My mom never wanted to take her medications. Some of this was due to her paranoia however some days she would be fully focused and would express her humiliation and embarrassments of this disease. Now four years later she resides in memory care and more often than not she is in her own world. Other than the dementia her health is pretty good for an 84 year old. Recently upon reviewing moms care plan with the staff it was mentioned that occasionally mom would strongly flat out refuse her medications. So in light of her medical directive which refuses any life sustaining efforts did I want them to continue the dementia medications Galantamine and Namenda. I am so torn by this decision part of me feels it is wrong to not give her the meds on the other hand I remember how she felt so humiliated during her earlier stages. I know if she were able to see how her life is lived now or herself she would not like it. At this point are the meds only prolonging her misery? Is she really getting any benefit from taking the medication?