He is always in denial of his situation and only changes clothes when I undress and say I am washing clothes give me yours. His dementia has progressed over a 10 year period. His self care is non existent from who he used to be. Just the two of us live together in a fairly new area. He thinks that he is still back where he used to live. In addition to everything, he has blockage issues, and I have to resort to put otc medications (laxatives) in his beverages. However, not bathing and spitting at night from the bed; when he is reading inside and outside of the house spitting is so difficult to take. He is difficult to say the least.