So mom moved to SN floor after rehab and more confusion and disorientation set in. She is wandering around unit yelling quite offensively at other residents; she is now touching others patting them on the back or arm, (that has been more when she is "friendly" and not yelling but still an issue) which is concerning to other families. She is on depakote twice a day (started a week ago) and remron at bed time. They are hoping that when she is on the depakote a little longer things may change, but who knows. They say that they cannot distract her when she gets this wound up and don't have the staffing to constantly give her the one on one attention. They asked if she had any means to hire a one on one aide to keep her busy. Today they said she really needs one at night, basically when she starts to sundown in the late afternoon, until bedtime, and she is not going to sleep early like she was before but staying up and wandering. She seems to have no sense of boundaries, goes in other rooms, and can only participate in activities sometimes. She is one of the few ambulatory people in the unit, most others are mostly in their wheelchairs, or just don't move. She does not watch TV, does not seem to recognize anything in her own room, will not self entertain. We've giving her projects to do, but then she starts to look for "things" that were not part of the project. I have given them "about mom" pages and reached out to her former social daycare provider who said that they were staffed specifically to be able to give the seniors lots of direct attention. They are trying to give her "jobs" but this still does not address the times when she cannot be distracted and is beyond reason. Neither my mother, brother, nor I have the means to pay for an aide - in our area it starts at $15/hour but, of course, I am trying to figure something out. I have been told to be very careful about this and setting a precedent. I am worried about her in general and continue to wonder how it deteriorated in this way. I worry about them asking me to remove her when her paperwork with medicaid is not settled. I have not taken her "out" for a ride (she always wanted to "go out for a cup of coffee) because we just don't know how she would behave and what it would mean to get her back in. I will talk to them about it, but I sort of worry if I take her out, they won't let her back in. To visit her is a jack in the box exercise and I know that I could not do that every night for 4 - 5 hours as they are suggesting after working all day...and I worry an aide would lose patience pretty quickly as those that have been assigned to her look at me with such an exasperation. I get it, and am contacting resources but the need is immediate.