DH update with aggression-such a difficult process



Hi, I have mentioned in a few posts my DH has gotten really agitated/aggressive/violent towards staff and residents. Well, for the first time today, I went there and he was very wound up. He pinned me against the wall and staff had to come help. He was so scared and in fight mode. I left and came back later. I know it’s not him, but I realize the danger possibilities. Anyway, I came back later and he was nice. I helped him with a shower and he cried so hard like a little boy and said “I shouldn’t be here. I don’t want to be around these people!” I comforted him like a mama bear and he settled some. I have a Mtg with mgt tomorrow. I pray they won’t send him out for eval and strap down or even worse, sending him somewhere worse. . We are trying to figure out the right doses of meds. He’s on trazodone, resperidone, zoloft, and melatonin. We tried seroquel, but it didn’t seem to help. Gabapentin didn’t work either. Any suggestions out there? Oh my heart is sad for him. Thanks for any advice or encouragement. This lousy disease is so awful.
Thanks for any thoughts.
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Sorry he's having such a problem. If you can get a geri-psych to take over, that's probably the best bet for finding the solution with medications. I hope you find the answer.0
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Hello, today one of the mgmt said the way my DH acts is demonic. That sort of upset me. It’s not his fault and it’s just part of the brain acting up, right? My heart aches but I am doing what I can to keep him from being sent to an institution. He will now be on 4 meds due to high agitation. The doctor said this is normal for severe behavior. I’m scared but have no choice. Are there others out there who have gone through this? He will now be on trazodone, zoloft, resperidone, and depokote along with melatonin.
Thanks for any thoughts or encouragement. I don’t know what to think about so many changes so quickly.
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My mother-in-law had severe behavioral issues and the MCF had her taken to the ER for observation. The geri-psych prescribed Depakote and Seroquel. That really helped my mother-in-law, who had Lewy Body Dementia. She was about to be "kicked out" of her memory care facility and I didn't know what to do, as my DH also suffers from dementia. I sure hope it helps your DH. That fear of "Where would they place her?" is terrifying. I feel your pain and second Ed's suggestion to have a geri-psych re-evaluate all his medications.0
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Are you working with a geriatric psychiatrist or geriatrician? The medications need to be fine-tuned by a specislist. This may take a few weeks.
As for the mgmt saying his behavior was demonic, that was unprofessional. Is he in memory care or assisted living? There are quite a lot of techniques to use to communicate in a new way with a PWD.
Iris
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The user and all related content has been deleted.0
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I'm sorry you are going through this, Spanky77. My father was also agitated/aggressive toward other patients and staff. Despite four different stays at the local hospital's geri-psych unit and multiple medication changes, the docs never figured out the right combination of meds that would control his behavior. Very long story short, he was eventually kicked out of the memory care center and involuntarily placed at a mental hospital an hour from us where he died 4-1/2 months later.
Of my many regrets during that horrible time, my main one is that when we were notified of the third aggressive incident, I should have picked him up myself at MC and transported him to a different hospital to get a different set of doctors to take a look at him.
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My DH is also on Zoloft and his Dr. increased the dosage a couple of weeks ago because it didn't seem to help DH's anxiety. He had a very concerning agitation/anger episode for about an hour last night that was completely out of character for him. It was bad enough that I was actually scared, although he didn't show any signs whatsoever of potential physical aggression. I suspect that Zoloft is not working for him and another medication adjustment is needed. I'm working with the VA to get him into adult day care while I'm at work as soon as we can but I know we need to address the anxiety and anger issue first. Sorry that I don't have any suggestions for you, since we are also on the search for the right meds. I think this must be one of the most difficult aspects of this horrible journey.0
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Hi Spanky,
Yes, I have had similar problems to what you are going through. It's so hard. Of course your DH is not demonic, he has a disease, and what a stupid thing for them to say to you! A big hug to you, you don't need that kind of talk. So my DH takes meds similar to what your DH is trying, and we think we have the right mixture right now...until the next change. I try to keep in mind that if my husband was himself, he would never want to hurt anyone, or be unkind - and meds are the way to help with that. My primary does a wonderful job with this, but he also had me bring my DH to a psychiatrist in his practice, as a second opinion, and I was grateful for the extra support. Do seek help wherever you can, I pray things mellow out for him. Keep us posted. I know when DH has a bad day, it hurts so much, and then when there's a good day, my world seems do-able again. Keep the faith Spanky!!
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"Hello, today one of the mgmt said the way my DH acts is demonic. " Someone higher up should be interested in hearing about that. That is WAY beyond inappropriate, and an apology should be forthcoming.0
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Thank you all for your comments. They are trying to figure it out, still. My DH is on resperidone, trazodone, zoloft, melatonin, and depakote. He is a total zombie. Awful. The owner called me tonight. We are going to discuss with the doctor. I feel incredibly heavy hearted. It’s wayyy too much meds and he can’t comprehend eating or drinking hardly because I think he’s so drugged. . DH does just enough communicating with his hand to tell me he’s in there and needs help..yet in the morning he does have outbursts. Sooo…I do have an appt to meet with the doctor again.
I’m just so sad about this.
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Spanky I’m so sorry you and your dh are having to go through this! I hope and pray the doctors will be helpful. I don’t have any information to be helpful just letting you know I’m thinking of you and your dh. Sending you hugs and prayers!!
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Who is prescribing the meds? If it is not a dementia specialist I would make getting one a priority. What institution are you referring to that is upsetting? As in they may kick him out? I know the idea of a geriatric psych unit is scary, but maybe it would be worth it to get the care of a geriatric psychiatrist. It's an inpatient setting but not a permanent home. It sounds like your DH needs that high level of expertise. It takes specific training and often many weeks to find the right meds and the right dosage for the more challenging behaviors and situations. Most people stay in the unit at least a few weeks until the meds are fine tuned and then go back to their memory care facility or wherever they were living.
That was an inappropriate thing of the staff member to say. Very unprofessional. Do with it what you will but you know in your heart it is his disease and nothing more.
It is so awful when we can't help them. You are doing your best and it's not your fault or his. Hang in there.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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