For example, a lap buddy can be used as a tray for reading or other activities. When restraints must be used, the least restrictive device that promotes the highest level of functioning for the individual should be chosen. Humiliation Bed Rails Can Be a Risk Bed rails can increase the risk of injury to the elderly. People must be appropriately assessed to ensure correct use of bed rails. Bed rails do not prevent all falls.
People sometimes climb over their rails, often to get to the toilet.
When people climb over their bed rails and fall, the height of the fall is greater and, therefore, so is the risk of injury. Elderly people with decreased strength can become trapped between their bed rail and their mattress. Before using bed rails, consider alternatives such as lowered beds, futons, or waterbeds. Know that restraints may only be used to treat specific medical symptoms Participate in care planning and ask how the restraint, if being considered, will help the resident function. Be involved when decisions are made regarding the use of restraints.