Mom is 90, chf, labile bp and anxiety. She had a stroke July 1 which left her speech difficulties and some cognitive imoairments (she previously been dxed with mild cognitive decline due to a previous stroke). She is currently in subacute rehab, initially, they thought that she would fit into an AL setting, but now they are recommending SNF. Mom needs cueing with all ADLs, becomes suspicious, paranoid and delusional starting 3-4 pm for the past week or so. She is showing some regression in speech, motor and cognitive skills. Geriatric psych started a low dose of seroquel (she already takes klonopin and lexapro) which we are hoping will combat the disorded thinking. What are your thoughts on the appropriate level of care? Is this a predictably progressive thing, vasc dementia?