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[quote=Anonymous]As a nurse who received a broken nose and orbital fracture from an elderly patient with dementia (I work in a hospital), the nursing home handled this so wrong.  If this was completely out of character for him, he should have been brought to the ED to see if something was going on.  They very, very clearly just wanted him gone and this was a perfect reason.  I've seen it before.  Some nursing homes are horrible.

I agree that the ED is probably the best course of action at this point, but like another PP said, it doesn't come without its challenges.  He could be there for months. He will likely end up in restraints at some point, both physical and chemical.  There's a good chance he could pick up something else while in the hospital (UTI/Pneumonia are the most common) and take a turn for the worst.  Its not an appropriate setting.  There is no routine.  There are a lot of disturbances.  If he is violent at the hospital, the search becomes even harder.  I think the longest we had a patient was a year and a half.  
I'm not saying don't do it, he's in crisis mode right now and he and your family need help.  But I think everyone also needs to be prepared for the fact that this option has some pretty dark realities as well. [/quote]

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