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My 96 year old mother, who suffers from severe dementia, has started to refuse her bedtime medicine. It has become a very nasty ordeal for both of us. She typically will take her morning meds without any problem, but because her aggressive behavior kicks in sometime in the late afternoon, by the time her bedtime arrives, she is out of control. She kicks, spits the pills out and tosses the water in my face. We do have her on a small dose of Zyprexa in the afternoon to take the edge off of her behavior a bit, but that seems to do little if anything to calm her down. This does not appear to be a problem with swallowing as her appetite is still fairly good and she has no trouble swallowing when eating. I have tried everything, including crushing the pills up and/or serving with applesauce or pudding and she will still hide the pills in her mouth and spit them out later. I've already cut out some pills (with the doctor's blessing) but we are now left with the critical ones that she absolutely needs. Has anyone found a way to deal with something like this? I can handle every other challenge she throws my way, but I am stumped on this one as I can't just say "Ok, never mind, you don't have to take your pills".

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I would give her an Ensure blend it with her favorite Ice cream crush her meds and add a little honey to it so that she want taste the medicine. My dad has dementia and he use to do all those things but he has calm down a lot. He now takes his medicine. I give it to him oatmeal and make sure it the last spoon I just add honey.
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ShelbysMom, there comes a time with dementia that you can't force them to take their meds. Sometimes I have wondered if it was their decision in their own little world to quit. Trying to force them will have an adverse reaction. Is it possible that when she is taking the Zyprexa that you can also give her the other meds? When they are sundowning, you can't reason with them. Ask your doctor if it is possible to give these meds when she takes her Zyprexa. By the way, Thank GOD for Zyprexa! It has been a live saver for me. Good luck....
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What kind of pills is she taking in the evening? I would find out if you could get a patch. I wonder if she's refusing because she's sundowning and if so, could you give them to her before she starts that downward spiral into sundowning?

My heart goes out to you, it's a tough situation to be in. But at 96, know that whatever you do (or don't do) is OK. Your mom has outlived 99% of the population to get this far, so anything now is icing on the cake. Even though it doesn't feel that way.
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~ShelbysMom, At 96, I wouldn't want to stress someone on a daily basis about taking meds. Would your mother qualify for Hospice services? That would be the road that I would choose...hospice and no meds. Good luck!
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