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My mother is in a nursing home for Alzheimer’s. She recently has started acting out. Claiming other residents items and fighting with residents. She tells me she hates the new place. She was in a different place that was dirty and her care was subpar. I moved her to this new place closer to me that is bright and clean. Her care seems much better to me. She was falling in the other place a few times a week. It’s been a month and a half and no falls. I ask about adjusting her meds but they don’t want to over medicate. I’m just afraid she will keep this up and they will say she can’t be there. I’m physically disabled and can’t take care of her.

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Has she been tested for a UTI? Have they been talking to the geripsych who manages her meds?

Sometimes our seniors need to be admitted to a senior behavioral unit or psychiatric unit to get their meds titrated.
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Are you talking to the Director of Nursing? Or even the doctor who Mom is assigned to. Have you expressed what you have said here? Moving Mom maybe the reason for her acting out. Tell the DON that this really bothers you. That with your health problems there is no way you can care for her. That your afraid her behaviour will make them discharge her. Maybe the DON can put your mind at rest. What I think, you have given permission to increase her meds and they said they don't want to. So they aren't worried about her acting out. They have to deal with it. Maybe they are hoping it will go away.
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I spoke with them about the possibility of a UTI. They are running a urine. I ask if any possibility of them discharging due to her behavior and they said she is not anywhere near that yet. The Yet part is what concerns me. They said she doesn't seem to recall the problems now and is taking part in the activities. She has moved 4 times in the past year plus being hospitalized 3 times. So it may be she is just having difficulty with all the moves. I hesitated on moving her to the NH just because of all the moves in the past year. She had moved from one Assisted Living to a better Assisted Living. They moved her to Memory Care and then Memory care to NH. Now a Month and 1/2 ago I moved her to a new NH. I don't know how I would handle all those moves.
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I think that they always have a grace period for behaviors, they know how difficult change is for ill seniors and they are giving her an honest chance to adapt and make herself at home.

This is actually really good that they are not just drugging her out. Sounds like you really scored a great facility for mom.

She has been through a lot this last year, she will most likely settle down when things become familiar to her.

They usually try everything before someone is kicked out, unless they are physically violent and really volatile. Which it doesn't sound like she is, just really confused and acting out because she can't articulate her feelings anymore.
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