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She lives with us and we don’t want to put her in a home. Later stage of dementia.

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It could mean she has a UTI. Hallucinations are a common symptom. You could do an AZO test at home for starters, but a culture done at the Dr or urgent care will give you a definite answer.
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Hallucination are not unusual. If they scare her there are meds. If not then just go along with it. Dual conversations too r normal.
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My dad has vascular dementia and he has had hallucinations for over three years.
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