I have only been posting for a few months in that time both of my parents have declined significantly. My husband and I have left our home 160 miles away to look after them. Carers etc weren't well tolerated in the beginning so it was so difficult to cope with them from a distance. Although they both have Alzheimers Dad also has vascular dementia. We tried hard to cope with them at home but 5 weeks ago Dad went into respite in a Care Home with a Dementia Unit. They have been together for 68 years then suddenly they couldn't cope with one another. Mum shouted at a Dad and upset him, she got fed up with his confusion. Dad sometimes had no idea who she was . The sundowning effect was very florid and from early evening through to the early hours he was agitated, he could be a little aggressive and wouldn't tolerate my husband.He was constantly waking her up and sometimes all hell broke loose. Although it was heartbreaking to have to split them up, they both seemed to not miss one another,both in their own worlds. What I didn't appreciate was that although a lot of Care Home have a Dementia Unit, they don't necessarily cope with difficult if not challenging behaviour. This is our experience and my poor Dad has to be moved now into what I call an EMI Unit after a his behaviour suddenly deteriorated. Tonight my husband called into the Unit and Dad was crawling along the corridor on his hands and knees. The Carers cope really well with him but he seems now at a much more advanced stage of illness than all the others. My mother also is declining physically and her weight is just falling away. She feels sick most of the time and she just doesn't want to eat, she is 94 and she has told me that she is dying, and surely she is. I can nurse her and just hope that I have the fortitude to keep her at home. I have posted this tonight because I just feel that I am loosing my parents, bit by bit, to this most awful disease....I know that I have done the best I can.