The real issue, however, is the level of risk involved. Bed rails can be used to enhance the mobility of residents by assisting with movement in bed, sitting up or getting out of bed. However, when bed rails prevent a resident from leaving the bed, they are considered to be a form of physical restraint. The increased recognition of serious injuries and deaths associated with bed rail use prompted the FDA to issue an alert about the issue in 1995. They can be especially hazardous for demented or agitated individuals, who may be harmed by sliding between the rails or attempting to climb over them.
Care givers agree that the key to providing safety is individualized care .
Care plans are designed to tailor care to the specific needs of each individual. The assessment team will look at the effects of illness, pain issues, use of medications and psychological factors - including difficult behaviors. Safe care also requires the design of living spaces that minimize the risk of injury, and continued efforts to improve comfort and safety. Physical restraints have been used to remind individuals not to get up without assistance. However, there are often newer and safer techniqes available.