the head Nurse found out it was there, I was asked to remove it. It was suggested by PT after a back fracture procedure to help her sit up. Also helped steady her when she stood. It did keep her from falling out of bed but that was not the purpose. My RN daughter, 20 yrs in NHs, felt I may have been able to fight it. But I didn't try.