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I have a baby gate at the top of the stairs with a lock on it. She is 89 years old and has decided it is OK to climb over it to go down the stairs whenever she wants. When I explain that she may get hurt by doing this, her response is "I didn't get hurt so I will do it." How can I stop her from climbing and possibly tumbling down the stairs? Is there maybe a device I can use on the gate to alert me that she is doing this? Bells don't seem to be working.

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Why do you have a gate at the top of the stairs? Are you afraid she'll fall? You can't reason with people with dementia. She needs an actual person there who will stop her. Or a facility. I'm curious, what is the reason for keeping her upstairs?
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Set up her living space downstairs. If she's sleeping down there maybe she won't need to go back up.
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Our baby gate is tension based.. we can move it higher if needed. Maybe waist high will work?
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OMG, take the baby gate down.

Assuming she's coming out of her room. Give her a door mat with an alarm at the doorway to her room, and/or a seat alarm, and/or a bed alarm. This is SUCH a disaster waiting to happen.
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There are taller gates that have doors you can put on staircases. I have one separating my two rooms right now to keep the rabbits apart -- they fight. The gate is 4' tall, so no one is going to be climbing it. It can be screwed into the wall for support. There is one way she could still get by if she figured out how to loosen the bolts. You could lock the gate at night to keep her from going through it easily. I do have to warn, however, that where there's a will, there's a way. No people or pet indoor gate will be secure against strong force.
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My dad will stop if he sees a gate.. my tension gate will not work for someone determined ...
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The upstairs is the main part of the house. Downstairs is the laundry room, storage and such. She has fallen down the stairs in the past which is why the gate was originally installed. She just started this after seeing her teenaged great grand daughter climb over it.
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How about installing a door with a lock? Why does she want to go there anyhow? I first thought of maybe a curtain on a tension rod to block the view, but a door is probably better.
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Screen door with the latch way up high where she can't unhook it.
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