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Don't know when this happened, but take that time into consideration as well as his response. He was very close to her. Probably hit him very hard..
Here comes that fine line between sadness, depression, or something more physical that was triggered from this tragedy. If you are very concerned and not certain of what is going on, then please call his primary doctor, make the appointment, and take him. It is okay. Plan the whole day with him, Wake up, make him a light breakfast. take him to doctor, scenic route to a lunch place. Pick up lunch and go to a park with picnic benches table, etc. table cloth or something, and place the food out, have a nice quiet meal together in the park away from everyone, except the SQUIRRELS.. Of course you know, you can't have a picnic without a squirrel. :)
It would be completely reasonable to request an evaluation from his PCP to rule out something medical going on. Is he sleeping at night? Concurrently, it might also be beneficial to have him see a Behavioral Therapist to work through his grief. Are you able to help him to be more active during the day?
Regardless, grief effects everyone differently. Best of luck.
FIL's kidneys had failed.
He went on dialysis and lived for several more years.
It could be that the sleep is helping him to deal with the dementia. There is evidence that as dementia progresses, sleep helps the person to deal with both the tau-based tangles and the amyloid-based plaques in the brain. Sleep does not remove the underlying brain condition, but it seems to diminish the impact of the dementia. That is happening with my wife, 10 years into Alzheimer's who sleeps soundly for 12 to 13 hours a night, and then has morning and afternoon naps, so she is regularly asleep for 16 to 18 hours out of 24. However, she is still able to relate to those around here with considerable self-awareness. For example, last week she told my daughter and me, "I'm trying to think." A few days ago when our daughter wiped her face with a washcloth, she said, "It didn't used to be this way." Our daughter said, "You mean you used to do this for me?" to which my wife replied, "Yes."
Keep an open mind and move ahead steadily. Don't try to do everything yourself. Get help from agency carers (I find Home Instead reliable, but each local group would need to be checked out). Each of us are unique persons.
Prayers and hope for a viable future for both of you.
It could be both.
A trauma like that can cause a more rapid decline in the dementia as well.
Can he verbalize how he is feeling?
You might want to schedule an appointment with his doctor and as for a full evaluation. You are "assuming" it is Alzheimer's but there is no firm diagnosis so that would be an important thing to get.
Scheduling an appointment with a therapist might also be a good idea depending on how verbal he is and how well he can express himself. It all depends on what areas of the brain are effected. And if this is a possibility I would call around and find someone that has experience with dementia, it can take someone with dementia a lot longer to verbalize what they want. I would look for a Neuropsychologist. (I just Googled..check out OHSU)
It is hard to say which one it is over the internet; however, if the sleeping through the day started when his granddaughter passed away then it could be depression. However, pts with cognitive decline will have some depression. He needs to see a Dr to make sure that he gets the right Dx so that he can get Tx.
Dementia is to big and complex to figure out on your own.
Best of luck to you and your hubby.