I haven't posted for sometime as have been looking after my Mom in England for a couple of months but now back in Canada. My question is she has come down with a bad chest infection and doctor has been twice and care is in and out each day and they are concerned as well but she will not cough to get up the stuff up. Its as if shes forgotten how to do this too. So I am coughing on the phone to tell her how to do it but she doesn't really get what to do now. Her CT scan has showed lots of vascular changes to her brain and also a stroke in the past, so we had a confirmed diagosis of vcascular dementia, she also has fluid on her lungs from end stage congestive heart failure so things are not good. Does anyone have a reminder cue or a special word they have used to get her to cough. I can hear the wheeze on the phone. Care can too when they are with her . She is propped up in bed. Doctor will come again to day as he is concerned about pneumonia. I am so worried but she is just not really aware she has to cough to help herself or what is in her lungs. She is not eating saying 'I am all full with my throat now" Or 'I can't swallow my throat is full' Sooty