The past few months she has become much more sedentary; she usually would walk, now not so much. She is on Seroquel and Buspirone for mood/behavior issues because she gets so agitated and excited. Very irritable. Now she is calm, smiles, but sleeps off and on in the recliner most days and through the night. She is incontinent now, rarely can go to the bathroom anymore. She struggles to feed herself, and doesn't say much. When she does talk, it's a few words but no real conversation. She is confused often, and when she tries to make a conversation these days she struggles with words and non words come out instead. Like her brain knows but she can't get it out right. She hasn't even gotten dressed out of nightgown and robe in about a week. Again, she is 93, with advanced (stage 6 I'm guessing?) vascular dementia. She was not this bad a month ago, and 2 months ago she was even a little better than last month. Seems like a pretty rapid decline to me. Also she was on those 2 pills now for 2 months so I don't think it's that. She has a cough, and she feels clammy at times but when I ask her if anything hurts she says she feels "fine". She drinks 2-3 cups of coffee a day, has a good breakfast, light dinner. and pie or a muffin. but it's tough to get her to drink water. Just wondering about hospice. It's depressing but I have to be prepared and really trying to keep her home. Thinking about pneumonia too... just don't know what to do, if anything, or let nature continue taking its course. She has a DNR in place and I am POA. Thoughts?