Hi, our mom has been agitated and combative in her memory care facility the last few weeks. During that time, her primary care Dr there and a Psych nurse have seen her and a month ago the Dr ( unbeknownst to us due to a message not getting transferred increased her Atavan from as needed to twice a day. Big change. Also doubled her Lexapro dosage. We had him change the Atavan back to as needed a week ago when we found out, as mom is very sensitive to meds. Today we learn that she flung an office chair into the wall yesterday. Were informed and aware that they could kick her out if she gets physical with someone. She grabbed someone's arm already. They are giving her meds two weeks to adjust ( Atavan change to as needed and adding Seroquel. Then if she tries anything physical with anyone, would begin a hospital psych evaluation process and could kick her out. What have any of you done if that happened to you? Mom was like this six months ago when we had to place her, but had been happy and well behaved until recently. Thanks!
Rule 1 never argue with cna rn staff. Serious concerns should be taken up with DN or admin. File a complaint with your state bureau of licensure if your mother's basic needs are not met meaning a right for care if its a health concern or your mother's safety as well. Facilities can be fined. Yet, the nurses and staff who look the other way to neglect and abuse can be held accountable and can loose their license for lousy care and should be more aware of the consequences. Also UTI can be caused by some medications that metabalize in the kidneys which can lead to organ failure and edema if given in toxic amounts Nurses are trained to know this don't let them get away with bad care either.
We added a daytime dosage of seroquel a month ago which makes her sleepy but the past two weeks have been hard with another UTI and loss of one of her private caregivers
Staff wants her medicated 24/7 - they're suggesting fentanyl or Ativan in addition to seroquel 2x a day