Let me start by saying that my mother has moderate dementia (probably vascular) but has no trouble swallowing. But she has shown absolutely no interest in food - well, except sweets, she will always take sweets. I have noticed that she will open her mouth and accept food when her aides spoon feed her but she won't usually pick up her utensils and feed herself.
I have seen her feed herself lately but then, the other night, she acted as if she had no idea what a spoon was.
I am about to bring in all new caregivers and I am wondering what instruction I should give them regarding feeding her.
a) spoon feed her - at least we are getting food in her (but, she may completely lose the skill of feeding herself)
b) coach her through the process of eating but don't spoon feed - she will eat if she is hungry.