Dangerous and Demented: What Usually Happens? - page 3

by Ruby Vee 4,686 Views | 27 Comments

when a dementia patient becomes abusive, what are the options? i'm just hearing now that my mother, who has alzheimer's and is in a memory care unit, has had four violent episodes in the last week, where she has attacked both... Read More


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    I agree with many PP.. I was wondering if the 4 x in one week abusive episodes were sudden onset? If so, then I would definately rule out UTI and draw some labs. New Roommate/room move/ favorite staff member retired, etc., should all be considered.

    LTC LOOOVVEESS to move residents like checkers pieces to get in new residents and with Alzheimers residents that is a mess! Alzheimers res do not deal well with changes and room moves can really shake them up. I have seen many change behaviors drasctically after a room move.

    I know this is hard for you. I know you are annoyed at your sis, but if the episodes are sudden onset and she already had plans/tickets/reservation, then she had little choice in the matter. She can't be expected to cancel everything unless it is life and death. I hope the LTC is already checking out all the medical possiblities. Check with them.

    If all checks out fine, then an in-patient stay for med eval/medical eval might be just the thing!

    Above all else------she is in good hands, you've said so yourself previously! Try to not over stress yourself as you HAVE to take cae of you!!!! Keep communication open with the staff, and REFUSE to allow her to moved to another room unless it is a dire situation.

    Hang in there---- ruby-vee........
    Anne36, Nascar nurse, and Ruby Vee like this.
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    In reply to JZ_RN, what kind of terrible place did you work that lets their staff get beat to a pulp? Incredulous!
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    Most of info has already been said. Been in this business 30 yrs and seen alot. I just wanted to express my empathy and sympathy and prayers for the situation and let you know that at my facility we have a person who regularly just wants to wap on us, and guess what, he is our most loved resident. We do understand not his fault, and not who he really was/is, and hopefully you will have similar staff there, though they will have to protect themselves and darn sure protect other patients.
    Ruby Vee likes this.
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    Thank you all for the information, good wishes and sympathy. I've profited by all. Hopefully I can ensure my mother profits from your collected wisdom. Thank you.
    Nascar nurse likes this.
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    Quote from Ruby Vee
    ​What does "Form 1 the resident" mean? Is that something like an involuntary psych hold?


    Yes, it is an involuntary psych evaluation BUT it is just for 72hrs in the hospital until they can find a reason for the onset of agitation/aggression. Once diagnosed and treated (e.g. UTI) they are sent back to the facility. If they are unable to find a solution and the aggression continues, the hospital will probably start nursing home/alternate facility placement. Sorry about my wording in my first post - I should have explained the Form 1.
    Last edit by SuzieeQ on Aug 11, '12 : Reason: Forgot to quote poster
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    Quote from SuzieeQ
    Quote from Ruby Vee
    ​What does "Form 1 the resident" mean? Is that something like an involuntary psych hold?


    Yes, it is an involuntary psych evaluation BUT it is just for 72hrs in the hospital until they can find a reason for the onset of agitation/aggression. Once diagnosed and treated (e.g. UTI) they are sent back to the facility. If they are unable to find a solution and the aggression continues, the hospital will probably start nursing home/alternate facility placement. Sorry about my wording in my first post - I should have explained the Form 1.
    Thanks for the information.
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    A horrible one that I quit. 5 stars my eye. They didn't care about the residents and certainly not about the nurses or other staff. Never happier than when I got to quit there. I miss some of those residents though!
    Anne36 likes this.
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    I wish violent/agitated behaviors were as easy to solve as being diagnosed with a UTI. Sorry, I get tired of hearing that one, especially when these people are already diagnosed with psych disorders and are on medication. I have not really seen changing medicaiton help, and I have only once seen a resident get sent out. I have had a Doctor recommend it in one case, but no way in heck are they going to send anyone out from our facility, not even after a resident has shown to be a danger to themselves or others. Many of these peolple do belong in geri-psych but they are now just getting mixed in with regular nursing home populations. I cant tell you how many times I have had a resident yelling to get so and so out of their room. With very limited options, all we can do is stand by and make sure they dont hurt themselves or someone else, (restraint free) too bad we are not staffed for that type of care.


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