My father has dementia and behavioral issues (for at least 7-8 years) and recently started new medication which seems to have helped with his anger. When things came to a head at the Assisted Living (AL) facility he lives in, I was unprepared for what it took to manage through the situation. I know now, after the fact, that some of the distress was due to communication, but ultimate...
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My father has dementia and behavioral issues (for at least 7-8 years) and recently started new medication which seems to have helped with his anger. When things came to a head at the Assisted Living (AL) facility he lives in, I was unprepared for what it took to manage through the situation. I know now, after the fact, that some of the distress was due to communication, but ultimately I have been concerned that my father could be "kicked out" of AL although I have been assured to the contrary. The community my dad lives in offers Independent Living, Assisted Living, an Alzheimer's Unit (but only for those with end-stage disease), and a Skilled Nursing Unit. What do you do with anger? My father spent a week in a nearby VA hospital (where he goes for all medical treatment) where he was started on the new medication. I was told my father needed to be stabilized on medication and off of one-one supervision before he could return to AL. If he had not been able to return to AL because of his behavior, and the Alzheimer's Unit is only for those with end-stage disease - what was I supposed to do with my father? When I called someone other than the Director of Resident services, the response I received was that AL was his home and that staff should be expected to manage his care in that setting - they tout their specialy care with Alzheimer's Disease. It was also suggested that I might have to hire a one-one sitter in AL if necessary. My dad transitioned well coming back "home" so a sitter was not needed. So, I have some questions. What is the best way to manage the anger associated with Alzheimer's? Can a resident be asked to leave AL? Is medication the only answer? If you medicate to the point the person can no longer function in AL - then where do they go? I didn't get any concrete answers from the Director of Resident Services, other than that residents sometimes need to be stabilized in a hospital setting and can then return to AL. This still leaves me wondering about what may happen to my father if he leaves the facility for stabilization again and would fail to meet their AL criteria. Part of why we chose this facility was its continuum of care (including Alzheimer's) and that they take Medicaid (vs. forcing a resident to move out to a facility that does when a care community does not take Medicaid). Any thoughts?