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When my LO was in her home, she lost a lot of weight and became dehydrated. I had to beg her to eat and drink. She seemed to just want to sleep or sit. But, when she got into a facility and others around her were eating and drinking, she picked it back up and now, even though she has profound dementia, she eats and drinks well. But, she also went on medication for depression. So, I'd try to figure out the core problem first.
Has he applied for Medicaid long term care? Has his doctor said he needs a nursing home? I might show up to get things settled or hire a person to attend to it, since you are long distance.