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Gigirambo Asked July 2018

In search of help in finding a facility that will home a violent combative dementia patient.

92 year old mom has been in facility for about 2 months following issue of repeated falls. She has become very combative and violent as time goes by. She wants to go home, but that is not an option. She gets very aggressive when we express that she can’t return home. The NH released her because of the violent behavior towards staff and other residents and we now are having a problem finding any facility to take her when they see her medical/behavior records. What to do? What type facility might agree to take care of this type patient? Need help desperately!

Ahmijoy Jul 2018
My mom became so combative with a UTI that she had to be restrained after attacking the nurses. Is she st home now? Do not try to explain to her that she cannot return home if that sets her off. Tell her you’re waiting for the doctor to sign papers...anything but setting her off by telling her she can’t go home. She doesn’t understand that When she flies off the handle, you can choose to call 911 and ask that she be Baker Acted. They will take her to a mental health facility where she will be evaluated and facilities will be suggested. You can also call Adult Protective Services and ask for help.

lindaz Jul 2018
I should also add that wanting to go 'home' may mean many things...it could be her childhood home or anywhere else. My mom lived in her home for 40 years and still repeatedly asked to go 'home', this is very common. Again, blessings, Linda

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JoAnn29 Jul 2018
She needs a psych eval. Usually they aren't sent somewhere and her meds are adjusted or introduced. I would assume the facility checked for a UTI. Were meds suggested? There are meds for violent behaviour.

lindaz Jul 2018
Hi Gigi, I'm not sure I can give any real help other than to suggest that your mom be seen by a specialist - alz/neurologist or a gerintologist to see if her medications are correct, also have her checked for a UTI. I know when my mom became aggressive she was placed on meds that really helped calm her down. Has she been seen by a specialist? My mom was seen by a neurologist that specialized in dementia and was wonderful when it came to dealing with behaviors like aggression and he didn't over medicate! If this is a sudden change in her behavior a UTI could be to blame and she should be tested ASAP. I hope for the best for you and her, blessings to you both. Lindaz
SandwichGen18 Dec 2018
Lindaz if you don't mind me asking, what meds have you tried with your mom that have helped calm the aggression?

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