Sometimes this whole mantelzorg setup is infuriating.
My mom lives in a elderly home with two departments; Half of the building is for 'independant 55+ seniors', the other half is, well, basically an open geriatric ward.
My mom lives in the 55+ seniors half. She's 69, barely mobile, and suffers a variety of illnesses, including but not limited to diabetes, fibromyalgia, a history of bipolar episodes and anxiety issues. She's also stubborn as a mule.
But because she lives in the independant seniors part of the building, there is no in-house care. The only link to the nursing staff she has is an alarm button necklace for emergencies.
If my mom presses the emergency button, the nurses will usually call me if they're unsure what to do and I have to come over and judge the situation, because she is not their responsibility (unless there's a clear life or death situation ofcourse).
This could have ended pretty badly 2 years ago. Got a call late evening from the in-house nurses (an intern), said my mom pressed the button and they found her tilted backwards over the kitchen counter in a 90 degree angle, saying she couldn't get back up.
So they helped her up. She was still able to respond to their questions and seemed startled but lucid, so they thought she was okay, except that she had trouble with her balance and standing.
They called me and said "we don't know your mother, so we're not sure if this state of being is her normal state, or if something's wrong. Could you come and look?".
So I got on my bicycle and went over there. When I came in and saw my mom, I did not waste time and called 112. Ambulance came and rushed her to hospital.
She spent the next 4h on ICU with a heartrate of 160, and 39C fever. Discovered heart rythm disturbance. Got heartrate down with the right meds. They also discovered that she had beginning muscle dystrophia from lack of excercise. She spent 3 weeks in hospital recovering, couldn't stand or walk for a week.