She is 95 with no major health issues. Can only see fuzzy images and almost no hearing. She seems to have age-related dementia. Can still walk on walker, very carefully but cannot do anything in the kitchen or cleaning, etc. Bathrooms and eats on her own and that's about it. But it's the communication. This morning she asked if she could have something to eat, her stomach felt sick. When I tried to clarify how her stomach felt sick (so I would have a better idea what to get for her), she could not tell me. She kept referring to the BM she just had and thought if she ate would make her feel better. I asked if she had diarrhea and eventually said no after giving me a puzzled look. I asked if she felt like throwing up. No. I asked if she was nauseous. No. So I said, so you aren't sick to your stomach, you are hungry? She said yes, I guess so. But I'm not certain she ever understood what I was trying to find out, or why I needed to know. I just gave her some toast hoping it would do the job. There is no money for outside caregivers and no other family. She comes completely UNGLUED when any thought of a NH comes up. I am trying to keep her at home even though I feel she would be so a great deal happier in a NH. With me, she is alone so much. I am gone from the house on occasion up to 5 hours. But when I am home, I have to stay in my bedroom for tv or reading as I cannot tolerate the temperature in the den nor the level of the sound of the tv that is comfortable for her. In a NH there would be people and activities, etc. But now it is the difficulty communicating. This isn't the first time something like this has happened. Maybe I'm making a mountain out of a mole hill but how can I take care of her if we can't communicate and how in the world can she possibly be happy?