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Just got the news that the hospital is releasing him to home. This is unbelievable, he is incapable of taking care of himself, physically and mentally. He has threatened suicide.They will not listen to anything that we have to say. My husband has talked to the social worker and they are standing by their decision. Wow. Now what? And are we, as a family. responsible for his well being? I know we probably need a lawyer.
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Shan, thank you! Has any consideration being given to a TIA or stroke? There is something called "hospital psychosis", not sure that it's still a valid concept. This is heartbreaking, but your husband sounds like he has his head on straight.
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Shan, thanks so much for the update. It's good that he doesn't have a UTI, but it's not good that there's still no explanation for the issues. I'm wondering if he's having some sort of control loss breakdown, a sudden realization that many factors of his life are out of his control.

Does he belong to and/or participate in any veterans' organization at which he might have some close friends? For that matter, are there any other close friends his age, especially veterans, who mightt be able to visit him and offer some perspetive from someone else his age?

It also sounds like some type of panic behavior - perhaps the hospitalizations, your MIL's situation, his....just too much at one time.

Few things I can think of that might help:

1. Get one of the large decorative card holders, double sided tape, and start bringing cards; he can look at them over and over and hopefully reassure himself that he's still loved and has family support. For those family members who can't come, ask them to send cards with loving messages.

2. Bring a portable CD, with a headset, or whatever you have that will play CDs, bring some CDs of his favorite music, and play them for him when he becomes agitated. When you leave, put a special favorite on so that it helps to ease the transition of being with family to being alone for awhile.

3. I doubt if there's any pet therapy in the hospital, but if he likes animals, get a calendar or book of cute little puppies and kittens. Sometimes just seeing a photo like that relaxes a person.
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Hi all, the hospital checked for a UTI- he does not have one. My husband and I went to the hospital yesterday, he has copious "notes" for the lawyer, that was supposed to be there at any moment. I doubt he will ever show up. There is no question that he is hurt and despondent, He did misunderstand all we were doing. though agreed with it all beforehand. Mistakes were made by us, but seeing him yesterday may have helped. He had a physcological (sp?) exam yesterday. Waiting on the results of that. He is not rational, he does not realize by refusing to have any of us around he will not be able to care for himself. It was heart wrenching for all of us. He threatened to take a pair of scissors that were lying there and pierce his heart. We told the nurse who immediately took them away. And put that in his chart, which is good. My husband was firm with him, and at the end of the stay said that no matter what he was his dad and he still loved and respected him. I think that helped, as the other kids are not doing that. He later told the Dr. to tell his son that he was sorry. That's a bright spot as it may mean he is beginning to see things more clearly. His hospital stay the week before was totally different then this one. I will mention that to the Dr. when we see them. They must have the charts from then, and maybe talking to the nurses and Dr. who cared for him on the other floor will cement the decision that this is a sudden change in behavior. We also brought in my MIL to his room the day he was taken to the nursing home. She was there about a half hour and then he told them to take her back to her room. So that didn't help. I guess we erroneously believed that being in the same facility with her would be okay until they could get them a room together. Boy were we wrong. So it continues, we won't give up on him, and will try to make things easier for him in any way we can. Thanks so much, all of you. for your insight and advice. It is truly appreciated.
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Shan, how are things going?
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I have no advice beyond what has already been offered. Just want to extend hugs to you in this difficult situation.

Please keep in touch here and let us know how this progresses. We care!
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I can't understand why UTI tests are not are routinely done on every elderly patient staying overnight in a hospital- at least for the ones where catheters, incontinance or adult diapers are used.
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Wait for the UTI culture ( and make sure they do a CULTURE not just a dip). Keep the guardianship idea in your back pocket.
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Immediately pursue emergency guardianship status with an attorney. If you don't he will become a Ward of the State. In NY you get the court order, then that is followed by a court evaluation (this seems pretty cut and dry) and the appointment of a Guardian of the Person and/or Estate.
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Shan, something that a lot of us here have learned the hard way: a sudden change in mental staus is a SYMPTOM and needs to be reported immediately as such. Use that phrase "sudden change in mental status", not " dad was never like this before".

Was he catheterized during the hospitalization? In my husband, that caused a post surgical uti.
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You are NOT facing any actual lawsuit or arrest. His threat and misdirected anger hurt, and if there is no medical cause for unexpected sudden irrationality like UTI, stroke, MI, drug reaction, or anything else, he just did not grasp that he would not be sharing the room with his wife right away and decided that meant he'd been tricked despite every evidence to the contrary that you care about him and her. His judgement and reasoning are gone. (Could a VISIT with his wife, supervised by a neutral party, possibly help with that?) It was not rational to call the sheriff and he is not likely to be able to select, call and provide documentation to any lawyer, let alone run into one who does not immediately see this for what it is - the anger and desperation of a man who erroneously believes his family betrayed him and/or could accept this new turn of events in his life once it actually happened. Sounds like BIL understands this too.

It would be good to have incompetency letters on hand (usually two physicians.) If you have pictures or video from recent times where he is acting or talking more sensibly, it may help bring home the point that this is a sudden change worthy of medical investigation.

Sorry this is happening to all of you!!
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The nurse I talked to will suggest the possibility of a UTI to the Dr. tomorrow. It sure makes sense, Thanks again everybody. I am so glad to have stumbled upon this website.
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I think I would ask the floor nurse if he can be tested for a UTI; if she/he doesn't feel it's necessary (and I assume would probably raise the issue with the attending physician), ask who the attending is, get a contact number and call him/her.

If that doesn't work, contact either the charge nurse or the administrator, or an ombudsperson.

Someone might have to be persistent about this.
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I hope I am doing this right- I didnt see any reply to answer buttons. Thank you, all. I have called the floor and requested to know if he has been tested or treated for a UTI- the answer was no. I have cared for a grandmother with dementia, in the 90's- I remember now that this trait is a hallmark of a UTI. Fingers crossed that that is the answer.To answer the questions- He was not treated on the same floor- same hospital, but he was not considered incompetent when he was there last week. This behavior literally happened in the course of 40 minutes. He does think we lied to him about being in the same room as Lill, though it was clear in his mind before So his anger could be from that. The VA is not treating him- he gets better care through his Military insurance(Tricare) and medicare. The VA has been no help whatsoever in getting assistance for him, we have tried numerous times. They say he makes too much money. As far as medication during the transport, I doubt he was given anything. He waved goodbye, said " see you in a few" and was off! We are having a family meeting Monday to determine what, if anything, we are going to do. My husband is out of town until tomorrow, he is the one to get answers in the family (he is a lot like his dad) so hopefully we can figure this out. It is so hard dealing with such a 180 degree personality change
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Uti, for sure!
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Another comment....as to a "lawsuit", a good attorney would have to have sufficient reason to file that kind of lawsuit, including past incidents - i.e., a history of "abuse".

From what you wrote, this seems to be nonexistent.

People threaten legal action w/o really understanding that there has to be "standing" to file and a cause of action. If he's been diagnosed as having dementia, he may not have standing on his own to file - but I do question that diagnosis.

As to cause of action, that's dubious.

Is he getting any health care from the VA?
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Before even reading FF and RM's posts, I too thought: UTI. This kind of sudden change could be indicative of that.

A bit of background investigation might help:

During the first hospitalization, was he treated by the same attending physician? On the same floor? Was dementia diagnosed then?

If you have to, ask a charge nurse or hospital administrator to check the records. The description of his behavior during the first hospitalization seems to be exactly opposite that once he was in the rehab facility.

That kind of behavior, if it is dementia, doesn't develop overnight.

So something happened apparently during a short period of time.

I'm also wondering if he was given any sedative or antipsychotic drug to "calm" him during the transfer. If so, it's possible he had a reaction to it. That happened to my aunt, who after being administered Haldol in a nursing home then accused my mother of murderig - based on a news article she had read!

This was a very gentle, docile woman who never in her right mind would conceive of something so outlandish.

Her deceased husband's nephew made the decision to move her there after her husband died. It may be that she was upset and someone medicated her, but after that unfortunate incident, she was all right.

I'm wondering if something happend during the transport as well.

As to the legal threats, a competent attorney will probe for background information on the incident, and why father/FIL wants to "keep you off his property". Good attorneys (in my experience) don't just respond to a request like that; it can often be a red flag that something else is going on.

As to being arrested, that would be an action that law enforcement would have to take, and it would be their decision, if a legal, enforceable no trespass agreement had been executed. I suspect that would likely be in the form of a restraining order, for which father/FIL would have to appear unless he has some represent him under authority of a DPOA.

I'm wondering though how your father would think he would know if any of you were on his property?

This sounds like a man who is blustering b/c of anger, or perceived anger, for something he thinks was erroneously done to him.
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Typo - that's UTI not "ITI". Sorry.
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Freqflyer is absolutely right about having your father checked for a ITI - it's crazy how something so seemingly simple can change a loved one into a complete stranger. When my dad had one he was even hallucinating. Beyond that I would suggest having the hospital doctor put into writting for you the diagnosis of mental incompetence and date it. Just in case your father finds a greedy lawyer you will at least be armed with the professional diagnosis should you need to challenge any changes he makes to his will while in his current condition. It also might get the ball rolling faster in case guardianship becomes necessary. While guardianship proceedings are usually lengthy it is possible to get a temporary, emergency ruling on guardianship as well. I know my mother had that done with her sister.
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First thing that came to mind, I wonder if your father-in-law has been tested for a urinary tract infection.... that alone can cause an elder to blow up like he did. Once treated your father-in-law should be back to his old self.

As for your father-in-law to draw up a lawsuit or any new legal documents, that isn't going to happen as no Attorney worth his/her salt would even take the case with your father-in-law being in his current condition.
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