First off I apologise for the length of this post. Mum is displaying symptons of agitation and I wonder if anyone else has found anything that helps/ solves this. She is in advanced stages of vascular dementia and has lived in a CH for nearly 3 years. She settled well and up to just before Christmas there was nothing (apart from the usual behaviours of vascular dementia) that worried me greatly. However in December mum started moaning/grunting constantly as if in severe pain. GP has prescribed a continuous low dose of antibiotics in case of infection but nothing is showing up in blood and urine samples. When you get her attention the grunting/ moaning stops and when asked if she has any pain she replies no and seems to have no idea that she has even been making any noise. At her worst she thrashes about and practically falls out of her chair. Something seems to be frightening her. The carers and nurses at the CH seem to be at a loss as to how to deal with this behaviour as am I. I'm meeting mums CPN at the home next Thursday. If anyone reading this has experience of this type of behaviour and can suggest something that worked for them I'd be really grateful for suggestions before my meeting next week as it is just so distressing to see mum like this as well as upsetting for the other residents.