Following another really bad TIA last week where mum was unresponsive for about an hour and could not talk for another hour after that, she has gone dramatically downhill. Incontinent at night, hardly drinking, taking ages to eat soft foods, sleeps most of the day, can hardly stand and really difficult to get her to interact. Does this mean the beginning of the end is here or do people go on like this for some time? Similar experiences would be most interesting for me to hear about please. Mum is 88 and her diagnosis is Alzhiemers and vascular dementia, diagnosed 3 years ago. She has been going downhill gradually but this is a massive step down. We have DNR in place and have agreed that we do not want to take her to hospital if it can be avoided i.e. want care in place at home when time comes.