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Medical Forum / Diseases and Disorders / Alzheimer's / May 2005

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braclets and or sensors

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HARRYLEHMANHORSELOGGING - 24 Apr 2005 20:42 GMT
anyone have experience with some kind of bracelet or collar that an AD
patient could wear that would send off a signal if they go too far?
links? or info? TIA,best wishes to you all.
Tumbleweed - 24 Apr 2005 22:17 GMT
> anyone have experience with some kind of bracelet or collar that an AD
> patient could wear that would send off a signal if they go too far?
> links? or info? TIA,best wishes to you all.

I know some residential homes use such things. To my mind, the issue is that
if they feel they need to use those, that is almost saying that people
escape all the time, I'd rather they prevented breakouts in the first place.
Also, it doesnt tell you where they are, just that they have gone.
And thirdly, and probably most importantly, there is the issue of the
patient removing it, the batteries going flat, and carers relying on it
instead of their common sense ("I cant see them anywhere but the alarm
didn't sound so they must still be here").

Finally, and obviously IMHO only, if you are thinking of using one in a
private house for a relative, then that is almost tantamount to admitting
you cannot safely care for them anymore.

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Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

Dennis P. Harris - 25 Apr 2005 08:08 GMT
> To my mind, the issue is that
> if they feel they need to use those, that is almost saying that people
> escape all the time, I'd rather they prevented breakouts in the first place.

no, the bracelets or pins (usually pinned on the back, where the
patient can't reach it) prevent the door from opening when the
wearer is nearby.
Dennis P. Harris - 25 Apr 2005 08:10 GMT
> Finally, and obviously IMHO only, if you are thinking of using one in a
> private house for a relative, then that is almost tantamount to admitting
> you cannot safely care for them anymore.

obviously ONLY in your opinion.  i can't see how seeking
something that prevents a wanderer from leaving the house is
admission of inability to care for a LO.  as a matter of fact, i
would consider that an attempt to prevent wandering demonstrates
exactly the opposite.
Tumbleweed - 25 Apr 2005 08:24 GMT
>> Finally, and obviously IMHO only, if you are thinking of using one in a
>> private house for a relative, then that is almost tantamount to admitting
[quoted text clipped - 5 lines]
> would consider that an attempt to prevent wandering demonstrates
> exactly the opposite.

I wasnt aware of those devices Dennis (prevent door opening if wearer is
nearby), I was thinking only of the ones that provide an alarm once someone
is out of a particular vicinity.

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Tumbleweed

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Songbird - 25 Apr 2005 16:16 GMT
>> anyone have experience with some kind of bracelet or collar that an AD
>> patient could wear that would send off a signal if they go too far?
[quoted text clipped - 3 lines]
> private house for a relative, then that is almost tantamount to admitting
> you cannot safely care for them anymore.

I would use it a different way -- my mom does not wander now and shows no
inclination to do so. But all it takes is one time -- the first could be the
last. I would hate to make the decision that she couldn't be cared for at
home one day later than needed -- or one day earlier. This could be a safety
net when she has progressed a bit more.

Songbird
Evelyn Ruut - 25 Apr 2005 17:41 GMT
>>> anyone have experience with some kind of bracelet or collar that an AD
>>> patient could wear that would send off a signal if they go too far?
[quoted text clipped - 11 lines]
>
> Songbird

Such sensors or bracelets are a tool, they can be helpful I am sure, in some
cases.

Ida was at one point obsessed with going out of the house to take care of
"the cows" that we didn't ever have.   It was some memory from her youth
that manifested as a delusion.   Fortunately we were very vigilant and did
not become a real problem, but I assure you she could have and would have
gone out of the house if we weren't watchful every second.

All it would take is stepping into the bathroom for a minute or being a bit
preoccupied in some task.   Add to this the fact they often lose track of
days and nights, she could have sneaked out at 3 AM or something.

We had a tricky sort of a lock at the top of the door, but she might have
figured that out.  My husband slept with one eye open for almost 4 years.

I think an alarm might have been a good thing, but every patient is
different, every environment is different.   We live in a wooded area, she
could have gotten lost or worse.   I would have used an alarm if I had one.

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Best Regards,
Evelyn

(to reply personally, remove 'sox')

Dennis P. Harris - 26 Apr 2005 07:27 GMT
> I would use it a different way -- my mom does not wander now and shows no
> inclination to do so. But all it takes is one time -- the first could be the
> last. I would hate to make the decision that she couldn't be cared for at
> home one day later than needed -- or one day earlier. This could be a safety
> net when she has progressed a bit more.

i found a site that discusses "elopement management systems" that
are more like the ones i've seen at local facilities.  the
resident wears a device that locks the door when she/he
approaches.  see
http://techforltc.org/ltc.cfm?pageid=156&producttype=12&careissue=9
Jo Ann Malina - 26 Apr 2005 09:00 GMT
Dennis P. Harris <NO_SPAM_TO_dpharris@gci.net> is alleged to have said:

>> I would use it a different way -- my mom does not wander now and shows no
>> inclination to do so. But all it takes is one time -- the first could be the
[quoted text clipped - 7 lines]
> approaches.  see
> http://techforltc.org/ltc.cfm?pageid=156&producttype=12&careissue=9

What happens with these systems if there's a fire?

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Jo Ann Malina, make spamthis best to find my address
Zeal without knowledge is fire without light.   -- Thomas Fuller

Evelyn Ruut - 26 Apr 2005 13:45 GMT
> Dennis P. Harris <NO_SPAM_TO_dpharris@gci.net> is alleged to have said:
>>
[quoted text clipped - 15 lines]
>
> What happens with these systems if there's a fire?

That is what went through my mind too.   Hopefully there are caregivers who
know how to manage present at all times.   Those automatic systems should
never be the only thing in place.
Signature

Best Regards,
Evelyn

(to reply personally, remove 'sox')

Dennis P. Harris - 27 Apr 2005 06:45 GMT
> > What happens with these systems if there's a fire?
>
> That is what went through my mind too.   Hopefully there are caregivers who
> know how to manage present at all times.   Those automatic systems should
> never be the only thing in place.

the systems i've seen used here can be opened by anyone NOT
wearing the bracelet/pendant/watch/pin.  they also usually have
overrides with a regular door key or a number keypad.
Mary_Gordon@tvo.org - 25 Apr 2005 19:57 GMT
I wouldn't agree that thinking of using one is tantamount to admitting
a person can't be looked after safely in their current situation.

I've done a lot of industrial safety work in my career, and in that
discipline, they tend to think of things in terms of multiple barriers.
So, you've got the source of energy or disaster, and you've got a
series of things to keep a person away from it - and only when there
have been multiple failures do you have an accident. A barrier can be
anything from training and procedures, to a pair of rubber gloves,
warning signs, alarms, lockout systems.

Obviously with a person with AD who is a wanderer, you don't want your
ONLY line of  defence to be a perimeter alarm, but it certainly can't
hurt as an added barrier to escape when you add to it vigilence,
special locks or keypadded doors, special clothing, trained help,
medications, medic alert bracelets, alerted neighbours, a courtyard,
whatever you can think of to contain the person, or catch them before
they go far.

We have a security system on our house, and it has a feature that I
thought was stupid when it was installed almost 10 years ago as part of
a renovation. You can turn it off, but somehow...we never have. It
makes a series of quick little beeps whenever any exterior door or
window is opened or closed. I have three kids (now 14, 11 and 7) and I
love that feature. The minute someone comes or goes or opens something,
I know about it, and a lot of the time - I go see whats up (as in, hey,
its the middle of winter and its 2 am, who is opening windows or
doors?, or he just left 5 minutes ago for school and he was late, who
just came back in? Or who is running in and out and playing with
doors?). When they were little, it was great - it prevented more than a
few escapes by little people who managed to get the door open. It
wasn't our only line of defence against 3 year olds playing in the
street, but it sure helped.

Mary G.
Karen - 25 Apr 2005 13:08 GMT
When we were looking for a place for my MIL, we ran across 2 kinds:

1) Sounds an alarm when the wearer goes near the receiver (usually at the
outer door).  This requires a facility with a receptionist that doesn't get
called away from the door.

2) Stops doors from opening when wearer is near the receiver.  I was warned
by the administrator of one facility that they had one athletic sort that
would wait until someone was going out the door and would sprint for the
door, reaching the door before it could close.  So this can be overcome,
too.

From what I saw these are used in mixed assisted living facilities (people
with brain problems and people with physical problems that require
assistance).  IMO, the better answer is a dedicated Alzheimer's facility
that answers the wandering problem with building design (locked doors and
limited entry areas).  But in areas without a lot of selection, the
bracelets may be your only choice.

I do know of one facility near me that uses the bracelets and still keeps
having a problem with "escapees".  In a busy metropolitan area, that could
be very dangerous.  I would guess implementation depends on the facility.

Karen

> anyone have experience with some kind of bracelet or collar that an AD
> patient could wear that would send off a signal if they go too far?
> links? or info? TIA,best wishes to you all.
M - 25 Apr 2005 21:35 GMT
> anyone have experience with some kind of bracelet or collar that an AD
> patient could wear that would send off a signal if they go too far?
> links? or info? TIA,best wishes to you all.

I too am looking for somethign like this, the best I have found is the
"Wandercare 100T" (google on it).  I am here looking for postings of
experiences with it, actually.
M - 27 Apr 2005 16:29 GMT
Just bumping this -- does anyone have experience with the wandercare
unit (or a similiar unit, the caretrak 100?)  Would the orginal poster
mind sharing feedback about what they think of it after they looked
into it?  I would like some kind of feedback and ideas on it's
strengths and weaknesses before I buy it, so if you are also evaluating
it I (& others perhpas) would appreciate you sharing your thoghts
publically, maybe there is somethign you've thought of that I haven't.
Thanks.
M - 26 May 2005 05:33 GMT
bump again

> Just bumping this -- does anyone have experience with the wandercare
> unit (or a similiar unit, the caretrak 100?)  Would the orginal poster
[quoted text clipped - 4 lines]
> publically, maybe there is somethign you've thought of that I haven't.
> Thanks.
 
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