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The question about bed rails comes up fairly often. The fact is that full rails are considered restraints and you are unlikely to find places that allow them any more, however you might be able to find a facility with specialty beds that will lower to within a few inches of the floor.
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needtowashhair Feb 2020
This is the kind of bed I'm buying next time. When grandma came home, I bought a hospital bed. I only had a couple of hours to decide on one so I bought the next model up from what medicare would pay for. It's OK for most people but doesn't lower very low. It's about 2 feet off the ground. There's another line up that costs about twice as much. Those will lower to 7" off the floor. That's what I'm getting for mom when the time comes. I'm even thinking of replacing the one I got for grandma.
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I don’t know if bed rails are allowed in Florida...they’re not where I am in New York. Make sure the bed is lowered ALL the way to the lowest possible position on the floor. It also worked to lift just the foot and head of the bed a little creating a little “well” for Moms bum, which made it a little harder for her to climb out. Also have rubber mats placed on the floor next to the bed, and anything she could bang her head on was removed or padded. Mom whacked her head on the corner of her AC unit and it was awful. They padded every sharp corner after that. If she has a wheelchair, move it away from the bed when she in the bed. These thing can all be specified on her care plan so they’re followed on all shifts. The best you can to is try to mitigate the damage when they do fall or roll out.
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needtowashhair Feb 2020
I've done this all over the house. Anything with an edge is covered in padding. It looks silly but I don't care. Safety over pretty.
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cwillie below is correct. In my MIL's facility they just put the mattress on the floor.
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Thank you for responding. I have an escape artist I am trying to keep safe. Moved to new nursing facility and been there one week with two bed fall calls to me reporting incidents. At a loss as to what to try.
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What I had on Moms bed was a child bed mattress. They are not much thicker than 6/7 inches. They make boxsprings about 5" high now. Mom was as close to the floor as I could get her. She had a small rail that she used to pull herself up. It was about 18 in wide. The AL said she couldn't have it. I argued it wasn't a restraint it was because she had injured her back. The suggested an over the head bar but she couldn't bring one of her arms up high enough. My daughter did think I could have argued the fact being it was an AL and she was a resident payjng rent. It also kept her from rolling out of bed.

The NH bed should be able to go almost to the floor. Mom was given a concaved mattress and a matt beside her bed. I was told, this is DE, that one side can be put up the other can't be. Ask if this is so in ur State. Figure out which side the person tends to roll and put that side up.
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Helpforstnick13 Feb 2020
THanks for the idea. It might work in this case because she is paralyzed on one side.
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Good to know.
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