Wow! Reading your posting it reminds me of something that I could have written myself, more than once. I know exactly how you feel, calling all your staff to help perform cares for one resident, wondering if you are actually ensuring that needs are met or committing boderline abuse. In my case(s) we did end up with both staff and other residents hurt. It's just as Lori said in the previous posting, document, document, document- get the rest of the staff behind you on this from nurses to support staff (including dietary, housekeeping, anyone who has had difficulty with the resident)-demand an meeting to discuss problems, or an inservice for staff on how to handle this type of resident if they are not used to dealing with violence. As soon as the facility sees that it is not in their interest to pay 5-6 staff members to care for one resident or if someone (hopefully this doesn't happen) gets hurt, they will change their tune. Be sure to enlist the help of the resident's physician (if you have in house they should know the situation, or if they are seen at a clinic insist they come to the facility), family (if you have a good relationship with them) see if they will assist with cares, try different approaches (I'm sure you've tried a million). Definitely inquire about different medications. Hopefully there is an Alz unit with an open bed that will be ready to take this resident when your admin comes to their senses. Best of luck to both you and your resident.