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His affect is mostly flat. I notice the people he is with at meals, etc. have advanced dementia and need to be fed. What can I do to help him?

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I'm sorry you're in this distressing situation. Your profile says your husband is 85 and has dementia, which makes changes in his routine cause increased cognitive problems (and can be temporary).

I would make sure rehab facility is indeed attempting to feed him and get him to drink. Dehydration can increase dementia-like symptoms but also is not good in general. Does he have an IV?

Is he on pain meds? Maybe they need to be adjusted. Talk to his attending physician and also consider if he's on antibiotics for the pneumonia, it may not be working.

You will need to be a strong advocate for him... asking questions and diplomatically pushing his team to find solutions, going there to be with him as often as possible until he's over the hump.

In your profile you mention you suffer with severe depression. Please think about transitioning your husband to a care faciliity directly from the rehab once he's better. This is an option/solution if it is affordable.

It is possible this event will mean he now requires LTC, which is "good" news since Medicaid covers this level of care (and as long as he qualifies financially). Consider consulting with a Medicaid Planner for your home state. Don't make any assumptions about whether or not he'd qualify... talk to an expert.
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You tell us this in your profile:
"Retired RN. Mother of 2 sons and grandmother of 4. History of depression and currently have severe depression even with medication. I enjoy reading and talking with friends. I do not love my husband and haven’t even before his diagnosis. I am cross and impatient with him followed by feeling guilty. Vicious circle ".

You do NOT tell us anything about your husband. Only about yourself.
Yet your QUESTIONS TO US is about your husband. So we need info about HIM.
What is his age and his diagnosis overall and his prognosis?

Seek counseling for yourself. A Licensed Social Worker in private practice may be best. You are dealing with a life transition here in all likelihood. A marriage that was unhappy and left with unresolved issues will bring problematic grieving to a mind already taxed with depression. I would get help for yourself. Maybe medication changes would help.
The reasons your marriage failed are long over now; nothing can be changed. You will have to move on with a life, and hopefully make it of better quality than it has been for some time. You will have to embrace the unresolved and forgive your own and his limitations in order to move on.

I am so sorry. You have a plate full of issues that are mixing together in a very sad way, and you need help to comb out your feelings, get help from medication or cognitive therapy. There just isn't a lot you can do for hubby, and your feelings are too mixed in this to try. Your failure adds to your feelings of guilt.
You don't need that.
It doesn't help him.
It doesn't help you.

I wish you the very best. Again, seek help.

You are an RN. So am I. So you know that in all of this there is almost NOTHING that "you can do" to change any of this for husband. It is what it is. If the entire medical and rehab team cannot change it, what could you do?
You say you are cross and impatient with him. Then you SHOULD have some guilt for guilt comes from things we CAUSED and can FIX. You can stop causing it by not visiting so much if you cannot stop your being cross with him, and especially if you cannot stop being impatient. You are harming him thereby, and should feel guilty for that. If you have not loved him for a while, even before he was ill, why are you continuing on now when he's ill and helpless?
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lealonnie1 Feb 23, 2024
I am caring for my husband Phil, who is 85 years old, living at home with age-related decline and alzheimer's / dementia.
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When I was 51 I had the flu and thought I was going to die. the flu and the recovery take a lot out of a person. Honestly it sounds normal to me. He probably has a 6 week recovery from this. Let him rest.
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My Mom was in the hospital for 4 days and Rehab was suggested to get her strength back. I swore it would not happen again. She was back to normal when she got back to her AL. I said next time, it would be "in the home care". If you think you could do it, ask for an order for "in home care". PT will come to the home and u will get an aide to bath him.

The problem with Rehab they don't nurse a patient back to health. The person should have been nursed back to health before being discharged to Rehab. Rehab is for PT. If ur husband can't do PT he should not be in Rehab. I will bet DH was released too early. Flu normally takes a week to run its course in healthy younger people. And even then, like said, you are tired forva while. A lot different when a person is elderly with a Dementia.
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