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He cannot afford 24/7 care. Would a nighttime sleeping pill allow him to sleep the night and not require night oversight.

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Talk to his doctor. There's somewhat of a reluctance to prescribe sleeping pills because one can end up STILL getting out of bed . . . Unsteady on one's feet . . . Falling and making a bad situation much worse. But perhaps his doctor can help.

It sounds as if assisted living may not be appropriate for your brother any longer.

Dementia is a terrible reward for living too long. Terrible.
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There may be some meds that would calm him down. Talk to the doc. As Maggie suggested, he may be a candidate for a higher level of memory care if he's endangering himself and others.
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