The sister comes by about once weekly (usually on the weekends when I’m not working) and visits with her (dementia) sister and the husband. The first day I worked at the home of my dementia patient, I went thru the medications and made a record of all the meds that have been prescribed, dosage, etc. when I opened up the pill organizer I found that it was completely disorganized (by the sister). It took me over an hour to get it set up correctly and I politely asked pt.’s husband to see to it that the sister not get involved anymore and I would be responsible for distributing the meds each week so that there are no more errors in proper dosing etc. he agreed. Today I come to work and once again the pills are messed up and this time she (sister) had one medication dosed at FIVE TIMES the prescribed dosage! (1/2 pill once daily... there were 3 whole pills laid out each day for morning, afternoon and night!! If that’s not bad enough, 2 of her other pills were omitted: blood pressure and thyroid. I’m absolutely furious but I don’t want to cause a problem or piss off the sister by telling her to mind her own business but this has got to stop and the husband isn’t helping matters. I think he is intimidated by the sister and is afraid to tell her to stop interfering but whatever the reason it’s not acceptable. This is a touchy situation and I’m not sure how to handle it. Any advice? Note: when I’m not there the husband gives my patient her meds as I have them properly sorted in the weekly pill organizer. Overdosing my patient is a serious concern since the husband doesn’t pay attention to the meds, he just gives her whatever is sorted in the pill organizer. You can see how the sister’s interference makes me very nervous.