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According to our home care service for my father-in-law, this anger has 2 situations: The first one is the obvious choice: the patient is at the latest stage when caregivers are going to be hurt/injured. At this point, the home care service would tell us that the person can no longer work for the patient and the patient needs to go to a nursing home as she gets sicker in end stage or near end stage.   The other situation is a matter of how you cope with the patient. I was told that lots of white lies like what we do now to my FIL, and do not disagree with the patient. Go along with her to do what she wants to unless it is very dangerous for her to do so.   You probably know better as a professional. If you are afriad, you should talk to the family or home care or your supervisor to discuss this. If anyone can calm him down so you can go on working, then it is great. If the patient is really very sick, she has to go to a nursing home.   In my FIL's case, the home care is saying when my FIL does not recognize the caregivers whom he likes, he will get very agitated and more frustrated. If he gets incontinent, he would be more mad and throw food at you if he stops talking. This is when he would have to go to a nursing home as the home care service cannot put their workers in danger.   Thanks for your reply to one of my quesionts. Hope this helps, Nina