My aunt with Alzheimer's lives in care home. She's been hitting other residents. What happens if it continues?

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I don't know if the care facility is private-pay only, but if the behavior guidelines are not adhered to, they can evict the non-adherent resident. So it's a good idea to medicate them so they're not combative anymore.
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One of the many side effects of psychiatric drugs is aggressive behaviour yet most doctors will just treat the side effects with yet another drug! Shes probably feeling very frustrated and misunderstood . Try and take her out away from the home and see how she is Also look up the meds she is taking
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My Dad went through an angry period, and thank goodness it is over. I suppose it could happen again.

Make sure they check your mom for UTI (I managed a bipolar lady who would take 6 months to re stabilize after a UTI, and one glass of cranberry juice a day prevented her from getting the UTI)

Also, any kind of restraint has legal limitations and oversight built in. Physical restraints are temporary and last resort.

Get her to a doctor, make sure she is medically well, and nothing hurts her body (and she can't explain that).

Once she is medically ok, see if you can get some old time music in her room, or soothing just under the surface new age type music. Both can be incredibly calming.
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My mom was also in a personal care home and became combative. The PCH had her visit a neuro-psychiatric and meds were prescribed. The meds just kept her sedated which was frustrating for me. I felt the problem was boredom and unhappiness and she could no longer verbalize her feelings. I was fortunate that her house finally sold and I was able to move her to a specialized alz/dementia facility. It's like night and day. She's no longer on any psych meds and she's much happier, and so am I.
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I work in an alzheimer's unit in a care facility, and when residents get combative, they usually seperate the resident from the other residents (for their safety), and they get someone to give one-on-one care for that resident for a while. Sometimes it's just a medication issue or a UTI.
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She will be restrained with meds or with literally , restraints.
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My Mom in law is in a Alzheimer's unit and she has gotten herself into trouble also, but they work very hard to keep her and other residents safe. These things happen more than we realize. She has had medication changes that have helped her also.
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She should be immediately be admitted for inpatient Neuro-Psychiatric examination. The care home may not want her back, read their rules and policies about removal. Where she goes depends on the hospital evaluation reports. Most likely she will have to go to a secure facility.
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