I work on a secure unit with a great staff-problem is the evening and some of the night shift.Many nurses in this facility are "old school" and think that there is a pill out there to control these resident's behaviors...I believe that keeping them safe and hydrated ,maintaining opitimal level of functioning as long as possible and protecting their dignity while supporting their loved ones is just about all we can do....What difference does it make if one refuses to get in bed at 9 pm in a night gown? Will she die from it? So what is she wants to crawl on the floor and "scrub"? I get down there alongside her till she tires out...Scream at bath time?-skip it til tomorrow...I realize that sun-downing is a problem(why do you think I work 7 to 3?-my momma didn't raise no fools!) I know that there are steps the staff can take to alleviate it-and most don't want to hear it-they want a quick fix-a pill...Which we all know often leads to further problems...We have a new admit that was great for the first 2 days and started getting a bit agitated the evening before last---I was told by evening shift-"We'll call YOU later and you can come in when she starts" Believe me-they are well staffed-3 nurses to 39 with 3 or 4 aides---Someone could have come from behind the desk to do a little hand-holding...Anyone know of any web sites with some good info? I need some teaching tools...I think it wil be accepted better then if I attempt a verbal inservice with this bunch...a few of them think they know it all....Of course one still thinks that reality orientation is where it's at...When she hears "Mom! Where are you?" She is apt to say-"Your mother has been dead for 50 years" I think that is cruel.....I usually go with "Taking down the wash-let's get a cold drink and sit down for a minute" Usually works for me......How can I convince some of the others?