Bed gates like in hospital

Discussion in 'I care for a person with dementia' started by nae sporran, Jan 29, 2016.

  1. nae sporran

    nae sporran Volunteer Host

    Oct 29, 2014
    5,709
    Male
    Bristol
    Does anybody know anything about those little fold down gates ( for want of a better word) they have in hospitals to stop the patients falling out. OH had a wee slide off this morning for the second time in about 4 months. She has one of those levers for getting her out of bed, but I am considering if she needs something to stop her sliding out.

    Any advice on where to get them, or if we should speak to either Social Services or her GP, would be welcome.

    Thanks
     
  2. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,205
    Female
    Dundee
    Do you have contact with an occupation therapist? If not I would ask your GP for referral. I think they're the best service to advise. I ended up getting hospital bed for my husband through the OT service. We don't have bed rails though. We do have a little frame that slips in under the mattress and a rail sits up at the side of the bed. Not a good description. Sorry! It's for Bill to hold on to so that he can pull himself up. It also kind of acts as a barrier to falls.

    It's the same idea as this but looks a little different. We got it from the OT and you get them for ordinary beds as well as hospital beds.

    https://www.activemobility.co.uk/gr...-p-1960.html?gclid=COHx0tLuzsoCFVTNGwodgBAPJg
     
  3. nae sporran

    nae sporran Volunteer Host

    Oct 29, 2014
    5,709
    Male
    Bristol
    That was the one she already has fitted Izzy, which was by OT from the council about 5 years ago. Not seen an OT since then, so you might be right about the GP referral.
    Thanks for that.
     
  4. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,205
    Female
    Dundee
    Yes every time I need to talk to an OT I seem to need to do a new referral! If you already have a contact though it might be quicker going straight to the service rather than through the GP. Thars what I do now. I still have to wait for the referral letter but it's a bit quicker.
     
  5. Selinacroft

    Selinacroft Registered User

    Oct 10, 2015
    937
    Hi Yes- I definitely recommend going back to OT. They may be able to provide a hospital bed- stress the risk of falling out again, or if anything can be fitted to your existing bed if you don't need the profiling part.
     
  6. nae sporran

    nae sporran Volunteer Host

    Oct 29, 2014
    5,709
    Male
    Bristol
    I have spoken to the doctor, he says Care Homes don't use rails, but use padded mattresses on the floor. I have also emailed Care Direct at the council to see what they say for a second opinion.
    Anybody used anything like that?
     
  7. nitram

    nitram Registered User

    Apr 6, 2011
    18,827
    Male
    North Manchester
    If the person has sufficient mobility to attempt to climb over any rail it can be safer without the rail.

    The care home my wife was in used bed rails if the person was immobile, otherwise they lowered the bed as far as it would go and put a bump mattress with sensor alongside. When using the mattress the other side of the bed was pushed against the wall.
     
  8. ITBookworm

    ITBookworm Registered User

    Oct 26, 2011
    451
    Glasgow
    The reason that care homes (with respect to dementia patients in particular) don't use rails is that a PWD in a bed with rails could try to climb over the rails and then fall - from a higher height that if they had just fallen out of bed!

    Care home beds can normally be raised and lowered. What they would do would be to place the bed against a wall on one side (PWD can't get or fall out that side), lower the bed as close to the floor as possible and then put a mattress on the floor. If the PWD does fall out of bed they are falling as small a distance as possible and onto a padded surface.

    With my FIL, what they also did was put a pressure sensor mat under him on his bed. If he then moved off the mat it would trigger an alarm and they knew he was moving about significantly in bed and might be trying to get up. With that precaution I think they usually managed to 'catch' him before he was actually out of bed. He didn't get any more bruises from falling anyway :)

    And nitram can type faster than me :)
     
  9. bemused1

    bemused1 Registered User

    Mar 4, 2012
    3,403
    #9 bemused1, Jan 29, 2016
    Last edited: Jan 29, 2016
    DNS here were very reluctant to give us rails for the hospital bed because of the dangers of climbing out and having more serious accidents. Until I pointed out that he couldn't even turn over. Anyway, they mentioned the alternative of having a very low bed with pads around the bed for wanderers who are in danger of falls.
    We did get the bed rails but it was kind of ' on your own head be it'

    And everybody types faster than me!
     
  10. nae sporran

    nae sporran Volunteer Host

    Oct 29, 2014
    5,709
    Male
    Bristol
    Thanks everybody. I will see what the OTs say, if Care Direct get back, but will look at sensors and cushions or pads.
     

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