One of my senior citizen relative (age 63 years) had suffered a partial brain stroke about 6 years ago. With treatment, he has partially recovered physically but there has been significant behavioral changes in him. In particular, his routine habits have become very unhygienic. He avoids taking bath, sometimes for days together, unless pushed/forced. Of late, he has apparently been unable to control his toilet habits/morning rituals also and has been soiling his clothes. This has put severe pressure/strain on family members who, for obvious reasons, are unwilling to clean him. He is otherwise physically okay (not bedridden) and his other behavior is near normal. What is the possible reason for this? Can we shift him to some senior citizen home where he can be taken care of and guided to control his toilet habits? Shall be grateful if you could give details of such care homes, particularly in/around central India.
Ans: The background history points, to say that along with Stroke he has lost certain faculties personal hygiene, particularly Cortical inhibitory function are disturbed
This could be due to the neuronal death
Leading to some form of vascular dementia
He needs to be under medical supervision
To my knowledge, he would need a dementia care home, but with family members as care givers staying along. In dementia, leaving them in a home with no family member will not help in tracing some memory
Such homes are very less in India