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DH Punched Staff in the Head

Dio
Dio Member Posts: 682
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It finally happened. Sh*t hit the fan. DH punched staff in the head and staff is in the ER. I don't know why the facility didn't call 911 to take DH away. I don't know what to do. I'm beyond devastated. The last thing I want is for someone to get hurt. And now it's become a reality.

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  • Iris L.
    Iris L. Member Posts: 4,306
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    DH needs to be in a geriatric psychiatric unit NOW for medical management. Insist that he be transported.

    Iris

  • M1
    M1 Member Posts: 6,719
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    Dio im so sorry. Iris is probably right about needing hospitalization. Id be very proactive about calling the director, yoh may be able to prevent expulsion if you request action.

  • Dio
    Dio Member Posts: 682
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    MC director is very proactive and helpful. He's been emailing back and forthwith our neurologist, so that our neurologist finally agreed to the Director's recommended sprinkles. And on a weekend, too! Fortunate that today we got a hold of the doctor. Fingers crossed. I need more than luck.

    I have already given them permission to send DH to the ER. It's supposed to be part of their protocol to do that. It's also in my contract. Don't know why that didn't happen. Staff said they didn't have the heart to call 911 on DH.

    Thanks, everyone! I so need the extra support right now.

  • Ed1937
    Ed1937 Member Posts: 5,084
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    Dio, I'm so sorry. I hope they can have him transported to a place where he can get geri psych. They can be really helpful.

  • Joydean
    Joydean Member Posts: 1,497
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    Dio sending prayers MC will do the best thing to get help for your dh. Hoping the staff member is okay!!

  • Dio
    Dio Member Posts: 682
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    I was told the staff is ok. But even if not seriously hurt, what if she is traumatized. There's no way to ease away my guilt and pain. This disease hurts so many people!

    Quick update: With DH's roommate's family's approval, MC facility moved his roommate to a different room this afternoon. Now each has own room for the time being. I was told the family was really nice and understanding about the situation and agreed to the move. We were very fortunate that our neurologist was available today to agree to the new medication. Too bad, the prescription went in too late, and our Walgreens pharmacy closed early on weekends. So I'll have to pickup and drop off tomorrow. Even so, hope we'll have a quiet, peaceful night for all.

  • Iris L.
    Iris L. Member Posts: 4,306
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    A geriatric psychiatric consultation is a treatment, not a punishment, so I don't understand the staff's "not having the heart to call 911 on DH".


    What sprinkles did the director recommend to the neurologist?


    Psychoactive medications take a while to build up in the bloodstream to a therapeutic level. You may not see results immediately, depending upon the medication.


    Did the MC director determine what was the trigger for the punch?


    I'm hoping for a good outcome.

    Iris

  • Dio
    Dio Member Posts: 682
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    edited October 2023

    Iris, sprinkles is what the MC director calls it. It's depakote in sprinkle form.

    It seemed that DH was having a fit because his roommate entered their room and he was screaming at and trying to push his roommate out (This has been happening for awhile now. The facility was in the process of getting in touch with the roommate's family to arrange to move him to another room. But before that could happen, DH had this severe episode.) Two staff tried to calm the situation. But DH was too belligerent. He's 62 and still quite physically strong. One staff was trying to protect the roommate and escorted him out of the room. DH slammed the door behind them. The other staff got stuck in the room with DH. She tried to leave and had reached for the door. This is when DH didn't allow her to leave, so he kicked her and punched her in the altercation. I'm guessing he was trying to keep the door closed so that his roommate couldn't return. No matter how you look at it, someone got hurt by my DH. That's not good. 😥😥

    MC Director was not happy that they didn't call 911. More training needed for sure. We both agreed we missed an opportunity to transfer DH to ER to get his medication ironed out. His neurologist also said today that adjusting meds over email is not an effective way to proceed and that a visit to the ER and brief stay in the hospital may be needed next.

  • M1
    M1 Member Posts: 6,719
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    Obviously the roommate was the trigger, and I'm glad they could separate them for the time being. But it sounds like he needs medication adjustment for sure. Dio, do you have a backup plan? Do you know where the geriatric psych wards are in your area?

  • Dio
    Dio Member Posts: 682
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    M1, No, I don't know where any geriatric psych wards are. Surely San Francisco UCSF or Stanford would have one?

  • harshedbuzz
    harshedbuzz Member Posts: 4,359
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    Your Area Agency on Aging will know which hospitals in your area have these. When I thought a geri-psych stay was in dad's future, the SW at the hospital gave me the direct numbers for the wards in the 2 hospitals nearest me that had geri-psych units so I could call about bed availability and direct the ambulance to a unit with an open bed. I live in a medically well-served area and I was kind of surprised which hospitals actually had the units.

    HB

  • gampiano
    gampiano Member Posts: 329
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    I can attest to the fact that Depakote is the ONLY med that has been effective in calming down and sedating my DH.

    Good luck,

    Maureen

  • ThisLife
    ThisLife Member Posts: 254
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    So sorry, Dio. I'm glad they were able to move the other resident but as you said that's only part of the issue. Hoping you will be able to have a more active plan to help DH.

  • Dio
    Dio Member Posts: 682
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    Gampiano, do you mind sharing the dosage? We're starting at 125mg morning and night. And 2 more pills as needed during course of day.

  • housefinch
    housefinch Member Posts: 360
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    edited October 2023

    Zuckerberg San Francisco General Hospital & Trauma Center has a 24 hour Psychiatric Emergency Services program. It does emergency psychiatric evaluations for adults & is accessed by first being seen at the regular Emergency Department at that same hospital. It’s the main psychiatric emergency services assessment for the city & county of San Francisco. You might not need that information, because your husband’s doctors may have other resources available. However, at least you know it exists. Sending you strength. I think UCSF & Stanford have inpatient geriatric psychiatric wards & maybe the VA near Stanford. I’m sure others exist out there, too. I hope things improve for you and your husband soon & I’m really sorry you’re going through this.

  • toolbeltexpert
    toolbeltexpert Member Posts: 1,583
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    Dio my heart goes out to you. As one who has placed I know those anxieties about behaviors. I hope you can get your dh the help he needs and it sure sounds like you have a great place where he is at. Working with you is also part of the job they have and they have seen it all!

    I'll be praying for you and the help you need.

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  • Dio
    Dio Member Posts: 682
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    Thanks, everyone. The MC director was very reassuring in terms of his confidence in being able to control my DH's behavior. His frustration is with our neurologist who is prescribing dosages far lower than the avg. in managing LBD behavior. They exchanged emails back and forth on Saturday and finally he was able to convince our neurologist to include Depakote. We shall see if this helps. Today will be full day of including depakote.

    If there's any silver lining to be had, at least DH didn't strike his roommate, in which case, we could be sued and lose everything--OMG. Paying for a private room is small potatoes in comparison to a lawsuit. I had an anxiety attack yesterday in which I remained frozen for a few minutes. It subsided but left me in shock. Trying hard to breathe and stay above the water today.

  • Beachfan
    Beachfan Member Posts: 790
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    Dio,

    Another silver lining, as toolbelt pointed out, is the proactive manner in which your MCF is working on DH’s behalf. Sadly, that is not always the case. Staff training, and a single room for some residents makes a world of difference as well. I hope you can get relief , both of you, and your DH can thrive, with help, in his MCF. Stay strong.

  • jfkoc
    jfkoc Member Posts: 3,762
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    The drugs used in treating LBD are not the same as those used in the treatment of other dementias. Here is a good article to read;

    Pharmacological Management of Dementia with Lewy Bodies - PMC (nih.gov)

    My Husband had LBD....it is different to manage.

    Judith

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
Read more