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My father is in ALF since spring. He had a severe agitation episode

that led him to permanent placement. He has on & off behavioral issues

with the staff where he will not do what is asked. Refusing personal

care. The last couple days have been very bad. He appears very

delusional. Very verbal and physically aggressive with staff.

Yesterday I brought him to my home for 5-6 hours. He did well and was

smiling and for the most part cooperative. Today we got a phone call

from ALF saying they found him on the floor by his bed. He is refusing

all care and eating. His mini mental was 8 when he was at neuro 2

weeks ago. I don't know what to do. He does respond better for us his

daughters. Even though the other night he was pretty bad even for me.

I can tell the staff is frustrated and don't know what to do with him.

They really push him eating. I told them I am not too concerned if he

does not eat 3 meals a day. I know he ate 2 helpings at my house

yesterday. He really gets agitated when they push the eating thing. I

wondered if you have any suggestions. I feel like he is manipulating

us of course not in a devious totally planning way.

Thanks

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I would also check the staff as they don't appear to know how to work with him.

They need to back off and give him time to be able to respond. He can't do what

they want him to, as fast as they want him to.

That is part of the acting out. He needs more time to process what is

happening.

If he won't eat NOW, they can leave the food and let him eat it when he is

ready. If not a bath, let him know he will have one when he is ready, so he has

time to think about it and get ready.

If staff push a control thing they will have many more problems than if he has

some of his own control, which I suspected he had at home with you.

Hugs,

Donna R

Caregave for Mom (after I brought her from WI to MI) for 3 years and 4th year in

a nh.

She was almost 89 when she died in '02. No dx other than mine.

agitation

My father is in ALF since spring. He had a severe agitation episode

that led him to permanent placement. He has on & off behavioral issues

with the staff where he will not do what is asked. Refusing personal

care. The last couple days have been very bad. He appears very

delusional. Very verbal and physically aggressive with staff.

Yesterday I brought him to my home for 5-6 hours. He did well and was

smiling and for the most part cooperative. Today we got a phone call

from ALF saying they found him on the floor by his bed. He is refusing

all care and eating. His mini mental was 8 when he was at neuro 2

weeks ago. I don't know what to do. He does respond better for us his

daughters. Even though the other night he was pretty bad even for me.

I can tell the staff is frustrated and don't know what to do with him.

They really push him eating. I told them I am not too concerned if he

does not eat 3 meals a day. I know he ate 2 helpings at my house

yesterday. He really gets agitated when they push the eating thing. I

wondered if you have any suggestions. I feel like he is manipulating

us of course not in a devious totally planning way.

Thanks

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