Relatives typically observe changes before they know what to call them. Common red flags include:
- Rapid weight loss or sudden “dropping” in strength during the weeks after a medication change
- Confusion, sleepiness, or agitation that seems to worsen after meals or after staff report “low intake”
- Dry mouth, darker urine, urinary changes, or fewer bathroom trips
- Repeated infections or delayed recovery after illness
- Frequent falls or noticeable weakness related to dehydration risk
In many Kewanee-area households, caregiving responsibilities don’t pause—so families may notice that staff appear to be “moving on” after a resident refuses food or fluids instead of escalating care.


