My mom has bi polar disorder and experienced a relapse summer 2014 after 5 years of stability. She is 81. This happened six mos. after my dad died where she began having panic attacks and depression came back. In the past her depression caused memory loss. The last episode of depression lasted 2 years. She made a full recovery in 2009. Over the last 8 mos. she has been in rehab and now long term care at a nursing home. She has off and on confusion but still knows who we are. Last December she was diagnosed with dementia. I struggled with accepting it because she had similar symptoms in the past that were caused by psychosis. In the past month she has experienced problems swallowing food. She reaches for it but holds it in her mouth. It is pureed. She also has had to be placed in a wheelchair. She is practically skin and bone now. She has an advanced directive to prolong life. I have POA. The doctor has advised me not to take extraordinary measures to prolong her life because of end stage dementia. I am struggling with making a decision regarding a feeding tube.