If living in a NH, these are pretty much Resident rights but we are still responsible for the falls, even after the Resident signs the negociated risk forms continually and the family is okay with it all, we are still responsible and have to come up with some sort of intervention after each and every fall. Quite honestly, coming up with a new intervention is getting to be impossible to do for some Residents because of the constant falls, monitoring closely, and the spouse/family are totally fine with whatever happens so as to retain this Residents dignity. In situations like this, it can be a real headache coming up with something for the careplan and sometimes wish there were some sort way we could just chart it and let the physician and family know about it without all the added documentation and follow up assessments unless an injury incurred. I know that's not a realistic requist though. Teaching the demented can be a loosing battle so we must be aware of everything at all times (as best we can, that is). Doncumenting is so important.