Anyone on here have experience dealing with LTC staff and their LO's medications. When my mother was in MC at AL she saw her own Dr of many years and we had her medication fairly well regulated. Now that she is in LTC she is dealing only with their doctors and they have made several changes to her medication without talking to me. At her last care conference I brought up that I see from her med list they gave me in advance that there were several changes to her medications. I brought it up to the charge nurse that I had noticed a very large change in her behavior and symptoms and wondered if this was why. At first they said they hadn't noticed, but I told them it was since moving to LTC and I had been thinking it was due to the move but it is getting worse not improving. For one she is extremely angry and seems to be hullucinating or imagining all sorts of strange things. She insists that a man came in her room and forced her to disrobe and go to bed. In her mind she thinks he could have raped and assaulted her. Since no men work on the unit she may have mixed up a woman as a man and in her confusion they may have made her go to bed when she didn't want to. There are other things she complains about as well. When I told the nurse this and ask about possibly restarting her discontinued medications. I was told that they were aware that I am a retired RN and ask from what dept. I had retired from. I told them OB but didn't feel that they needed my full work history. The charge nurse scoffed and said well you don't know geriatrics medicine and we do. I tried to ignore the comment and went on to ask about at least restarting her pain medications since all they are giving her is 2 tylenol a day. She ask what do I want her to have so I said what her medical issues are and ask to restart her Mobic daily and Tramodal at bedtime along with 2 arthritis strength tylenol twice a day. She said NO! She would check about possibly restarting Mobic. Now a week and a half later nothing different. When I ask she said she put a note in her chart and the NP hadn't ordered anything different. Everytime I see my mother she cries to me that she is in so much pain yet the nurse said they are unaware that she is in pain. Mom isn't telling them but she is acting out and I believe it is the pain that is causing the agitation. I have ask to meet with the NP to discuss this and was told she is here Monday through Friday during the day come see her if you want but they don't believe there is any need since they have made a note. I worked 40 years in nursing and know for a fact if a nurse brings it to a doctors attention that a patient or family has an issue they will address it. I am trying to stay on this woman's good side and work with them. Any ideas for a way to handle this differently? Oh I did retire from OB but I also worked on Med/Surg, OR, Recovery, ER and Evening Charge Nurse in ICU. My sister was a nurse manager of a nursing home unit for a number of years and now is an ICU nurse. I didn't tell her this because I didn't want to get in a pissing match about who had the best resume.