My wife is in year seven of her dementia journey and has been in a nursing home for the past five months. She is now totally immobile and has to be fed. She has lost weight quite dramatically and seems very frail and tired. Mostly she is in bed when I visit. Over the past 10 days she has begun to refuse food. The professionals at the nursing home say she's had enough and really does not want to do anything except sleep. They say she is more comfortable in bed than in a chair in the lounge. From experience I know that once you stop eating you will not survive longer than three weeks, generally. However, some days she will eat something, not much, maybe a yogurt, some chocolate and take a supplement drink. Hence some days she is brighter and on a bad day I wonder if she will make it through the night. Is it always like this towards the end? I've learnt to take each day as it comes but are these final moments always so irregular and unpredictable? Relatives and friends ask should I come now and all I can do is say I simply don't know.