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Hey, good question. I was hoping to learn from the replies you got, but I see you just posted it. This place saved me when I had a question like yours so, you're in good hands. I can't believe your aunt is already in a facility and they don't know how to handle the situation. That truly sucks. Wait... My bad. She's at a caregiver's home, not a facility. You'll get some good advice here. Good luck
Toobit, welcome to the forum.
Your first step is to get her an appointment with her primary care physician, ASAP. A behavior change is often a symptom of a physical problem that a person with dementia is unable to communicate. She could have a urinary tract infection, constipation, dehydration, pain from an unknown injury or a side effect from a medication. All of these can cause behaviors to be over the top.
The family member who has her health care power of attorney, or who has been with her to doctor appointments before, or the one who is her main family contact with the care home (whoever takes responsibility), needs to arrange this. If the care home has a physician who comes in on a regular basis, and that is her physician, then you tell appropriate care home staff to arrange an appointment, and a family member needs to try to be there if possible. If her doctor is outside the facility and does not come in, family may need to call and make an appointment. Most facilities will make appointments if you tell them to do so, but some will not. What the facility will do if left on their own varies. The next call you get might be that they are sending her to the ER, or that they can no longer care for her.
The second step is to get more information about the behavior. It can make a difference in what the doctor recommends if no physical problem is found. You need a good accurate description of the behavior, when it started, was onset sudden or gradual, how frequently behavior happens, what time of day it occurs, what is going on in the way of care when it happens, is there anything unusual going on at the care home, basically any easily identifiable triggers. Be aware that what looks to an observer like anger might actually be fear and anxiety. Are hallucinations or delusions involved? Does she calm down if family talks to her? This info will help the doctor to know if she needs a sleep aid, anti-anxiety, anti-depressant, or anti-psychotic.
Anyone can give information to the doctor on your LOs behalf. The difficulty lies in getting info from the doctor. If the physician comes into the facility, you usually have to go through care home staff to pass info to them (unless you can be at the visit). If it is an outside facility doctor visit info can be hand carried or sent ahead of time. Make sure you have info on medications as well. It is usually best not to suggest a course of action to a physician, just get them the information, ask them to evaluate the situation, and ask what can be done.
If this is a small care home they might not have many procedures in place to handle problems and family might need to be more proactive.
If a doctor is not available soon, you might have to take a trip to the ER, you don't want her hurting herself or someone else.
Minor edit 8/4/22