I'm new to posting on the forum but have been reading posts regularly for sometime and its provided so much support when I didn't know where to turn. My mum is only 72 but has had vascular dementia for many years following cervical cancer when she was 59. I've been her main carer for a number of years giving up work to be with her as she's my best friend. Mum has a number of health issues including chronic infected leg ulcers on both legs, heart failure, diabetes and the dementia. She has spent the majority of this year in hospital but to infected leg ulcers. During her recent admission she developed C-diff infection and things went down hill. She is now clear of c-diff but remains in our little local cottage hospital. Since a week last Sunday she has taken a dramatic downturn. She has not eaten anything and has only been taking sips of drinks until today when she would not drink at all. She sleeps most of the time and is hard to wake. Over the past week her speech has got worse and today she can barely speak. She was a very large lady and five weeks ago was 22 stone. She's now 17 stone. How do you know when it is approaching the end? Do people recover from this? They wanted to give her a feeding tube but my mum had previously done an advanced decision so no artificial hydration or nourishment. Its her wish to be natural. I'm not sure what happens next? Can anyone share experiences? Its breaking my heart seeing my mum suffer for so long. She is a tough cookie and very strong lady but she's had enough and now needs to be at peace. How long can this last? I'm trying to prepare myself in the best way i can do. Advice greatly appreciated x