There are several different options. Some work anywhere and some only have a small range.
My mother-in-law's one worked if she was out and about and the person spoke to her through the gadget itself. It wasn't very big and didn't need a "box" in the house. It did need charging regularly though and they called her once to say it needed charging.
You do have to find a time of day or night when you are safe to do this.
As she slept like a log, for her it was overnight - but some people apparently do it when (say) family or carers are with them.
I don't know if you can have 2 gadgets to use one and charge one.
If they get no answer they call your list of people and/ or emergency services.
I think the ones you don't need to press are a good idea.
Obviously you can press it if you are able.
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