Ann, my mother's wonderful neurologist has mentioned, in passing, some types of self-harm behaviours in dementia patients, although not specifically skin tears. I will see him, probably, in December and will make myself a note to ask him about this. I have definitely heard him mention the banging on surfaces (tables, walls, but especially windows and doors) and know that is not uncommon and can cause bruising or skin tears. It sounds like the staff do their best to redirect these sorts of behaviours and the fact that they are monitoring sounds appropriate to me. I agree, it's crushing to think of your MIL so distressed that she would do this. I am sorry. The wall mount for the TV is a good idea. We did this with my mother's flat screen television, when we moved her to the new unit in October. I was worried she might try to adjust it and break it or something, but it's been fine. We were careful to place it where it would be direct line of sight from where she likes to sit. In addition to musicals and Disney-type things, don't overlook nature programmes. I think many people find those are acceptable and as they haven't got people in them, it might be a good choice for MIL. The BBC Planet Earth type series, perhaps? Or would she watch sporting events and would they upset her in any way if she did? And skip the Sound of Music; it has soldiers in it and you don't need a repeat of her confabulations/delusions of the men with the guns!