Sudden disorientation and weakness in Alzheimer's patient. Any suggestions?

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(along w/ cold to touch) Dad is 70, with early onset, rapid decline (4 yrs since dx while in Stage 1) Alzheimer's. He's currently stage 6/7 (near-constant aspiration, dual incontinence, difficulty w/ words but knows Mom & I by name & relationship). This morning Mom mentioned that he was disoriented and weaker than normal. I asked her to check his temperature (knowing that infection can bring on both), says he's ice cold on extremities. Any suggestions?

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Yes, they may be end signs, but either way the sudden onset needs investigation. Urgent Care if available in your area.
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Harleygirl, this seems like a sudden change, possibly even a stroke. I'd plan on an ER visit today.

You mention near-constant aspiration; with swallowing difficulties, there could be the issue of dehydration.

Since today is Father's Day, give him a valuable Father's Day present of having him checked out ASAP at the ER.
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She needs to call Hospice into the picture. Sorry. Go to the drugstore and bring her a fingertip pulse-oximeter. Get some readings. If his heart is racing and his O2 is dropping it is not a good sign. If the urine is getting dark, the kidneys are shutting down. These are end signs.
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He needs to be checked medically, do you have anyone that comes out to your house? If not a visit to the ER might be the fastest way to see someone.
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Some additional info I just got from her:

Starts to walk in different direction than where she points, says or leads him. Missed his mouth several times w/ spoon, sit in his chair looking at his pants in his hand but doesn't put them on.
(the pants are already non-zippered, and with talking through each step, he was able to self-dress basics as of yesterday).
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