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My mother-in-law has dementia and often doesn't know where she is. We moved her in with us. Her bedroom was upstairs in her previous home. The only thing that will come of her going upstairs is hurting herself or waking my young children (ages 4 and 1). A baby gate doesn't stop her. She knows how to open them (despite not being able to do hardly anything else for herself). She will often get out of her bed in the middle of the night to go to the bathroom and then head upstairs to "go back to bed". This has led to her disrupting my daughters' sleep every night, which disrupts our sleep and makes for irritable children throughout the day. There is absolutely no reason for her to go upstairs. We don't need a stair lift. We cannot install a door at the bottom of the steps. What can we do to keep her from venturing upstairs?

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Well, first of all let me be frank - moving MIL, a person with dementia into your home, IMO, was not a good idea mainly due to the fact that you have two very young children, whose needs are the #1 priority which includes a peaceful nights sleep. I can't think of anything that would safely keep MIL downstairs other than you & your wife taking turns sleeping on the couch so that you might hear her open bedroom door, or open the baby gate so that you could then get up and gently direct her back to her bed. The other, is hire a nightime caregiver to sit with her so that they can get her back to her bed. I know that Covid-19 is an issue when it comes to this last suggestion, but she could be placed in Memory Care at an NH near your home. I hope you can find a solution soon.
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Stairs are always a problem with dementia it seems. Here is an article that might offer you some things to try.
https://www.agingcare.com/articles/wandering-top-tips-how-to-secure-and-dementia-proof-your-home-432431.htm
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A couple thoughts.

Can you make sure the stairs are dark, no lights upstairs, so she cannot easily see them at night? Is there a night light in her room or other lights to guide her back to her room?

I have seen suggestions in the past to put a black or very dark rug at the doorway of a room you do not want an elder to enter. It looks like a hole. I have no idea if this works, but is may be worth a try.

Does Mum have to pass the stairs on her way to and from the bathroom? If not, can you keep the area dark at night?

By its very nature, dementia means a person cannot really learn new things. She is remembering that her bedroom was upstairs and going by instinct. You need to interrupt the instinct.

You may need to try a different type of gate. I have one that pressure fits into a doorway, it is very difficult to release the latch that releases the pressure.
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Have you tried installing the baby gate upside down?
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Possible solutions depend on the stage of dementia your MIL is currently in. In the early stages, with repetition, new learning is possible and you can interrupt and instill new habits.
You could try a bright colored note at the bottom of the stairs saying “don’t use the stairs”, assuming she can read and understand what she reads. I’m surprised by how often a client has been able to read and comprehend, even in the later stages of dementia. I would start by pointing the note out to her during the day to see how she responds to it and so that you can get her used to it.
If you don’t think that will work, you could try a baby monitor that will wake you so that you walk her back to her room. This may help to break the old habit and build a new one. So it doesn’t necessarily mean you will be doing this for the rest of her life although it may take a little while of interrupting your sleep.
Good luck💕
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Stairs + dementia + Parkinson's = falls.

Agree with suggestions already made:

Keeping the stairs off limit by physical barriers (installing a lockable door at the bottom) or rely on a baby monitor (to get adult supervision to her quickly).

Would locking her bedroom door be an option you would consider? Certainly not ideal. (But others with elders starting kitchen fires or leaving the home at night have had to consider this).
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How about hanging a curtain rod and long curtain panel to hide the stairs? Good luck.
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Does she go in her bare feet? If so buy a bucket of Legos and scatter them in front of the stairs.

Having a demented elder living in a house with children as young as yours is an awful idea btw.
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Beatty Nov 2020
Can see the hospital fall paperwork now... reason for fall: LEGO.

Zippy you are very naughty!
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zip tie the gates

plastic wrap challenge wrap the stair way so she cannot pass through it.

place her where you really are avoiding :( last choice

tag you are her only family ... you are the chosen ones...... like many of us...

why can you not install a door or gate at the base of the stairs?

She may need more help than you can offer up with the kids etc...
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I thought of something. They have those motion detecting decorations around Halloween that'll scream if someone walks in front of them... maybe put a few of them near the bottom of the stairs?
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