Falls

By Anonymous (not verified), 5 March, 2025

A sense of losing their balance is followed by a reflex to grab on to anything for support. Because their balance is not very dependable, grabbing on is frequent. The furniture in their pathway must have hand holds and be sturdy enough to hold them up. Once they grab on it usually takes a few minutes before they are comfortable and stop holding on tight.

Being told to let go will probably not make sense to them. When they are holding on to another person, it usually hurts. Waiting for them to feel secure is usually faster than trying to pry their fingers open or yelling at them to let go, which frightens them, so they hang on tighter and longer.

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 in ACL 2 High, 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 carers 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 or a pull cord safety alarm may also be considered.

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.

Allen Cognitive Levels
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P