Mom is 90 years old, moderate dementia. Has home care for all but the roughly 30 hours/week I am there. Is in reasonably good physical shape although wheelchair bound. I periodically go out of town for three days or so. She would never be happy about this, but would basically do OK behavior wise with the caregivers. Just got back yesterday from my last trip. Both this time and the last time - about 2 weeks ago - she would do fine the first day or so, then start getting angry, confused, tell the home helper to leave or she will call the cops. So of course the agency calls me and I am trying to talk her down from halfway across the country. The agency says no worries, I am stressing out, just go and have fun - they have it covered. But then I get the call. This last time I started my mom on prescribed Trazadone thinking that might help. Thought at first it was. Now not too sure. I am not sure how to proceed. We take a very light approach with doctor visits because those are upsetting so a gerontology eval is probably out of the question. I am becoming more disturbed by these changes. Was hoping the agency would be a good resource as they say they can handle care "to the end" and have lots of Alzheimers experience. Note that she has always been a controlling and difficult personality, so sometimes it is hard to sort out manipulation from the equation. But clearly dementia is at play. Not sure how/whether I am contributing to the problem as well. Any feedback is much appreciated as I really feel stuck for the next step. And I have another trip going in 9 days!