My mom lives in AL & has vascular dementia, I think. She has all but stopped eating & drinking. She's lost 20 pounds in about 3 months. She thinks I'm her sister. Has trouble speaking due to word-finding problems. I had her evaluated for hospice care about 3 months ago, but she did not meet criteria because she was getting PT. She was re-evaluated last week & I was told again that she did not meet criteria. She still gets PT (for what purpose I don't know), so I know that disqualifies her. But I was also told that, even with dementia, she can "still make her wants & needs known" so that too disqualifies her. I had never heard of this! Her MD is hard to work with, but I can't get her to a new MD until December! At this rate, she may not make it to Christmas. Conventional advice says don't wait too long too long to get hospice involved, but I can't seem to get them involved! I can discontinue the PT (she hates it anyway), but what do I do about communication? Apparently since she has no PHYSICAL terminal illness, she doesn't qualify. Please provide some insight if you can.