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One point - Risperidone was discontinued for mother who had vascular dementia late stage as apparently it is not effective in later stages usually. I begged them to put her back on it as it had helped her so much in the beginning. They finally did and it was no help at all at that stage. Her brain was too broken. She was not happy and no matter what they gave her it didn't seem to help. I was sorry that the last months of her life were unpleasant for her, but then as her disease progressed she slept and slept .more that that looked after it to a degree.
When ever mother fell I was called to be informed but that was all, Good luck.
Part One: This is based on experience in rehab, not AL, but I think the same guidelines would apply, since you're still dealing with staff in control, and establishing a good rapport and understanding of your respective interests and goals.
You really have to establish notification parameters with the staff, or they may just anticipate that you're not that involved, or interested. It's not a negative conclusion, just that (in my experience with rehab), they don't bother to ask if you want to be notified of med changes.
I would ask to meet with the DON (if there's one on staff) or the Administrator and explain that you want to be aware before any med changes, and discuss them with the staff doctor to insure that you understand and are aware of what his/her intentions are, and what the underlying issues and considerations are.
Otherwise, I doubt that they would bother to consult your father.
Part 2 - I can't answer as I'm not familiar with ALF when someone leaves for rehab, but I know there are people here who can offer some insight.