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No, I don't think she can escape the facility. Just threatens to leave.
Has she been checked for a UTI? Sometimes those create unusual new behaviors in LOs and is often the only symptom.
Auditories began as we, her children, were singing children's choir songs, so she ordered them to remove her CD player and radio. Now, they're commands that she should get dressed, someone in the family is coming to pick her up. Yes, she really wants out of AL, but she says these are family emergency things like my sister is dying. She truly is seeking reasons why, but we do not have one. Hospice nurse told her they could be caused by her meds but says that's unlikely because they've not changed in years & she's taking very few as she's on Hospice.
The usual meds for dementia could cause 'hallucinations' & dementia symptoms to become worse, according to nurse. We're lost. It's sad that we find her having a conversation with her tv as we enter the door to her room. She unplugged tv again but swears it's making a winding noise, & even asks us if we cannot hear that!! It's very upsetting for all of us, plus she'll fight any anxiety meds they might recommend.