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He is under hospice care but has recently become very unpredictable. We are heart sick over this. We need to remove him from the home and put him in a nursing home. We are worried no place will take him in his agitated state. Any advice would be greatly appreciated.

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Have you talked to Hospice about his agitation? There are meds that can be administered that will calm him, so that perhaps he can be kept at home.

Another thing to consider is a Hospice facility, if your hospice provide has one.  In any event, call your hospice contact today and tell them that this is an emergency and you need advice right away.  They should be able to send a nurse out to assess the situation quickly. 
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Hospice should have left meds at your home to give your father for agitation. If your dad moves into a nursing home hospice--and their meds--can go with him.

The number one priority is keeping your mom safe. That comes above all else.
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Thank you both. Yes, hospice thinks it is better for him to be home and this is what my mother wants. Meds and hospice are there every day. Right now they are trying to figure out what dosages to give him to settle him down and today he was still very agitated. There is 24 hour care in the house as of yesterday. We realize my mother’s safety is our number one priority. She, however, is very unrealistic about his agitation and hospice is also aware of this. She is very frail and it would take very little to hurt her seriously.
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Adivan, lots of Adivan.
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I am very concerned about the entire situation. So sorry you are all you g through this. In the case of danger, if. Anyone is a harm to themselves or others, you really need to contact the police. It concerns me also, if he has the strength to be physically abusive, why hospice? Drugs for aggressive behaviors could actually be part of the cause. Over medicated or interactions with other meds. This behavior is usually a sign of discomfort or infection,sugar too low or high, blood pressure etc.
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Maybe he is tired of people bothering him.
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Elderly get very strong when agitated. Mom got like this 2cweeks before her death.
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Hi, this is just a thought and you probably know more about it than I do, but my mother now lives with me and my husband and has vascular dementia bad, and has already had 2 UTI's since we got her a few months ago, and we just learned that UTI's make them MEAN as H E double L! Not exactly sure why? But after her first episode and uti, we knew just as soon as she got the 2nd one, because she got mean again! And of course men can get them too. So anyway, just a thought but I would also think health care would have tested for it, but just incase, please be sure to check into the signs to watch for and have both your parents tested often, because UTI's will KILL if left untreated! (I myself was not aware of any of this before) Hope things get better for all of you!
Please let me know if you have already been through a uti treatment with either of them.
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Ativan can have the exact opposite effect as intended on some. My mom was one of those. Ask hospice about trying a different anti anxiety med.
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My father is home with 24 hour care. He is on Ativan and morphine. No uti. He no longer eats and now had congestion in his chest. He is hallucinating and no longer talks or recognizes any of us. We really believe his time is very short.
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Morphine allergy can cause bad agitation as well.

I hope you find a way to calm him down so he can stay at home through the end, especially since this is moms desire. It would break her heart to put him out of the house at this time. She needs to be safe but her heart needs tending as well. God Bless all of you.
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I am so sorry your family has to go through this at the end of your dad's life. I hope hospice can get his meds adjusted to calm him down. {{{Hugs}}}
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Thank you all for your responses.
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Worried Fam, (((((((((hugs)))))))))))
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I completely understand. This happened in my family too. There was a point earlier in my dad's dementia that he attacked my mom. He was still physically able to walk and get around with a cane/walker. Luckily we had already gotten him in with a geriatric psychiatrist. My mom told the dr and they adjusted his medication. As his dementia progressed, he was not physically as able, but he had moments of verbal abuse as he thought she was cheating on him. In his final stages his hallucinations were just terrible as he thought people were trying to kill him (maybe WWII flash backs?). In any case, he needed additional medication tweaks (which were ultimately done in a hospital setting due to the extreme agitation at his adult day care). My heart goes out to you. I know you will protect your mom and make sure she's not home alone with him. Medication can certainly help. I think my dad had resperidone. At the end, they tried many things and he was calmer (this was before hospice care).
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Worried fam, I hope things are calmer. I'm sorry the end game had to be so rough with your dad. Is he still with us? I know you all must be grieving the end. May you be surrounded by kindness in your time of need.
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The advice to talk to the Hospice Team is your best bet.
The Doctor and the Nurse can get anxiety under control with medication. Once that has been taken care of either at home or he may be taken to an In Patient Facility until the medications have worked then you can decide if he has to be removed from the home or he can stay.
From your last comment it does sound like his time is short.
Please do not let these last few days of agitation be the thing you remember. Keep in mind what he was doing was not him but this terrible disease.
I do hope Hospice has helped you and your family. And I hope your Dad is finally able to rest easy. Keep telling him that you, and your Mom will be alright and let him know it is alright to go...
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you can go to walmart & get this ..melatonin it s sold in vitamin department a purple top they do have a section of that ..so give him 1 atleast when he ats up alos the next day give it to him a hour from when he does that it does work it has a fruit flavor to it ..it is about 5 mgs or so i used it on my mom it works ..
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I went thru this almost 3 years ago. He did not remember me, locked me out of the house, and became angry. He had to be placed in a care facility and given medication that keeps him calm. He has ALZ, and does not recognize any family member but loves to walk around and has adjusted well. Seek help and advice for both of you.
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My moms Neurologist prescribes Seroquel 25mg & now she’s taking 4 /day...one in morning, one in afternoon & 2 at night. He tells me use my judgment how much...you have to start on one & gradually increase...my mother if she doesn’t take this turns verbally & PHYSICALLY abusive to me, & Aide that I pay to take care of her ! It’s a nightmare without this pill...& any nursing home or Alf would put her in psychiatric ward if she wasn’t home. Your mother needs to hire aides to wash & dress him...when he gets calmer, perhaps you can think of placing him in a nice ALF but work on getting him calm first. This is one of the nightmares & evils of this horrific disease. It constantly has to Be closely managed to ward off the abuse. Good luck & let us know how you & parents are doing.
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My dad was very agitated the last 2 weeks of his life. He did not know anyone around him. He was placed in a stand alone Hospice facility and that was truly a blessing for him and me. Do not be afraid to go that route if you have to.
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I can only only express my support for you and your family at this time, I can only imagine how hard this is to watch and be right in the middle of. I agree that Hospice has to be your best bet, just be sure to communicate all concerns or thought s you have with them, you know both Dad and Mom better than they do and they know treatment options, together you will do the best job possible for both Mom and Dad. Don't hold back in giving them info and thoughts because even what might seem insignificant, your job is knowing and advocating for Dad (and Mom) theirs is to listen and use their medical expertise to help. I don't mean micro-manage or let that distract from being present for yourself, your Mom and Dad during this time but speak your piece while putting your trust in the experts, that's what they are there for after-all. Peace be with you and your family.
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He may need to be in a memory care place, where the attendants are trained to handle the very difficult ones. Hopefully, the cause of his excited behavior is the UTI and that the right meds will soon make the difference that would allow him to stay home.
In any case, you might check with the nursing home(s) available - perhaps one or more will have a memory unit; if not, they should be able to recommend a good next step.
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So sorry to hear of what you are going through, but it sounds like you have good support now with hospice on hand. Will keep you in thought...and sending you hugs...
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Hospice has told us that my dad probably will not make it thru the day. This has been a living hell for him.
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Worriedfam - I wish for peace for your father and your family. I am so sorry it has been so hard.
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yes, gladimhere, it is not unusual for an individual to have a paradoxical reaction to Ativan, where they are climbing the walls and ready to kill themselves. I'm only allergic to it -- an itchy, bumpy rash on my arms. Can't do Ativan.
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May God help you all through this hard trial. May He give you grieving mercies.
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Try to share good memories today as he takes his final journey. I wish you peace and hugs.
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No more agitation for either of my folks. We now use integrative and functional MDs and all this agitation and behavior issues needs is careful attention to some DIFFERENT labs and diet and meals and an introduction of various different supplements, bacteria strains to repopulate their body. Do you know your ears need a particular bacteria in order to function properly? Every part of your body has their own eco system of bacteria. Antibiotics destroy and cause imbalance and UTI's. Look up Dr Dale Bredesen MD protocol online.. It is best to have someone familiar with it to look at your parents lab and to order specific others. My folks all sleep through the night and there is no sundowning..without drugs or sleeping pills. Life is manageable. It is a work in progress as well and totally manageable.... so far. ;)  Other research is done by William Walsh, Steven Fowkes,,, Dr Perlmutter, the list is long.  
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