Mom is 92 yrs old and she has congestive heart failure (ejection fraction 20%), COPD, and fronto-temporal dementia. This weekend she took a huge cognitive decline. Sometime during the night on Saturday, she took off her Depends undergarment and defecated on the floor of her bedroom in three different spots. And by that I mean she squat down and just went in her room. She did it again in our kitchen, then failed to even wipe herself, so when I found her she was wrapped in her robe and covered in fecal matter all over her rear and back. It was all over her bed, her recliner, etc. I got her into the bathroom and as I was turning on the shower, she peed on the floor while she was standing there, and it didn't even register with her that she had just messed on the floor. After getting her cleaned up, she was agitated and angry that we were making such a fuss about cleaning her room. This morning, at 3 am, she managed to turn on the television set (again, while we were asleep), and then thought it was a window. She thought the people on the tv (newscasters) were talking to her through the window and telling her that me, my husband, and our kids were missing or something to that effect. She became hysterical and started screaming out all our names and wandering around the dining room sobbing. She woke the whole house up - me, my husband, our kids (oldest is 10). And quite frankly, she scared the crap out of our children. Should we be calling an ambulance when these things happen? I know these are dementia symptoms but have no idea if a hospital would accept her when these things escalate. Yes, we're in the process of getting her into a memory care unit. But it's going to take time. In the meantime, when things escalate is there anything a hospital can do for her or are we on our own?