oh in hospital with pneumonia -consultant withdrew all meds for dementia-remarkable change in behaviour - discharged back to unit after 6 days-meds restarted - problems started again after 2 days-following week consultant agreed to gradually withdraw haloperidol as dose was quite substantial-haloperidol withdrawn over 3weeks meds now trazadone, lorazepam PRN- trazadone increased no effect- discussion over care plan wanted oh in care - I disagreed as oh is not English if distressed or agitated reverts back to own language - huge communication problems- no alternative meds discussed-I WAS ASKED by consultant which meds I would like him to prescribe as I,d mentioned that I often referred to TP-discussed a home trial other plan had to be in place in the event of not being able to cope- behaviour much worse (withdrawal symptoms after speaking to PALS he agreed to try memantine with risperidone and trazadone over 4week period to reach maximum dose- significant improvement continued for further two weeks- new consultant on ward 2 weeks home trial possible with good care package (has ben warded NHS CHC ) -disaster struck once again unit closing for re-furb no care in place SW on holiday- moved back to local unit veryunsettled behaviour back to square 1 .....to be continued