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This is my first time writing. I have only been subscribed to the group for 3 days, but have already learned some things. I am sole caregiver (our closest family is 700 miles away) to my 87 year old grandmother with Parkinson's complicated by multi-infarct dementia. Recently, she was placed in a nursing home for rehab after a fall. Since she has been in the nursing home she has been having a lot of trouble with being disoriented, confused and some hallucinations. Also, she complains she hates to see night come because she has horrible nightmares and cries and calls out. I noticed it was mentioned that you need to eat something with the slow-release sinemet. Since she has been in the nursing home they have changed the times at which she takes her meds. She was taking them at 8:00 am and 5:00 pm with breakfast and dinner, but now she takes them at 8:00 am and 8:00 pm (8:00 pm without food). Could this be part of the problem? The other thing I wanted to ask about is that I had noticed many of you mentioning your neurologists. At this time my grandmother is under the care of a family practioner and I am wondering if perhaps a neurologist would be better able to help her? This would not have occurred to me without this group. Your opinions would be greatly appreciated. Thank you so much. Lori Bauer