She is in late stage Alz. according to the stage descriptions. But most days have some joy, much confusion and babbling, and whenever we need to accomplish something she doesn't like She gets pretty violent. Example, bath time, she kicks, head buts, bites, screams and must be restrained (big towel wrapped around her arms, one holding her from behind, one doing the washing). And we do all the calming, comforting things we can to make it more acceptable. music, warmth, calm voices, gentle as we can be under the circumstances. Example #2, changing her disposable underpants, yesterday she picked up the soaked underwear and smashed it in my daughters face! We are committed to caring for her at home because she has so many good days. She loves the animals and the freedom of our country life. We have chickens and ducks and goats, a parrot and cat and dogs. They bring her great peace and we don't want to mess with that. We love mom as she's been such a great parent. Just need a better way to manage this agressive behaviour. We've tried a number of medications but they've all had unfavorable side effects. So far a little Xanex before bath time has helped some, but not sure that's the best alternative.