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Today she seems extra confused and talks "gibberish". I am with her almost all the time - even sleep in the same room with her. I didn't put on her Exelon patch for several days (she complains that they itch) could this be the reason?

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Put it back on for several days and see if there is improvement.

If the patch makes that much difference, you and she may have to choose between the itch and the communication problems. Also discuss with her doctor any alternatives to the patch.
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