The consultant visited Mam on Friday and rang me after her visit. The consultant said my Mam's deterioration was so dramatic that she thought the carers had shown her to the wrong person. She is now in the advanced state of dementia and is looking very frail. She asked me and Barbara to consider drawing up an "end of life" agreement and after talking about it we agreed it would be a sensible thing to do. I visited her today and she seemed a little better, but she seemed unable to hold her head upright and when she stood up her head and shoulders were almost bent to 90 degrees to the rest of her body. She looks very tired and weak.