My mother in law has advanced dementia. Up until a week ago she was fairly mobile (starting to be really slow) feeding herself (that was getting slower too and a lot more spills) and using the bathroom generally unassisted (just starting to have come incontinence issues with urine) She can speak still but rarely makes sense and often repeats same word over and over) So can’t really communicate her needs or pain and with in the last month or so has become more agitated and aggressive in general. She lives in her own home with 24/7 care but luckily my husband and I are only 5 minutes away so we can pop in as often as possible and come over quickly if assistance is needed. Last week we received a call from her caregiver that she couldn’t get my mother in law off the couch. My husband and I come over and are able to assist her and get her up and to bed. The next day I receive another call and this time they are unable to get her out of bed. I come over and I can’t get her up either, I can tell there’s something going on she’s in pain this time. Called 911 and long story short ended up in the hospital for 4 days with Diverticulitis. While in the hospital PT comes by daily for physical therapy and only once can we get her out of bed for a couple of steps. She’s now been fully incontient (both urine and poo) and is agitated when you have to change her and will yell and try to slap. She can’t barely feed herself and is eating very little even with assistance. She is also refusing to even try the PT. She was already on Ativan as needed prior to this and the hospital doctor now has also started her on Seraquel. We had to move her over to a skilled nursing facility but even here she is refusing to try to walk and giving issues while changing and starting to try and refuse her medications too now. We are at a loss, I know that generally with every medical issue or environment change that you can see set backs or a faster progression of the disease. But a week ago she was doing all these things and it’s like a flip was switched and she’s just done. And she’s a strong willed person and if she doesn’t want to do what you want her to do she’s not going to it. Has anyone seen such a quick change in demeanor and abilities like this? It’s not like she’s had a stroke or something to explain it, they think she has the strength to walk still but just doesn’t want to. Any feed back or tips or anything would be so appreciated.