After well over a year of MiL's admission into an EMI Nursing Home, none of us have settled - least of all, her. She is up at night, agitated and distressed (on the whole) and by day, exhausted,, and there is mention of her moving on to a challenging behaviour unit. She seldom looks 'cared for', due to her behaviour, and care tasks are missed or delayed as she can be unapproachable. We managed more with her when she lived at home, and the question is 'what is going wrong'? Should we accept this as 'normal progression', or is it my MiL struggling to tell us that really, she needs more? She will still to this day accept more from us. Staff in the Home are wonderful, but how would we know if MiL was not getting what she really needs - more 1-1 perhaps.. My wife was willing to accept, finally, that care was needed, but we both now struggle with what is happening. The other residents, who we have grown to love, we cannot find anyone who is similar in needs. Most are beyond this level, needing true nursing care, and those more like MiL wander and become agitated but are more 'content' shall we say. Others, perhaps better, just sit and accept. At what point does EMI become a need for ever more specialised care? Should we be asking for it? She really hasn't settled.