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What the CDC knows about aging and dementia I can put in a thimble.
They fall, then they fall again and again, who exactly should be held responsible because the signals in ones brain are altered by age and dementia?
Try and put in some safeguards, we lowered my mothers bed to about 12" off the floor, so when she does fall out of bed she doesn't have far to fall, she sits up in the morning and uses her walker to get upright.
So not true for many elders. My very elderly Aunt fell while being supported by my cousin. She then fell at home again when she got out of her bed at night and broke her hip. She had dementia and memory loss. Happens in facilities because they cant "restrain" them, and nothing can be done in AL but in MC can at least put the mattress on the floor or use special mattress... but during the day they can attempt to get out of chairs and take a dive. You can't tell or teach them anything new. Will keep happening.
Death is fully expected, should we not take precautions?
I am not saying they never fell but no one in my group of elders were habitual fallers like some you hear about who fall all the time. I don’t remember my Dad ever falling. Problem is it only takes one bad fall to make a huge difference in the quality of life. My mom fell three times. Only one time was she hurt. Aunt forgot she couldn’t walk and sprained her ankle.
Fall risk preventions are not guarantees but do help. Finding someone accountable is fortunately not the goal, rather the well-being of the patient. My mom’s walker got hung on a rug. Her poor decision (fully competent) to not allow the rug to be removed.
Aunt had chairs with rollers. She would flop down in them, had done for years. Therapist said get rid of them. I did but it took some persuading. Fall risk prevention is a good thing.
I understand that fall risk preventions are not a guarantee.
There are consequences if these preventions are overlooked, ignored or neglected by our trusted caregivers. When a facility is informed of known ways to help prevent a fall for that particular individual, then it is the responsibility of the facility & caregivers to implement; to help maintain a safe environment for that individual. The caregiver & facility failed to keep this person safe resulting in a preventable fall causing fatal injuries. Losing a loved one is hard enough, but to know that the fall could have been prevented is heartbreaking. Yes, I do want to know who is to be held accountable. Someone should be held accountable. If I can help even one family from losing their loved one too soon, I will. Knowing that death is inevitable, we don't need to rush it.
Falls in the elderly are indeed INEVITABLE. Elderly suffer from many things, but most importantly from a deterioration of that portion of the brain responsible for balance. It WILL HAPPEN.
The reason that fall prevention is put in is to make it, of course, LESS LIKELY, THose who are fall prone often have special devices in the room to warn them about moving out of bed; they are, by care plan, more frequently checked, sometimes as often as 15 minutes. It is to ATTEMPT to prevent falls and to find the elderly person who has fallen more quickly, so that decubiti, which can form in only mere hours, don't happen. So that they don't attempt to get up and do themselves further harm.
The government in most states prevent use of any restraints now because people were being injured and harmed by the restraints, sometimes killed by them. Happened in my own hospital.
The reason for care plans and fall prone designation is to HELP prevent fall when it is possible. It isn't always possible.
So there you have it. No good answers to all the losses of aging and balance is one of them. If you are over 50 please start your balance exercises NOW.
Here's an article I just finished reading from the NCOA (National Council on Aging), that has a large section on Senior Falls, published in October 2023:
The general statistics on Senior Falls indicate that ONE in FOUR Seniors will fall. These are the same numbers quoted in a short article in the latest issue of the AARP newsletter. I've heard for some time that it has to do with Seniors' ears and hearing, but I've never had that thoroughly explained to me. I asked an ENT specialist a while back and he said "It's complicated."
Bottom line: I live in a senior residence, and yes, a lot of seniors do fall. Sometimes they just go boom and they fall for no easily discernible reason. I knew a nice elderly gentleman who delivered some meals on wheels to me and one day he came in and was quite upset as he said he was standing in the kitchen talking to an elderly gentleman and boom, he just fell over/down on the floor. All the guy I knew could do was dial 911. (The man who fell didn't have a heart attack and was apparently "ok" after the sudden fall.)
One of the worst things about seniors' falling is the propensity to fall AGAIN a short time after the original fall. It happens quite frequently according to the statistics.
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.
They fall, then they fall again and again, who exactly should be held responsible because the signals in ones brain are altered by age and dementia?
Try and put in some safeguards, we lowered my mothers bed to about 12" off the floor, so when she does fall out of bed she doesn't have far to fall, she sits up in the morning and uses her walker to get upright.
I am not saying they never fell but no one in my group of elders were habitual fallers like some you hear about who fall all the time. I don’t remember my Dad ever falling.
Problem is it only takes one bad fall to make a huge difference in the quality of life. My mom fell three times. Only one time was she hurt. Aunt forgot she couldn’t walk and sprained her ankle.
Fall risk preventions are not guarantees but do help. Finding someone accountable is fortunately not the goal, rather the well-being of the patient. My mom’s walker got hung on a rug. Her poor decision (fully competent) to not allow the rug to be removed.
Aunt had chairs with rollers. She would flop down in them, had done for years. Therapist said get rid of them. I did but it took some persuading. Fall risk prevention is a good thing.
There are consequences if these preventions are overlooked, ignored or neglected by our trusted caregivers.
When a facility is informed of known ways to help prevent a fall for that particular individual, then it is the responsibility of the facility & caregivers to implement; to help maintain a safe environment for that individual.
The caregiver & facility failed to keep this person safe resulting in a preventable fall causing fatal injuries. Losing a loved one is hard enough, but to know that the fall could have been prevented is heartbreaking.
Yes, I do want to know who is to be held accountable. Someone should be held accountable. If I can help even one family from losing their loved one too soon, I will. Knowing that death is inevitable, we don't need to rush it.
Elderly suffer from many things, but most importantly from a deterioration of that portion of the brain responsible for balance.
It WILL HAPPEN.
The reason that fall prevention is put in is to make it, of course, LESS LIKELY, THose who are fall prone often have special devices in the room to warn them about moving out of bed; they are, by care plan, more frequently checked, sometimes as often as 15 minutes. It is to ATTEMPT to prevent falls and to find the elderly person who has fallen more quickly, so that decubiti, which can form in only mere hours, don't happen. So that they don't attempt to get up and do themselves further harm.
The government in most states prevent use of any restraints now because people were being injured and harmed by the restraints, sometimes killed by them. Happened in my own hospital.
The reason for care plans and fall prone designation is to HELP prevent fall when it is possible.
It isn't always possible.
So there you have it. No good answers to all the losses of aging and balance is one of them. If you are over 50 please start your balance exercises NOW.
If we were to sue these facilities for every fall an elder took, they'd all be out of business and you'd be caring for your loved ones at home.
https://www.ncoa.org/article/get-the-facts-on-healthy-aging
The general statistics on Senior Falls indicate that ONE in FOUR Seniors will fall. These are the same numbers quoted in a short article in the latest issue of the AARP newsletter. I've heard for some time that it has to do with Seniors' ears and hearing, but I've never had that thoroughly explained to me. I asked an ENT specialist a while back and he said "It's complicated."
Bottom line: I live in a senior residence, and yes, a lot of seniors do fall. Sometimes they just go boom and they fall for no easily discernible reason. I knew a nice elderly gentleman who delivered some meals on wheels to me and one day he came in and was quite upset as he said he was standing in the kitchen talking to an elderly gentleman and boom, he just fell over/down on the floor. All the guy I knew could do was dial 911. (The man who fell didn't have a heart attack and was apparently "ok" after the sudden fall.)
One of the worst things about seniors' falling is the propensity to fall AGAIN a short time after the original fall. It happens quite frequently according to the statistics.