She has to have assistance getting to the bathroom and often will not wait. That, I think, is the role dementia is playing. Her filters are gone or going and she no longer recognizes that this is not a socially acceptable topic. I think the best you can do is try to redirect her to other topics and to give her lots of attention on other subjects. These, at the very least, should be checked. Please bring all of her medications with you to the MD appt. On Wednesday a trip to the bathroom, unassisted, caused her to fall and break her leg. She literally gets offended if you don't watch her urinate through the cath or stay while she has a bowel movement.
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