1. Pattywicklow

    Pattywicklow Registered User

    Mar 15, 2015
    11
    What do care homes do with unsettled patients at night? Am at wits end, have waited for months for a home which will meet mums emotional wellbeing needs and they say they feel her variable night settling, usually settling by mid night ....she isn't violent doesn't swear doesn't lash out, just calls out repeatedly. where do these people go? It is an artefact of the disease. It breaks my heart and shames me to write this but do I need to give th permission to sedate her at night. Am at wits end I don't have a plan B. Any suggestions?


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  2. Witzend

    Witzend Registered User

    Aug 29, 2007
    4,282
    SW London
    I would have thought a home used to dementia would not, and should not, be fazed or bothered by this. My mother was in her specialist dementia home for nearly 8 years and for many of those she went through frequent phases of wandering about half the night. Nobody ever said it was a problem or suggested sedating her. One of the night staff would perhaps chat with her or make her a cup of tea, etc.

    However I can see that a home that also, or mostly, takes non-dementia residents, might find it more of a problem.
     
  3. canary

    canary Registered User

    Feb 25, 2014
    9,309
    Female
    South coast
    Yes, I second witzend. My mum also is a wanderer and is still up half the night packing, getting dressed and wandering about. Her CH doesnt worry either and in her case it is also a dedicated dementia unit. I think the problem comes with CHs that are not exclusively for people with dementia - the carers are not trained specifically in dementia care and do not usually know how to deal with these sort of problems.
     
  4. Liz57

    Liz57 Registered User

    Dec 22, 2013
    184
    Funnily enough I was chatting to staff at mum's care home about this today. She's not a wanderer and the home is sufficiently well designed that it doesn't wake her but lots of residents do have trouble settling. It doesn't seem to bother the staff. They chat, serve up cups of hot chocolate or tea as required, provide snacks or turn on the tv with the sound on low and eventually people do drift off. The routine seems to be one of acknowledging the needs of each resident and keeping things calm and as settled as possible. They didn't seem to think anything was in any way "odd".

    Talk to the care home staff and find out how they feel but in my experience, it's part and parcel of what they do!
     
  5. Witzend

    Witzend Registered User

    Aug 29, 2007
    4,282
    SW London
    After all, a care home is supposed to be someone's home, and at home you are entitled to wander about at night if you feel like it! I do it enough anyway - often can't sleep - heaven knows what I'll be like if I go the same way as my mother...
     
  6. Time trader

    Time trader Registered User

    Dec 30, 2014
    17
    Firstly, do not feel ashamed in writing your questions and concerns. You evidently care deeply for your mum and recognise that residential care is her best option. Her Gp would need to be approached regarding any sedation - the home could not just give it to her without a prescription.
    This might sound a bit odd but have you considered giving mum a teddy or rag doll to look after? it's possible that she could relate to it and it may calm her during the night by providing something for her "to care for" and to cuddle to sleep.
    Good luck and best wishes
     
  7. Pattywicklow

    Pattywicklow Registered User

    Mar 15, 2015
    11
    Bless you all for coming back. If she wandered might be less difficult - she calls out repeatedly and very very very loudly "nurse help me" it's like she's on a loop, it is exhausting and she can't be distracted or consoled. I discovered today the hospital have had her on zopeclone? To sedate on the evenings.... Not sure it's helped, No one mentioned that but there was a post on here mentioning trazadone which I might mention to them ... We've been sent back to hospital twice in 24 hours as she has a chest infection vvvvvv difficult . The home are saying they don't think they'd need sedation but I need them to keep her so am willing to consider anything Thanks for reading x


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