Dementia Fall Prevention: Using bed rails if necessary
Wooden brain shape with words cognitive flexibility.

Dementia Fall Prevention: Using bed rails if necessary

Dementia is a debilitating disease that affects millions of people worldwide. It is a progressive brain disorder that impairs memory, thinking, and behavior. As the disease progresses, individuals with dementia may experience a decline in physical abilities, making them more prone to falls and injuries.

According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of fatal and non-fatal injuries among older adults, with 1 in 4 adults over the age of 65 experiencing a fall each year. For individuals with dementia, the risk of falling is even higher due to their impaired cognitive abilities and declining physical abilities.

Falls can have serious consequences for individuals with dementia, leading to fractures, head injuries, and even death. As caregivers or family members of someone with dementia, it is essential to take preventive measures to reduce the risk of falls. One such measure is the use of bed rails if necessary.

What are bed rails?

Bed rails, also known as side rails or safety rails, are barriers attached to the sides of a bed to prevent individuals from falling out of bed. They are commonly used in hospitals and nursing homes to provide additional safety for patients who may be at risk of falling. However, they can also be useful in home settings for individuals with dementia who are more prone to falls.

How do bed rails help prevent falls in individuals with dementia?

1. Provides physical support
As dementia progresses, individuals may experience a decline in physical abilities, making them more susceptible to falls. Bed rails can provide much-needed physical support for individuals when getting in and out of bed, helping them maintain balance and stability.

2. Acts as a reminder
Individuals with dementia may have difficulty remembering their limitations and may try to get out of bed without assistance, putting them at risk of falling. Bed rails act as a physical reminder for them to stay in bed and prevent them from getting up without assistance.

3. Creates a barrier
Bed rails create a barrier around the bed, making it more challenging for individuals to roll and fall out of bed. This is especially beneficial for individuals who may experience sleep disturbances or confusion at night, increasing their risk of falling.

4. Offers a sense of security
Individuals with dementia may feel anxious or disoriented, especially at night. Bed rails can provide a sense of security and comfort, helping them feel more at ease and reducing the likelihood of falls.

When are bed rails necessary?

It is essential to note that bed rails are not suitable for everyone. In fact, their use can sometimes increase the risk of injury. Therefore, it is crucial to evaluate the individual’s specific needs before considering the use of bed rails. Some factors to consider when determining if bed rails are necessary include:

1. Risk of falls
Individuals with dementia who have a history of falls or are at high risk of falling may benefit from the use of bed rails as a preventive measure.

2. Physical abilities
Bed rails may be useful for individuals with limited mobility, weakness, or balance issues, as they can provide support and stability when getting in and out of bed.

3. Sleep disturbances
If an individual with dementia experiences sleep disturbances, such as wandering or getting up frequently at night, bed rails can help prevent falls during these episodes.

4. Caregiver availability
If a caregiver is not always available to assist the individual with getting in and out of bed, bed rails can provide additional support and safety.

5. Individual’s preference
It is essential to consider the individual’s preference when deciding if bed rails are necessary. If they do not feel comfortable with them or express a desire not to use them, alternative fall prevention measures should be explored.

What are the potential risks associated with bed rails?

While bed rails can be beneficial in preventing falls for individuals with dementia, it is crucial to be aware of potential risks. These risks can include:

1. Entrapment
One of the most significant risks associated with bed rails is entrapment, where an individual’s body or head becomes trapped between the rails, mattress, or bed frame. This can lead to injury or suffocation.

2. Injuries from attempting to climb over the rails
Individuals with dementia may not understand the purpose of bed rails and may try to climb over them, leading to injuries.

3. Strangulation
If an individual becomes entangled in the bed rail, there is a risk of strangulation.

4. Skin irritation
Prolonged contact with bed rails may cause skin irritation, bruising, or skin breakdown in individuals with sensitive skin.

How to ensure the safe use of bed rails?

To ensure the safe use of bed rails, it is essential to follow these guidelines:

1. Consult with a healthcare professional
Before considering the use of bed rails, it is crucial to consult with a healthcare professional to assess the individual’s specific needs and determine if they are suitable for use.

2. Choose the right bed rail
Select a bed rail that is appropriate for the individual’s size and bed type. Make sure it is sturdy, easy to install, and has a locking mechanism to prevent accidental collapse.

3. Proper installation and maintenance
Ensure that the bed rail is installed correctly and regularly checked for any signs of wear and tear. Tighten any loose screws or bolts as needed.

4. Monitor use
Monitor the individual’s use of the bed rail to ensure they are using it appropriately and not putting themselves at risk.

5. Use additional safety measures
Bed rails should not be the only fall prevention measure used. Other safety measures, such as removing clutter from the bedroom, adequate lighting, and using a call bell, should also be implemented.

In conclusion, falls can have severe consequences for individuals with dementia, making it essential to take preventive measures to reduce their risk. While bed rails can be beneficial in preventing falls, it is crucial to evaluate the individual’s specific needs and monitor their use to ensure their safety. Working closely with a healthcare professional and using additional safety measures can help provide a safe and comfortable environment for individuals with dementia.