I know the MMSE is very much about how someone is on the day (or even the time of that day) but I remember stumbling on some "average annual decline" statistics when I was desperately searching for info a while ago (in the days before I discovered that the most useful info for carers is to be found on TP). Mum's has fallen by 20 in the last 11 months. She supposedly has mixed AD/VD. Don't remember the exact stats but a fall of 20 was certainly massively above "average" for either AD or VD. Thinking about the decline in her "activities of daily living" etc makes me cry so will distract myself by trying to succeed at something, even if only winning the MMSE booby prize. Can anyone beat a decline of 20 points?