In Michigan the staff informs the doctor *and* the family about the need for patient restraints. The restraint policy for each patient must be reviewed every 24 hours and must be re-ordered by the physician. The family also must be informed that the use of restraints is being continued. It is beyond my comprehension how a facility can tell a family that a demented patient who is at risk of falling will not be restrained regardless of their request. It would seem that the liability involved could be considerable if your mother sustains an injury that leads to her injury or death. ----- Regards Mary Ann Ryan R.N.