They are at risk of falls as they do not pay attention to surfaces or objects below knee height. Falls prevention strategies like removing trip hazards, slippery surfaces and confusing markings on the floor. The person can step over an obstacle if a caregiver points it out to the person.
The person is unlikely to remember mobility restrictions. They lack the awareness of an inability to weight bear.
Many people try to climb over the bed rails beginning in ACL 2.2, and a floor lying bed lowers the mattress to nearly floor height.
The person will not be able to use the pull cord or call for nursing help until they become goal-directed in ACL 4.0.
A pressure sensor warns caregivers when the person has shifted off the mattress. If false alerts are made or the facility does not accommodate a bed mattress sensor, you may require a hard-wired alert system. If the bed sensor warning is only activated when the person has fallen, then other systems such as infrared devices that are activated when the beam is broken.
A lap tray or table can be used when seated in a chair / wheelchair when the person is engaged in doing an activity that requires the use of a horizontal surface to place material objects such as food and sensory stimulation supplies. Facility restraint policies may need to be updated to comply with the person's ability to function.
Hazards below the knees are removed whenever possible.