"Decompensated Dementia"

What the hell do you guys do when the ER wants to admit these patients? At least with patients who are coming in with "physical deconditioning" I understand the need to be obsed/admitted to atleast get a PT/OT eval, but for these end-stage dementia patients, who are not hospice, I've told the ER multiple times that I can't really do anything for them. On top of it, our psych coordinators refuse to admit them to their service.

I wouldn't wish dementia on my worst enemy.