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This is not my first post here but my 92 year old grandpa was moved from an ALF to a memory care due to his dementia/aggression getting so bad he threatened to harm himself, staff and another resident with a pocket knife and when the cops came he told them he wanted "suicide by police". After a few weeks of adjustment it seemed he was doing well in the new place and I was actually getting less calls.BOOM during an activity he went to move from his walker to a chair and didnt make it. The staff was able to catch him before he hit the ground but the next morning he complained so they sent him out to the hospital to get checked out. After a few days suddenly he is at my ring camera with no shoes or pants and threatening to break all the windows out of my house if I dont let him in. He went to a neighbors house when I didnt answer. I called the hospital and they stated, "He was alert and oriented so the doctor allowed him to sign out AMA and go home." WHAT??!!?? I called the police after the facility told me to report him as a missing person. The police came and saw all my documentation and had the memory care facility come get him. Literally my worst fear unlocked now. Since this horrible journey started I have feared that he would just show up at home. Clearly it can happen. The next morning the memory care called and stated that he had tied something around his neck and seemed out of it. Told them he had taken something. Unsure what since his meds are locked up (unless he got something while he was on his little journey home) He has now been baker acted for yet ANOTHER attempted suicide. My question is this... How do I keep this from happening? He DOES seem alert and oriented when in a controlled environment but he is unable to do any of his daily living tasks and continues to threaten me and everyone else. I am terrified and so is my daughter who he has threatened before. If you have seen any of my previous posts there is quite a history there and he constantly tells everyone I am trying to keep him locked up to 'steal his assetts' He has NO assets!

Quick update… he WAS sent with my information and they did call me several times during his visit. His discharge paper says d/c back to facility and notify POA ( that’s me) unfortunately one doctor decided he could sign himself out and so they put him in an Uber.
He has been on a Baker Act since that next morning and when I called to check on him tonight he seems to think he is going to be allowed to come home instead of back to his facility. That’s not happening. I did record the conversation in which he claims he never said bad things about me or my family and that the police doctors and staff are all liars. It just never ends.
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Not certain who the POA is, but it is clear that daily checks on Grandpa are needed. Whatever facility he is in it is crucial that the POA be called for ANY escape, or for any transfer to care. He needs always to be on lockdown and the POA needs to know where he is. THEN, in the case he is, say, moved to ER from his MC, the POA will call ER and let them know he cannot be allowed to leave.

I honestly cannot think of anything else. You are on a downward trajectory and it is a shame that in this country we are not allowed to make a dignified "final exit" when life is nothing to us but a torment and torture. That is clearly the case with your grandfather. He will surely end in a locked psychiatric facility of some sort. I cannot imagine a MC being able to control him without sufficient medication. Truly, one can hand one's self with a shoelace from a doorknob with proper instruction on it; we lost a patient in the ER of our hospital in exactly that manner. So Grand is in some serious danger here.

I am so sorry. This is truly a crucible. I hope when he passes you will only feel relief that his misery and torment are over.
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Reply to AlvaDeer
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When my Mom was in an AL, yes she was sent to the hospital alone. What went with her was a folder with all her information. Of course, I was called to be told she was sent.

You need to do a little research. Ask the MC if info was sent with Dad. If so, then they did their job. Ask if in that info did they tell the hospital that he had Dementia and was a flight risk. Was your info included. If yes, then call the discharge person and ask why with a diagnosis of Dementia did they allow him to live on his own. He should have been returned to the MC. They had your information, why weren't you called? If you are POA, you need to send them copies. You need to have put in his record that he cannot be released on his own. Really, I think its negligence to not have released him back to the MC thats his residence. After you find out what actually happened, then contact your State Ombudsman.
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Actually the guilty party in this is the facility! I know for a fact that facilities will often send a resident to the ER *by themselves*. This is where things fell apart. It's not the hospital's fault - if Grandpa is transported by ambulance by himself with no facility paperwork on his condition then the medical team can only take things at face value, meaning whatever Grandpa tells them. They can't treat "dementia" in the ER so he gets discharged. If he didn't have a way to get home they'd call him an Uber or taxi and then Grandpa would give them the only address that he probably still in his long-term memory (yours). He wouldn't know the street address or even remember the name of his MC.

The facility is the problem. If you are not your Grandpa's PoA then this may be one reason why they didn't call you to accompany him to the ER. Or, the staff couldn't afford to lose a worker for hours (most likely reason) or are just poorly trained. I would come at the facility admins like a spider monkey on this one. They apparently don't have any protocols in place... it's unthinkable to send a MC resident to the ER by themselves.
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laura9574 Apr 27, 2025
the facility sent the correct paperwork and I was notified by them prior to sending him out and by the hospital on arrival. The hospital called me daily to give updates and then he saw one doctor who decided he was allowed to leave AMA which caused all this. The hospital is doing an investigation and hopefully it won’t happen to anyone else. He is currently in another hospital under the Baker Act and when I called to ask how he was doing they put HIM on the phone. He seems to think he can come home because there’s NOTHING wrong with him. It’s literally a nightmare.
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I would file a complaint with the hospital. Letting a memory care patient “decide” to leave AMA is outrageous.
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laura9574 Apr 27, 2025
I did file a grievance as did the MC facility. There is currently a board meeting scheduled at the hospital on Tuesday to look into it.
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WOW x 2. I am grateful and thankful to you for this honest and frightening post. I am learning as you are our
systems to protect the elderly and their family can and do fail. This is alarming but at the same time helping to prepare any one of us, that something similar could happen so I thank you. I too pray and hope for medicine to sedate and civil authorities that understand how risky and dangerous he is above his supposed lucidity. My heart goes out to you.
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laura9574 Apr 27, 2025
Unfortunately I don’t think a lot of medical professionals respect the fact that someone who has a diagnosis of Dementia, PTSD. Depressive mood disorder with a history of Aggressive behavior is STILL not OK because they seem alert and oriented in a controlled environment. It’s the battle I face every time he goes to the hospital.
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I remember your posts. What a nightmare! I’m amazed at the stupidity of whatever hospital so completely misjudged the situation, especially as his admission would clearly state he’d come in from memory care. Maybe meet with memory care director for a plan on how to prevent a recurrence? Hoping this hospitalization results in a cocktail of meds that will be effective in calming him. So sorry, for it all, and wishing you much peace
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Wow! All I can say now is I’m appalled on your behalf. How scary. And irresponsible! Please keep us posted.
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