Under certain medical conditions such as dementia, caring persons need the ability to be able to monitor if and when a person leaves their bed or chair. Also where a resident or patient is likely to fall when getting out of bed without assistance, staff need to know immediately this happens.
A number of options are available to help keep the person in bed. However, most of these options involve some degree of restraint. This restraint can lead to more injuries than they are designed to overcome.
Restraints such as raised bed sides can lead to the person falling from a greater height and doing more damage.
Also caring staff have to spend a disproportionate amount of time monitoring the person to ensure that the person does not get out of bed.
In the home environment, relatives loose large amounts of sleep having to continually check on the person being monitored.
HOW THE ALARM WORKS TO OVERCOME THE PROBLEM.
DCT ASSOCIATES PTY LTD technical staff have developed a Bed and Chair Occupancy Monitor. This alarm system is one of our most popular items and has earned praise from many customers.
The monitoring is achieved through the use of two alarm components.
A pressure mat is located in the bed where the person normally sits or lays. This pressure mat is cabled to an alarm unit. This is connected to the nurse call system. While the person lies in the bed, the alarm unit is not activated. Immediately the person leaves the bed the nurse call alarm is activated.
A similar but smaller pressure mat is used on a chair to provide the same alarm indication.
Where the resident or patient has the ability to get out of bed to go to the toilet, but then may wander away from their bed, a time delay can be incorporated into the alarm unit. This time delay enables the resident or patient to undertake their normal activities at night and return to the bed without setting off an alarm.
Variations to the alarm include:
The alarm can interface into most nurse call systems which then helps reduce the installation cost.
Here are just some of the remarks our clients have made about this revolutionary product:-
There is no doubt that the mats have resulted in decreased resident falls. The staff has accepted them well. Dementia specific unit staff feel a great sense of relief that they do not have to restrain residents as they consider it to be cruel.
As you can see these are genuine glowing testimony’s. This product does provide for a more humane and caring approach to patient monitoring.
Generally two weeks after placement of order.
Only installation required is the connection of the alarm output lead to the nurse call system as appropriate.
Complete installation information is supplied with the alarm.
The alarm can be purchased outright or can be rented over a 12 month or 24 month period with a residual at the end of the rental period.
Rental provided through Our Rental Company. Terms and Conditions Apply.
Email toD.C.T. Associates Pty Ltd
COMMENTS BY SATISFIED CLIENTS.
CASE HISTORIES FROM WESTERN AUSTRALIA
Case History 1.
A 78 year old gentleman admitted from a psychogeriatric facility to our nursing home with Alzheimer's Disease and severe behvioural problems. The gentleman had been restrained both day and night and had Parkinsonism related to the use of psychotropics to manage his aggressiveness. He also had pressure sores on his heels as he would constantly rub his feet back and forth on the ground as if trying to walk.
Although he had been ambulant 3 months prior to his admission to the psychogeriatric facility, we were told that he had lost his ability to ambulate. He was being transferred with a standing lifter with some difficulty as he was not cooperative with staff efforts to transfer him although on one occasions when he had managed to free himself from his restraint he was found ambulating independently some distance from his room.
We decided to consult the family about the possibility of releasing him from restraints by using a bed/chair alarm and they agreed that the risk of falls was more acceptable to them than seeing their relative restrained.
The bed/chair alarm was introduced and restraints were removed. The resident now can mobilise at will and his pressure sores have healed. He has had a few falls but generally his mobility status has improved over time. The staff no longer use the standing hoist for transfers as they can now persuade the resident to stand by himself with minimal assistance from them.
The family has continued to be extremely pleased with the resident's care and are now able to take him for walks. Furthermore, an RCS auditor stated that we were able to claim "restorative" therapy as the resident went from being chairfast to ambulant.
Case History 2
A 76 year old gentleman with advanced Parkinson's Disease and dementia. The bed/chair alarm with pager unit is currently being used successfully with this man as he is very unsteady on his feet and during times of confusion would attempt to climb over bed rails.
He has not had any falls since the alarm system has been in use and family are pleased that we have not had to restrain him in his chair during the day.
Case History 3
A 90 year old gentleman with dementia who would get up at night and void inappropriately despite having both a urinal and commode at the bedside. By use of the bed alarm, we are able to attend to this gentleman's toileting needs by directing him to a toilet or offering him a urinal before he voids on floors or in passageways.
Case History 4
A frail 80 year old lady with Alzheimer's dementia who needs assistance to mobilise. We have used the chair mat successfully in the late afternoons which is the time when she is most likely to try to ambulate without assistance and is most unsteady.
There is no doubt that the mats have resulted in decreased resident falls. The staff have accepted them well. Dementia specific unit staff feel a great sense of relief that they do not have to restrain residents as they consider it to be cruel.
The changeover from bed to chair mat is relatively easy.
We currently have 3 residents sharing the 2 alarm systems and could easily do with several more.
CASE HISTORIES FROM SOUTH AUSTRALIA
FACILITY 1, AGED CARE HOME.
This facility had had a client transferred to it who was already using the bed mat system.
They then had a 80 year male admitted who was very confused and a wanderer. It was especially concerning at nighttime and he had a high risk of falling.
They trialled the bed/chair alarm unit and this reduced the falls and danger situations by about 90%.
They then had a 31 year disabled male admitted whose safety was highly at risk.
The bed/chair alarm reduced the risk problem especially at night to almost zero. If it was not for the alarm system, they could not have provided the nurse care accommodation service for him and he would have had to be transferred to another facility.
The bed mats are highly effective. They provide a non invasive means of securing residents.
The service provided is prompt and efficient.
FACILITY 2. PRIVATE HOSPITAL.
In the private hospital situation, the population is very transient unlike a nursing home where the residents stay for a reasonably long time.
Where patients were received into the hospital, those with any susceptibility to falling had to be in almost all situations physically restrained.
With the provision of the bed alarm, in almost all cases, the need for physical restrains was removed. This was especially so where the patient was not susceptible to falling during the day time but tended to want to get out of bed during the night.
Last updated: 4th November 1999
This is the Bed Occupancy Page provided by D.C.T. Associates Pty Ltd, ACN 007 966 145, designers and manufacturers of specialised alarm systems for the hearing and physically disadvantaged.