How is dementia of foreigners dealt with in Thailand?

Frans asks for answers from practice, but does not give any information why he is asking this. Well, in practice: there is no government shelter and in Thaikand it is everyone for themselves, so you are dependent on loved ones. What those decisions may differ, but the common Thai practice is that if it concerns family, care is taken at home until the end. Never heard or read of returning to the Netherlands, so yes that will be the practice that this usually does not happen. When we talk about dementia, you can also expand the group to alcoholics-to-their-death with the associated decline that resembles dementia; I see examples of this in Thailand.

As Ger wrote, if dementia is manifest, then you depend on your loved ones. Can an arrangement be made for visa extension, banking, health insurance, etc. I really wouldn't know.
Perhaps there are blog members who have experienced something like this up close and can lift a corner of that veil. Dementia appears to be an insidious disease from bad to worse, if this happens to you, to what extent are you still mentally competent to decide to return to the home country. Even if you are perfectly healthy, returning is sometimes difficult, because the ships there have been burned, let alone in such a situation with the syndrome of dementia. It is not mathematics, so an unequivocal answer is impossible, a decision will have to be made per situation, depending on the progressive clinical picture, often by others…

Hans van Mourik says.
Here in Changmai, you also have a nursing home.
Been 2 years ago, tour + information.
Dementia complete care separate building, with camera surveillance if the patient is present in the room, all doors close.
If the patient wants to go to recreation, all doors can also close there.
Costs then 43000 Th.B.P/M room and board.
Western breakfast in the morning, choice of Western lunch, also in the evening.
they go somewhere voluntarily once a week, sometimes for a walk.
Visa against payment is arranged for you, they keep track of it.
Pay for diaper medicines yourself.
Hans van Mourik

I once read that in dementia language skills decrease to only the mother tongue. For many of the readers here, that will be Dutch/Flemish.

Is there no communication at all if you are used to speaking Thai or English with the partner? It is already difficult for people with dementia who occasionally have a clear moment to say something. And will that be zero?

And does it matter where I am?

To return to the question: I think Ger is right. The family has to take care of the reception and care, but also the paperwork. So arrange everything in time and signal a reliable friend to arrange it with the partner if you are no longer able to do that yourself.

In Mae Rim (located about 20 km from Chiang Mai) a former resort has been converted into a care resort for people with dementia. They can live here with their partner. The name is Away. There is also a geriatric hospital in Chiang Mai. Perhaps they can help you further.

A while ago I saw a program on German TV about a house, aimed at Swiss dementia / Alzheimer's sufferers, somewhere around ChMai (maybe what HvM calls it) where they have a much better (read: Thai personal) home at a much lower cost. received care.

I've been there 3x, of which 1 x with good knowledge I call him Jan 1 leg.
The manager is a woman from California (San Franciso).
I also told her that I had Google translate the folders I received from her into Dutch.
When she saw it she wanted to make a copy of it, of course handed over.
The site consists of 4 buildings.
!) recreation room.
2) People who want to need temporary care Ongoing patient,
or for sure, but can reasonably save themselves.
3) building for people who have had an attack 24. hour care.
4) People who are demented or Alzheimer's (don't know the difference).
There is also a state hospital right on the large grounds, I also visited her.
What struck me were only foreign patients..
I talked to her about it, if something is wrong with me, I want to go to the RAM because I have a ZKV, that's possible, but most people go here because of the price.
Why did I do this, because my family has dementia and knows what it is.
For those who are interested, here's the website.
http://www.mckean.or.th/?page_id=10
Hans van Mourik

Elderly people staying in TH would do well to take a look at their family history of illness. If close relatives (brothers/sisters) and/or uncles/aunts/nephews/nieces a little further away suffer from dementia (or any other disease or disorder), then it can be safely assumed that you are more sensible to that ailment/disease/condition as well. going to develop. Of course: all instinctive, but not unreliable.
My advice is therefore: if you find yourself in such a situation, make good agreements with your TH partner, put those agreements on paper if necessary, inform a good acquaintance/friend, etc.
Do not forget to authorize someone to arrange your banking affairs if necessary. Or: switch to an en/or bank on your TH partner, for example, so that she/he can continue (internet) banking. Or: make sure in advance that the SVB and pension fund pay all the benefits into a TH and/or bank account each month.
The TH Immigration is the last one that will not cooperate: if a person with dementia cannot/will not go to their office, they will come home to arrange the paperwork. As long as someone meets the conditions, there is no problem. So make sure there are no obstacles in this area in the long term.