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My Father in law started yelling at my grandson, saying he was making too much noise. Except he was sitting down looking at one of his books. He has never acted like this before.

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Please have him checked for a UTI right away.

Any sudden change in mental status should be reported to the primary health care provider immediately.
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Abf,
Your profile says you are caring for someone with mobility problems and someone with dementia.

Is it your FIL who has dementia?
A bit more information would be helpful.
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Absolutely have him checked for a UTI. And it goes without saying that at this point, he should not be left unsupervised with young children or pets. If these episodes continue, you may want to call Adult Protective Services and tell them he has become combative and you don’t feel safe in your home with him there.
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Keep grandson far away from him at all times. He WILL physically harm him perhaps fatally.
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My Father in law has dementia and has problems getting around with a walker due to knee problems( bone on bone.)He is not a candidate for surgery due to heart failure.He still believes he can get this surgery,get eyeglasses&his drivers license and go back to work.He just turned 82.And I forgot he has hearing loss.But taking it out on my Grandson Lucas was new, which I know can mean his dementia is getting worse.When he gets mad he doubles up his fists;shaky and exaggerated.All I can think of,is there goes his blood pressure.
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Honestly, I would be more concerned about Lucas’ safety than FIL’s blood pressure. People who have dementia and are combative find an almost superhuman strength somewhere. I have a 2 inch scar on my arm where my mom gouged me once.

Are you FIL’s caregiver and babysit Lucas as well? That’s a lot on your plate. Do you plan to have FIL tested for a bladder infection?

As we mentioned before, under no circumstances should Lucas be left alone with Grandpa at any time and for any length of time, even for you to step into another room for a few seconds. And even if Grandpa is acting meek and mild. Things can change in a split second with dementia patients with tragic consequences.
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I will never leave those 2 alone.My son has popped for 2 hrs for the last 2 days to bring Lucas out for a walk,treat, or just play.My daughter is currently trying to find a sitter.In a way I was lucky.The last episode that he took out on Lucas was in front of his doctor.She even said that Lucas was not getting into anything.So maybe something will be brought up to his sons.Allen likes to get me in trouble a lot.But the VA crew that care for his checkups have that in his records.
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Abf, yes you need to make some changes here. You don't want your Grandson growing up to be afraid of your father-in-law. Kids are suppose to remember their great-grandparents as being someone fun to be around.

Some elders with Alzheimer's/Dementia will become very jealous of a child and also of a pet, as they think the child/pet is getting more attention.
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He may need medication if this is becoming frequent.
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