Serious older woman sitting at kitchen table

Dementia can worsen overnight. When sudden deterioration is a medical emergency, not a new normal

Yes, dementia can appear to worsen suddenly, and when this happens it is usually a sign that something else is going on rather than a natural progression of the disease itself. A urinary tract infection is the most common culprit and can cause rapid and dramatic changes in behaviour, confusion, and cognitive function. Other causes of sudden deterioration include dehydration, new medications or medication interactions, a fall, an acute illness, constipation, or a significant change in environment. This type of sudden change is called delirium superimposed on dementia. Treating the underlying cause can often lead to a return to the person's previous level of functioning.

Frequently Asked Questions Related to Home care support

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Free home care for dementia — the entitlements most families never claim

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Legal responsibility for someone with dementia — what Lasting Power of Attorney actually means

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Who is financially responsible for someone with dementia? Not who most families assume

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The hardest part of caring for someone with dementia — and why nobody tells you it's this

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The 'happy pill' for dementia — what carers mean by it, what doctors prescribe, and what works better

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Why people with dementia sleep so much — and when it's normal versus a sign of something else

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Keeping someone with dementia content — the daily habits that matter more than occasional big gestures

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