My dad has lived with us safely, except for a few falls, for the past 4 years. Now, with dementia and sundowners, he has to be watched every minute. He is very impulsive and does so many careless and dangerous things. We have attendants during the day and a couple nights a week, but for 4-5 nights a week, it has become out of control. Sleep aids have been very ineffective, as they just amp up his agitation. I cannot sleep during the day to compensate for the sleepless nights. Our house has become a house of horror at night. And, if I should look into nursing home care, how will they handle him? He is strong, willful, and he gets very mean....until the sun comes up. Also, medicaid pays for his attendants, so it's not like he will be entering a lovely facility with pansies along the walk that is well-staffed. What to do, what to do.....Thanks in advance for your insight. My dad is 91.