During the past 2 months or so Pauline’s mobility has declined and back pain increased substantially; so much so she is terrified of going out alone. We have tried a walking stick which helped for a while but became clear she needed a Rollator walker and so arranged a visit to GP and got referral for an X-ray as GP suspected Osteoporosis of the upper spine and requested a referral for ‘At home’ physio assessment . Today the verdict was an extension of the severe osteoarthritis she has in hips and lower spine and not a lot can be done except pain relief and yes, a referral as requested. Couple with the ever increasing affects of Alzheimer’s quality of life for her a very low ebb. her 3 sons and 2 spouses looked sympathetic and expressed regret but not one has ever ever asked if I need help nor offered it. Wonder what they would do If I wasn’t around for her?