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Balance is indeed way off for MOST seniors, and worse with dementia, and horrible with certain TYPES of dementia. Parkinson's and Lewy's are the worst with balance, but it is awful for all of us anyway. I am 83. When out on long walks and tiring I literally with a slight pain or weekness in a foot, kind of reel left or right. The balance is bad on buses if I am not hanging on every second; where once I stood steady at 120 pounds, I now waver with an added 10 pounds like a feather in the wind. They say the best way to tell our changes of dementia is to see if you can stand on one foot for a minute.

There are balance exercises, and they can be done for fun, but she needs a ballet bar to hold on to (kitchen counter works). Balance exercises are online and when I do them it helps.

I often laugh that "falls-R-Us" as far as we seniors go, and that's because our lower brain balance system, when we age, just isn't good. Add any dementia or neuropathy or pain and it is all the much worse.

Talk to your doc, see if he will order a PT session to evaluate what might work for her. And know I wish you luck. Loss of balance is the main reason my brother entered care at 85 with his Lewy's. He could otherwise have been home more, but he needed to be "where there are more people to pick me up".
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Bob,

Many people will opine that physical or occupational therspy is not beneficial for ones with dementia as the patient can’t remember the sequence of the exercise, etc. The purpose is to keep their muscles from atrophy and keep them stronger as they decline. This is helpful to the caregiver as they guide them to the bath, commode, table, car, etc.

Even being able to pivot to a wheelchair is helpful. Repeating simple movements in sequence is helpful for muscle memory.

Falling can happen anywhere. You may have already noticed that. The key, while at this stage, is to help your wife not rise immediately after first sitting up. Not walk immediately after standing. Each transition can cause the BP to shift.
Below is a good article to read through for some things to discuss with her doctor.

Ask the doctor for a therapist to come to your home to give you some pointers. Medicare covers this with a doctors prescription. As dementia is progressive, none of this is curative. It does however make life a little easier to know which things to focus on for today.

https://my.clevelandclinic.org/health/diseases/9385-low-blood-pressure-orthostatic-hypotension

I’m sorry her dementia is progressing so rapidly. Take care of yourself. Know that both of you are dependent on your ability to manage her care as Earll as your own. We have to pace ourselves as caregjvers for the long haul.
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Discuss with her doctor. If you can protect her from falls, it might be time to place her.
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Discuss this with her doctor. Balance is very poor in many dementia's. Lewy's and Parkinson's is notorious for poor balance.
There could also be some postural blood pressure changes occurring; it often happens both in aging and due to medications that blood pressure lowers on the body raising up out of bed or chair. The doctor can do some measurements.
Sorry to say that this balance problem is seldom "fixable" if due to changes in brain having to do with aging, but wish you luck, and only the doctor can help you explore solutions and reasons.
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I would discuss this with her doctor. It could be a blood pressure issue. We aren't doctors and you don't give us enough information, so please discuss with her doctor, take her in for an annual physical.
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