I've seen it all with my mom's dementia. She is in the end stage but has many other physical problems-bedridden, broken bones, incontinent, bedsores, uti's, cannot even reposition herself in bed, etc. Hospice has not yet caught up with Alz/Dementia since the criteria is so strict for eligibility. I am struggling with that now. But (and moderator and fellow caregivers) I'm not advocating this but just sharing what I've learned. Dementia patients often cannot verbalize pain. When I went to see mom yesterday morning, she was asleep, and grimacing, crying in pain. I asked the nurse to look at her and give her something. They gave her morphine drops under her tongue which helped. Here in the US, it is rough. She was set to be discharged today with no help or stay there at $300 per day plus supplies. Much to my surprise, I learned later that the fact they gave her morphine 'bought' another 72 hours of Medicare. In NO way did I plan this. My poor dying mom was in pain but the extra 3 days gives me time to figure out what in the world I am to do. Just sharing.