My 76 year old mother had lived independently with success until March. She developed pneumonia and was diagnosed with it in early June. She was fatigued and began to slowly withdrawl. In early July, she fractured her femur which resulted in a hospital stay. When she entered the hospital, her cognitive ability changed very quickly. She was confused about everything: where she was, why she was there, and who I was. An additional dignosis in the hospital revealed stage 4 lung cancer which had spread to the brain, where they found a lesion on a scan. There was also speculation it had spread to the bone, which was why the fracture occured. I knew her health was declining but this was all a shock to me and my sisters. It was advised that she enter a rehab to gain some sort of independence, even if it was to transfer to a chair or use the bathroom. She has been there almost three weeks and her cognition has decreased dramatically. The oncologist perscribed a steroid to help reduce the swelling of the brain lesion and increase cognition. She is confused, cannot hold a full conversation with me without being off topic and at times sees things that are not there. Sometimes these things frighten her with intensity. I am able to do window visits at the facility and go twice a day to talk to her on the phone through the window. She has also lost 15 pounds since being admitted into the hospital in July and eats about 25-30% of each meal. Prior to hospitilization, I saw my mom every day for several hours. We would share dinner together and talk about the day. She is my best friend and I am heartbroken at this sudden change of lifestyle for her and myself. It has been heartbreaking for me. The plan for her after rehab is to come back to her home for pallative care. The pallative nurse advised me she will need 24 hour care. I have a sister who can assist me with care. I don't know what to expect and am fearful of failing in some way. Two years ago, my father passed away from Alzheimers at home in hospice, and two months after that my sister passed away from gliblastoma. My mom was the primary care giver for both in her home. My sisters and I assisted. The whole experience was honestly traumatizing for my family. I am doing my best to be prepared, accept the decisions I have made regarding my mom's care knowing I am making them with the best intentions for her, and trying to take time for self care. The onset of the confusion has been devastating for me because my mom and I have always been such a part of each others lives. Sharing laughs, asking for advice, watching new shows and getting gardening tips are what I miss most right now. I don't want my mom to experience any prolonged suffering and just want her to be comfortable. She has cared for others her entire life and is a stage 4 lymphoma survivor. Thank you for allowing me to express my feelings.