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She is downright mean, and violent. My question is whether there is a correlation between this mental deterioration and pending death or if there is little relation. Physically she is feeble, but mostly fine. She requires so much time and effort from our family and she was once so regal and beautiful that this process seems cruel. I just hate to see her this way. Not wishing her to pass, but trying to understand what to expect?

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Get her to a geriatric psychiatrist or behavioral neurologist for an evaluation of her behaviors. There are meds that can help with some symptoms.

Also, know that the sudden onset of behaviors can be the sole symptom of a Urinary Tract Infection. Get her tested for that asap!
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