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I visit once or twice a week and it's full so it's unflushable. I have to get it all out and clean it up. He has dementia and this issue just started about a month ago but it's getting really old. Any advice is welcome!

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This is pretty stupid, but perhaps it would work. Tell him that if he puts the lid down, (and perhaps puts something heavy on top of it), it won't overflow.
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Is he living alone? Folks with dementia cannot live alone past the earliest stages.

What is the plan going forward?
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Don’t have an answer but sending a hug your way. That is a frustrating situation to deal with. You are kind to visit with your cousin. My mother once said to me that when she reached a certain age she felt people forgot about her. It’s sad.

I can’t address dementia because I don’t have experience with it. I hope my mom will escape it in her remaining years.

I think about future generations and sincerely hope through research that there will be better ways to treat ALZ and dementia, also Parkinson’s. I hate seeing the commercial on television that says 50 percent of Parkinson’s patients have dementia. It’s concerning. I am grateful that mom’s Parkinson’s has progressed at a slower pace than many others.
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If he's not remembering to flush often enough it probably has overflowed in the past and likely will again. I think that this is likely just the very noticeable tip of the iceberg and on closer examination there will be other signs that he needs more supervision. Here are a couple of articles you may find helpful

https://www.agingcare.com/articles/holiday-visits-with-elderly-parents-136906.htm

https://www.agingcare.com/articles/signs-a-senior-needs-help-at-home-143228.htm
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He may now need 24/7 care.
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Disregard Shad's replies.
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