My mother moved from an Assisted Living facility to long-term care on Feb 1. When she moved in, she had memory problems associated with dementia but she was a good walker and pleasant to be around. Since she moved, she was confined to her room for a couple of weeks due to a flu outbreak in her unit. She has had UTI's, a cold and pneumonia and was diagnosed with depression at the end of March. She has been on antidepressants since March 25. In the last week, she has been disruptive and combative with other residents and staff and her personality has changed so dramatically that she is being moved to a more secure unit. I don't know how to handle her outbursts and what I should be advocating for on her behalf.
Hi- in addition to moving - what a stressful time for lots of health changes and stressful for you overall. The Long term care home should have a BSO (Behavioural Support Team) to help with managing outbursts - they provide tools to the rest of the staff to monitor for those triggers with their behaviours. With everything going on - there may be some delirium happening (multiple changes in routine and a couple medication changes can trigger that). Antidepressents can take 6-9 weeks before they actually make an impact in the body - it takes a while to build up that tolerance. Here is some information to help with learning about delirium:
HiFollowing on what has said. Sometimes people with dementia don't know how to express what is bothering them, but it comes out through their behaviour.. which means having to determine what is causing the behaviour, as they can't express it themselves. Teepa Snow has some good videos on helping understand how a person with dementia processes the world, which might make it easier to identify the triggers and then remove or reduce them. With the good weather around the corner, perhaps getting your mom out and walking again will help. Good luck..