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Medical Forum / Diseases and Disorders / Alzheimer's / January 2006

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Outdoor safety railing

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Bushelfoot - 30 Jan 2006 14:27 GMT
Morning, I'm a "newbie" so please advise if I'm in the wrong genre.
My Mother, 91 yrs is in an Alzheimer's Unit.   Still mobile and feeding
her self.   Her unit has hand rails on the inside of the building, but
once any of the residents get outside to a grassy area with sidewalks,
there are no safety railings.   She took a nasty spill outside, no
bones broken, but road rash on face and hands.

I'm on a mission to see if I can get the facility to install railings
in this area.  It is very secure.  No way out except to get back into
the building.  The Ex. Dir. tells me there are no plans in place to
install the railings and said they would have to be metal to hold up to
the elements and they also could cause injury.

Do any of you know of a facility that does have such safety railings
in their outside areas?  If so, I would love to have the names and
addresses so I could contact them for information.  I do not plan to
move my Mother.  That would be to traumatic.  I am working with the
Pima Council on aging at present.   All feedback would be appreciated,
possitive or negative.  Thanking you in advance.  Jan
Evelyn Ruut - 30 Jan 2006 15:26 GMT
> Morning, I'm a "newbie" so please advise if I'm in the wrong genre.
> My Mother, 91 yrs is in an Alzheimer's Unit.   Still mobile and feeding
[quoted text clipped - 15 lines]
> Pima Council on aging at present.   All feedback would be appreciated,
> possitive or negative.  Thanking you in advance.  Jan

It might be impractical, and/or expensive to do this, but would she use a
walker?   She could put her stuff in the little basket and always take it
with her on her walks.

To use a famous buddhist analogy, "it is impractical to cover the world with
leather, so instead we cover our feet with leather (shoes)"

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

Bushelfoot - 31 Jan 2006 14:41 GMT
Thanks, Evelyn,  The idea is great for a walker w/basket.  But at her
stage of Alz. she couldn't remember to use it.  The Dr.s discourage
walkers as being more hazardess than helpful.  I am looking into a
wheelchair for her though.  Several in her ward use them and she can
propel herself along with her feet. I love your analogy of the leather
shoes.

Thanks Again, Jan
Bushelfoot - 31 Jan 2006 14:41 GMT
Thanks, Evelyn,  The idea is great for a walker w/basket.  But at her
stage of Alz. she couldn't remember to use it.  The Dr.s discourage
walkers as being more hazardess than helpful.  I am looking into a
wheelchair for her though.  Several in her ward use them and she can
propel herself along with her feet. I love your analogy of the leather
shoes.

Thanks Again, Jan
Bushelfoot - 31 Jan 2006 14:46 GMT
Thanks Evelyn,  At her stage of AD she isn't cognitive enough to know
to use a walker, but I am looking in to seeing about a wheelchair which
several of the other residents use.  The foot rests are removed and the
resident can propel themselves by their own feet.  If we could just get
her to accept that whould be good.  Have more homework to do on the
subject.  Thanks for your input and loved the Buddist analogy.  Jan
augustwestern - 31 Jan 2006 22:12 GMT
> Thanks Evelyn,  At her stage of AD she isn't cognitive enough to know
> to use a walker,

Sorry but she probably wouldn't use any available railing either.  Logic
doesn't figure in to what devices a person with dementia will use or not
use. If someone isn't there to remind them, help them and follow through
with correct use, it probably won't get done or remembered.  Our loved one
can't even remember where she normally sits, even though she has sat in the
same chair for 6 years.  best,  AW
Evelyn Ruut - 31 Jan 2006 22:28 GMT
>> Thanks Evelyn,  At her stage of AD she isn't cognitive enough to know
>> to use a walker,
[quoted text clipped - 6 lines]
> the
> same chair for 6 years.  best,  AW

Yes, it was that way with my mother in law also.  One day we found her lying
down in the basement on the sofa down there.   I asked her why she was
there, and she said she didn't know where she was supposed to sleep,
although she had a nice room on the main floor of the house right across the
hall from the bathroom and had slept there for a couple of years already.
I just quietly brought her back to her own room.   She had forgotten
completely.

Many times she'd get up to use the bathroom and go instead to our room and
try to get in our bed when she returned, and our bedroom was further away
than her own, and we were in it!!!   We had to walk her back to her own
room.

She couldn't walk unattended anymore and she couldn't remember that and
would try and would fall.   They provided her with a "merrie walker," which
is a walker you can sit or stand in.   Later she went to the wheel chair.

Bushelfoot, you might try looking into the "Merrie Walker" instead of a
wheel chair.   It would preserve her mobility if she could manage to use it.
Look it up and see how it works.  They can sit or walk around with it as
they like.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

Dennis P. Harris - 31 Jan 2006 03:27 GMT
> Do any of you know of a facility that does have such safety railings
> in their outside areas?  If so, I would love to have the names and
> addresses so I could contact them for information.  I do not plan to
> move my Mother.  That would be to traumatic.  I am working with the
> Pima Council on aging at present.   All feedback would be appreciated,
> possitive or negative.  Thanking you in advance.

Sounds like the director there is too lazy to do anything about a
bad safety and liability problem.  The Juneau Pioneers Home here
has safety rails on one side of the sidewalk in much of their
garden area --- standard welded aluminum tubing rails IIRC.

They *do* need to be sturdy.
Bushelfoot - 31 Jan 2006 14:49 GMT
Hi Dennis, Thanks for your input.  Could you pleas supply me with info
on contacting the Juneau Pioneers Home.  Thanks, Jan
 
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