Is Admission Really Needed for Dementia Patients? Here’s the Clear Answer.
"Dementia patients ku bed la serthu vaithiyam paarkalama?"
This is the most common question we get at Vazhikatti.
The truth is — most dementia cases don't need admission.
But there are critical exceptions.
This blog explains when home care is enough and when inpatient admission is the best and safest step - for both patient and family.
When Dementia Doesn’t Need Admission.
Dementia is a progressive condition. Most symptoms like:
Forgetfulness
Difficulty doing tasks
Mild confusion
...can be managed at home with regular outpatient (OP) care.
In most cases, we help families build routines and structure for the patient - without the need for hospitalization.
“Just because someone forgets or repeats things doesn’t mean they need to be admitted. We always assess whether the environment and family can support them first.”
– Dr. K Selvaraj, Chief Consultant Psychiatrist at Vazhikatti
When Dementia + Psychosis = Emergency IP Care
Sometimes, dementia gets complicated by psychosis - a serious mental health condition.
Psychosis in dementia can look like:
Suspicion that family members are trying to harm them
Refusal to eat or drink, thinking food is poisoned
Violent outbursts or hitting
Attempting self-harm or suicide
These are red-flag behaviors.
And in such cases, admission is not just helpful - it is essential.
The goal of admission is
✅ Ensure Safety.
✅ Stabilization.
✅ Dignity.
What Is Delirium? When Confusion Becomes a Crisis
Another emergency situation is Delirium - a sudden change in brain function.
In delirium, the patient:
Doesn’t know where they are
Doesn’t recognize people
Loses track of time completely
May talk or behave inappropriately
This confusion often comes suddenly and can worsen fast without treatment.
At Vazhikatti, we treat delirium with:
24x7 medical supervision
Immediate psychiatric care
Diagnostic testing to identify causes (e.g., infections, medication reactions)
When to Admit and When Not To
Condition
Admission Needed?
Notes
Forgetfulness / Repeating Words
❌ No
Managed through OP care, family support
Difficulty with Daily Tasks
❌ No
Structure + regular checkups help
Refusing Food/Water (due to fear)
✅ Yes
Could indicate psychosis — needs medical attention
Violent Behavior or Self-Harm
✅ Yes
Immediate risk to safety
Confusion about Time/Place/People
✅ Yes
Likely delirium — needs 24x7 observation and treatment
Not Sure What to Do? Speak to our experts!
Every case is different. The best decisions come from personal consultation.
Call : 75075 50050
FAQs
Is hospital admission permanent for dementia patients?
Not at all. Most dementia-related admissions are short-term—just until symptoms stabilize.
Can psychosis or delirium be reversed?
Yes. With proper medication, monitoring, and care, many symptoms improve dramatically in a few days.
What if I’m still unsure whether to bring them in?
Call us. We’ll walk you through symptoms and decide together if admission is needed.
Avinashi Rd, behind FUN Republic Mall, Peelamedu, nava india, Gandhipuram, Thudiyalur, Koundampalayam, lakshmi mills, Anna Statue Signal, Codissia, Hopes College,Tiruppur, Salem, Coimbatore,Tamil Nadu, India