I know there are limited pharmaceutical interventions with vascular dementia but would appreciate any thoughts on management of this in a hospital setting and possible return home. Briefly, a friends father (late 80s - early 90's) had a fall at home, admitted to hospital and then transferred to the equivalent of the local cottage hospital as felt not manageable at home. Staff are saying move to CH is possible option which seems realistic and is accepted by family. However, I was told last night that friends Dad is playing up the staff, ranting etc and presumably aggressive because the staff say they are "a bit afraid of him" . It seems this is a continuation and probably increase of the difficulties his Mum had with him at home. Hopefully a move to a good care home will see better "management" in non pharmaceutical ways but there still is the possibility he could go home and obviously the aggression is not good for him or anyone. Any thoughts or useful experience to share? Thanks.