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Hi Chelle   At times nursing someone with Alzheimer's in their own home can present some difficult problems. It can be scary, not having other people in the home who can provide you with backup when you feel you are in a potentially dangerous situation or feel compromised by their behavior. It sounds as though you are doing the right things and so far your client's violent episodes have been not been too extreme, although it is mentally stressful and anxiety provoking for you I am sure.   There are a number of things you must do: 1) Keep your employers and your client's family informed about all the episodes of verbal and physical violence. Keep a written record of them all with details of; (a) the type of violence, (b) any things that appeared to lead up to the incidence i.e. you asked her to go to the bathroom, change her clothes etc. etc. (c) What you did- i.e I waited until she was calmer until I tried taking her to the bathroom etc. Always record when you inform her relatives and your employer. Record any injuries that you or your client may get as a result of her behavior. This will help you with all queries, should  anything untoward happen. It will also help your client's doctor and any specialist that may be called in ( a psychologist), with diagnosis and future treatment.   Here is the link to a sharepost I wrote about Aggression and Alzheimer's disease http://www.healthcentral.com/alzheimers/c/57548/50050/aggression that gives you lots of advice and ideas that may be  helpful   Christine