1. Katie Humes

    These are great ideas, but many only work in theory. Rehabilitation facilities, which are the ultimate disposition locale for many of these patients (far more so than other cohorts of patients we care for as hospitalists), will not accept patients if they have an in-person or virtual sitter. They usually require 24 hours without either, sometimes 48 hours. This leads to extended lengths of stay, which can lead to more falls, as well as the normal host of hospital-acquired complications. Additionally, video sitters can be very disorienting to already confused patients. “Why is this robot-looking-thing talking to me?” We need fall solutions that involves more mobility and reorientation rather than more monitoring.


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