@reddesert Actually the only thing I would suggest is that you cannot reason with someone that is no longer remembering conversations, comments and things you have discussed with them. Sometimes they forget everything. Go with the moment. My spouse blames me for everything. I just helped him to get cleaned after trying to get for 3 days. I said to him you need to raise your arms so I can clean you. He said I was ordering him and yelling. We have a 12 ft. ceiling in our shower. Everything echoes. He has the sharpest nails. He scratches himself all the time. He is on asprin so I have his bed covered and the couch in our den. That ceiling is 12 ft. Same scenerio. We have 8ft. and 10 ft. ceilings in the rest of the house. Noise bounces off easily. He drives me nuts with the conversation that he is going to get someone in to give him a shower. No, we cannot afford it and is not necessary. I tried reasoning again. I was screamed at again. Believe me when I say that I just remove myself from him so I will not say something that I am feeling. He tells me how to cook, wash windows , make a bed..you name it. I love him but...this gets to be a bit much. We are human and we will get so frustrated. Love and prayers your way. Caregiver opinion. Doing this for many yrs.