My mom has declined rapidly over the last week. She has dementia. She moves only her arms in slow movements like she reaching. When I ask her questions or talk to her she moves her mouth and sometimes she will mumble or moan. Sometimes she will just moan so I think she may be having pain. I give her morphine and lorazepam. I also place an ABHR suppository if she is overly agitated. She is pretty uncommunicative. Her eyes open in slits now. She has her head pitched back at what I would consider an uncomfortable position with her mouth open. Her breathing is shallow and rapid. She was drinking from a straw until yesterday. I have started offering her water on swabs the hospice nurse gave us. She will suck on them. It seems she is thirsty. She has stopped eating and not taking her protein shakes. This is my first experience up close and personal caring for a dying person. Are these things to be expected? How do I truly know if needs something since she is no longer communicating. I’m not sure what I’m doing here.