Mom has dementia, in alf. is not bathing/brushing teeth. what can the staff do to keep her hygienic? will she cooperate more as dementia progresses?

Limited choices: She'll probably cooperate less as dementia progresses. Try scented, packaged wipes (handi wipes) for general hygiene and flavored, sponge tooth swabs for oral care. The pleasant scents and flavors may induce her to consent to their use. The staff are limited as to what they can do if the patient resists.

Probably less.: Dementia is a tough disease in many ways. Some patients may become quieter, passive and will cooperate to the best of their ability. Others get irritated and agitated easily . The staff should try to brush their teeth twice daily. Dryness also worsens depending on the patient's age and medications, so frequent sips of water is also helpful to clean out the mouth and hydrate the patient.

Call OT: An occupational therapist who specializes in working with older adults would be a good consult to ask her primary care for. Ots are experts in practical problem solving and could work with your mom on finding what works for her now with ideas for the future. They can also assess if your mom needs more help than alf can offer. Get a medication review from a geriatric psychiatrist or geriatrician.

Consistency: Anticipating good and challenging days in regards to providing oral care is important. Having staff not give up and trying to stick to a routine helps. If there is a caregiver that your mom works best with, that might help too.