My husband recently spent five days in the hospital after three trips to the ER in two weeks for violent behavior. I refused to take him home and his PC doc supported me, even told me to do it. He was admitted "for observation as an outpatient", had a full psych eval and they changed his meds: for seroquel, from 50 mg to 100 at bedtime and 25 mg as needed during the day; adding depekote liquid three times a day-2.5 ml in the am and afternoon and 5 ml at bedtime. Seemed to work for about a week, but his sundowning is now worse than ever from about 5:30 pm until at least 1 am and for three nights now until midnight until 2am.
Last night was the worst. He was intermittently violent. Insisting that someone was trying to get into the bedroom, (a room NOT his, and demanding that he be taken home). I could go on for paragraphs about his many denentia-fueled behaviors, but I am sure you get the idea. Then he was up at 6 am, dressing himself, dentures in, hearing aids in place, brushing his hair, putting on the soiled clothes from yesterday, bed soaked. He refused to take a shower or let me wipe the urine off of his skin.
I am truly an emotional wreck and I am the one who does not want to be in this world. There is absolutely no money for placing him anywhere and I hate to add more meds and drug him into a stupor, and when I try to restrain him when he threatens and hits-not any hard hits, but it terrifies me because of early childhood abuse. Now he is up and quiet, but I am exhausted and barely functioning. I ache all over from trying to help him up off of the floor and back onto the bed several times because the drugs severely affect his standing and walking yet when I leave the room he manages to get up and do what he wants. It is baffling and frightening.