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Changes in eating frequently occur. Cognitive awareness is needed for eating and swallowing and progressive cognitive decline in advanced dementia, can result in eating and [[swallowing difficulties]]. This can cause food to be refused, or choked on, and [[Assisted feeding|help with feeding]] will often be required.[{{cite journal | vauthors = Payne M, Morley JE | title = Editorial: Dysphagia, Dementia and Frailty | journal = The Journal of Nutrition, Health & Aging | volume = 22 | issue = 5 | pages = 562–565 | date = May 1, 2018 | pmid = 29717753 | doi = 10.1007/s12603-018-1033-5 | s2cid = 13753522 | doi-access = free | pmc = 12876338 }}] For ease of feeding, food may be liquidized into a thick purée.[{{cite web |title=Mental, physical and speech abilities in later stages of dementia |url=https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-progresses/mental-and-physical-activities |website=Alzheimer's Society |date=June 29, 2022 |access-date=July 30, 2022}}] The use of a [[feeding tube]] is not recommended; there are many complications and unwanted consequences associated with tube feeding.[{{Cite web |title=Patient decision aid on enteral (tube) feeding for people living with severe dementia. |url=https://www.nice.org.uk/guidance/ng97/resources/enteral-tube-feeding-for-people-living-with-severe-dementia-patient-decision-aid-pdf-4852697007 |access-date=16 April 2025 |website=National Institute for Health and Care Excellence (NICE)}}][{{Cite news | url = https://www.nytimes.com/2016/08/30/health/tube-feeding-dementia-patients.html | title = The Decline of Tube Feeding for Dementia Patients | date = August 29, 2016 | work = [[The New York Times]] | vauthors = Span P | access-date = August 31, 2016 | url-status = live | archive-url = https://web.archive.org/web/20160903051930/http://www.nytimes.com/2016/08/30/health/tube-feeding-dementia-patients.html | archive-date = September 3, 2016 }}] |
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Changes in eating frequently occur. Cognitive awareness is needed for eating and swallowing and progressive cognitive decline in advanced dementia, can result in eating and [[swallowing difficulties]]. This can cause food to be refused, or choked on, and [[Assisted feeding|help with feeding]] will often be required.[{{cite journal | vauthors = Payne M, Morley JE | title = Editorial: Dysphagia, Dementia and Frailty | journal = The Journal of Nutrition, Health & Aging | volume = 22 | issue = 5 | pages = 562–565 | date = May 1, 2018 | pmid = 29717753 | doi = 10.1007/s12603-018-1033-5 | s2cid = 13753522 | doi-access = free | pmc = 12876338 }}] For ease of feeding, food may be liquidized into a thick purée.[{{cite web |title=Mental, physical and speech abilities in later stages of dementia |url=https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-progresses/mental-and-physical-activities |website=Alzheimer's Society |date=June 29, 2022 |access-date=July 30, 2022}}] The use of a [[feeding tube]] is not recommended; there are many complications and unwanted consequences associated with tube feeding.[{{Cite web |title=Patient decision aid on enteral (tube) feeding for people living with severe dementia. |url=https://www.nice.org.uk/guidance/ng97/resources/enteral-tube-feeding-for-people-living-with-severe-dementia-patient-decision-aid-pdf-4852697007 |access-date=16 April 2025 |website=National Institute for Health and Care Excellence (NICE)}}][{{Cite news | url = https://www.nytimes.com/2016/08/30/health/tube-feeding-dementia-patients.html | title = The Decline of Tube Feeding for Dementia Patients | date = August 29, 2016 | work = [[The New York Times]] | vauthors = Span P | access-date = August 31, 2016 | url-status = live | archive-url = https://web.archive.org/web/20160903051930/http://www.nytimes.com/2016/08/30/health/tube-feeding-dementia-patients.html | archive-date = September 3, 2016 }}] |
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In some cases, [[terminal lucidity]], a form of [[paradoxical lucidity]], can occur at different stages; in this phenomenon, there is an unexpected recovery of mental clarity.[{{cite journal |vauthors=Ross JP, Post SG, Scheinfeld L |title=Lucidity in the Deeply Forgetful: A Scoping Review |journal=J Alzheimers Dis |volume=98 |issue=1 |pages=3–11 |date=2024 |pmid=38339937 |doi=10.3233/JAD-231396 |url=}}] |
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In some cases, ''paradoxical lucidity'', can occur at different stages; in this phenomenon, there is an unexpected recovery of mental clarity.[{{cite journal |vauthors=Ross JP, Post SG, Scheinfeld L |title=Lucidity in the Deeply Forgetful: A Scoping Review |journal=J Alzheimers Dis |volume=98 |issue=1 |pages=3–11 |date=2024 |pmid=38339937 |doi=10.3233/JAD-231396 |url=}}> [[Terminal lucidity]] has been described that occurs shortly before death.][>] |
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