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It's not clear exactly what you are asking. The person in question is in the hospital? You are the caregiver? You are unable to deal with appointments due to long distance or some other reason?
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You question is not very clear. Your profile says "living in hospital". I assume the person with dementia is in the hospital? You are the caregiver and need help with medical appointments? You can hire case management people to oversee care. It's not cheap and will be private pay.
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If you mean a case manager, contact your health insurance carrier. On Medicaid, most states have managed care already.
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Sorry for double post. Crappy I pad acting weird........
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Sorry was so unclear. Yes, I am only living relative, living across the country. I found out she has alzeihmer's/dementia, and have been going through all of our options. She is still highly functioning but we won't let her drive anymore, and have hired a companion company (different person every time) to come in once a day to drive her around to the stores, help clean up, etc, until we can find the right Memory Care place for her (a daunting task!) I have flown back and forth twice in the last two weeks for doctor's appointments (at Kaiser) but have found that someone really needs to be there for every doctor's appointment as they have misdiagnosed her a couple of times (with depression) in the last year, until I was there to make sure she had the right tests that confirmed what I thought was pretty severe impairment. I cannot be there for every appointment...can I hire a medical advocate? I asked Kaiser and got the run around....HELP!
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The difficulty is that this person will need to have legal authority. Do you have Durable POA and Healthcare POA? Plus, this person will have to be around your mom on a daily basis so they will be familiar with her condition, behavior, symptoms, etc. That might be rather expensive.

Why are you sure that she is not depressed? Dementia patients are often depressed. I'm not sure if it's caused by the disease or if it's because the person is depressed that they are losing control of their life, but I don't know of any dementia patients who aren't on medication for depression and/or anxiety, eventually.

If you can get her to a doctor who practices geriatric medicine, then they see a lot of dementia patients. Is this possible at Kaiser? She may actually have dementia and be depressed.

If the dementia is as severe, as you suspect, I'd get her somewhere immediately, as you search for a permanent Memory Care facility. Even one night unsupervised could result in a crisis.
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