Mom's dementia is getting progressively worse. She cannot seem to remember what you told her less than a minute ago. She is on very strong pain meds, blood pressure and anti-depressant meds and an antibiotic. Sedatives would just compound the systemic depressive effects of the pain meds so we are not willing to give her sedatives on a regular basis. The immediate problem is that she has a 'venous stasis' ulcer on her lower leg, and both legs are quite swollen. They clean and dress the wound every day and wrap her leg in ace banadages, which she invariably unravels. Even if they tape the edges she will pick them off. Now the wound became infected (Mersa virus?) and they are cleaning hands disinfecting everything she touches. Wound care specialist came in Wednesday and put a special bandage and dressing and some kind of boot, which supposedly is harder to remove. 2 hours later it was gone! Nurse was very upset with her and Mom swore up and down she never touched a thing and the 'doctor had just come in and removed it'! This is so typical of everything she says and does - she is never at fault - and truly believes that she is not misbehaving. We all realize it's the dementia, but it is so frustrating. She is supposed to keep her legs elevated, but 'walks' around all day paddling in her wheel chair. She will not stay still and elevate her legs during the day. You can't even get her to stay put in a lounging chair. I suggested to the nurse that they attach the leg rests onto the wheel chair and elevate her feet for at least 2 hours a time and just keep an eye on her - they can see her in the community room by the nurses station most of the day. The nurse said she is going to talk about it to PT tomorrow. Unfortuanately they don't have a trapeze pulley, or they could have hooked it up over her bed to keep her legs elevated (that was my 92 y/o Uncle' suggestion - he's pretty sharp!). There is probably no viable solution to this issue, but thought I would toss it out and see if anyone else has any creative ideas.