Sadly, my live-in mother-in-law's dementia is getting worse.

[RockRaven]

4. As my grandmother got less capable (and was at the live-in stage, but before home-nurse-help stage)

we were in a position where someone was helping her get her meals anyway (her arthritis was so debilitating she could not fix a meal on her own), so we just made giving her the meds part of the breakfast/lunch/dinner routine. Between that plus bedtime, which was earlier for her than other people in the household, we were able to supervise her med taking without too much friction. There was an adjustment period, of course, but there was a part of her which recognized she couldn't do it herself anymore.

If she fixes and eats her meals independently, or has meds which must be taken on an empty stomach then this doesn't apply... but for us, taking the relevant parition of the pills from the pill box and putting them next to her place setting/meal worked for us, and anyone in the family could do it because the main care-giver in the family set the pill box up each week.