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Reply to "Help me understand what is going on with FIL's mixed dementia"
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[quote=Anonymous]FIL had been paralyzed for more than 16 years due to transverse myetis. MIL took care of him until recently. He has had cognitive decline for a long time but it really progressed rapidly after he went into septic shock in March because of a blockage to his kidneys. He went from recognizing us to not in a matter of a month. We were told to take care to the ER by his physician 3 weeks ago because of this rapid decline. When he was in the hospital, he was refusing food, drink, and medicine. The neurologist at the hospital gave an initial diagnose of mixed dementia (vascular and Alzheimers) and with the rapid decline of his cognitive abilities and aggressive behaviors he was moved to a rehab facility that also provided long term care. Since he has been at this rehab facility (for two weeks now), he has not eaten, taken his medication, and drank very little water. Based on his refusal of food and medication and the progressiveness of his dementia, the social worker and MIL decided that it would be best to start hospice care. However, his cognitive abilities changed rapidly within the last week from not recognizing any one to recognizing his loved ones (including ones who he has not seen for years) but still is confused on why he is in this rehab facility and feels MIL is conspiring to keep him there. He is still refusing food and medication and has lost a significant amount of weight. DH and I are at a lost to make of his recent cognitive changes. In addition, we are having to deal with a lot with the rehab facility instead of MIL because she is traumatized by FIL (long history there) and refuses to go see him. FIL has always had an awful personality (very emotionally abusive toward his loved ones, including to MIL, DH, and me.) We do not know how to proceed given MIL's reluctance to engage DH's care situation: wait for him to starve to death, get additional evaluations, or something else. Any recommendations?[/quote]
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