Getting Physical

Malka

Hi,

This is about my FIL. He is 92 and he is living at home with a full time aide. He never had a diagnosis from a neurologist (don't ask me why, I am only the DIL) but he is delusional and has dementia. His wife died 2 years ago, but he had been not well since before that. She never told anyone of his problems. Married people are like that - children might listen!

He is now at the point where is having violent delusions and he thinks his aide is going to do bad things to him. Today he hit her in the chest and then wouldn't deal with her at all. He stayed in bed all day. Aide didn't call anyone, my husband called to speak to his dad and aide gave him this news.

This has happened once before. His other children don't want his meds increased, but honestly I don't know why. I would rather he be tired and sleepy than having him be aggressive. It's time for more meds or a facility. I'm not sure.

Anyone out there dealing with violent behavior? Any help is appreciated.

Thanks,

M

PollySmith

I’m so sorry your family is going through this. Unfortunately violent outbursts are fairly common in MC. The PWD can become confused, stressed, may not be feeling well and the often times forget how to express these feelings so they become agitated. Which agitation can ultimately lead to combativeness (violent outbursts).

I’d personally start with his pcp. Rule out infections and other illnesses. UTI’s will absolutely change the behavior of a PWD. If all that is clear. The next step I’d take would be to have his current meds reevaluated. Make sure they’re all things he still needs. Then find out about doing an increase in the meds.

I know you said his other children don’t want that but at the end of the day that decision will be up to whoever has legal power over his health care. Regardless if he continues to age in place at home with 24/7 care or moves to a facility the violence will have to be addressed if it continues or escalates. Not only will he be a danger to others but he’ll also be a danger to himself.

I hope some of this helps you and your family. I’ve been a professional caregiver for 22 years. I understand the pain and frustration

SusanB-dil

Hi Malka - ANY violence is NOT ok. You need to tell his doc, even if you are not HIPPA authorized, they can still listen. If the outburst is continual, the aide may even have to call 9-1-1. He may need GERIATRIC neuro-evaluation. Please utilize the alz number as well, and I'm sure more folks will have other suggestions for you.

Malka

Update

The doctor has prescribed Aricept and Xanax for my FIL. This is in addition to the Serequel. Anyone else have this regimin?

Thanks

M