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I'd agree with Pam to have a home nurse checkup. She could probably also draw blood for the prescribing doctor to interpret. She might be anemic.

Do you have anything like a BP machine to check that as well as her heart rate? And in conjunction with the latter, when's the last time her pacer was checked?

Another issue is what has she eaten for the last few days? I've learned from this Forum that seniors seem to enjoy sweets and high sugar foods, even if they can cause sugar and energy crashes. Sugary foods certainly do that to me.

If she had some high sugar foods yesterday or yesterday evening, it wouldn't surprise me that she doesn't have much energy today.

So there are some physical issues to get checked first.

I've had limited experience with older people's deaths but one thing I have noticed in some is the skeletal shrinkage. It's quite noticeable, especially in the skull and upper chest areas. But I haven't seen this in everyone who's in a terminal stage, just Easter Europeans. And I'm not drawing any conclusions here - just making a limited observation.
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LastOne, you sound like a very loving daughter. I do wonder why you have fears of not doing a good job. It sounds like you are very attentive. I do have sympathy for you as your mom's condition declines. At 96 years, she has lived a long life. I would try to remind myself of this. Still, I bet the pain is incredible. I do hope you can find comfort in some things.

Plus, she's home with family. That's pretty incredible. Others must admire you for your what you've done. I would try to focus on what I know and that I did the right thing in my mind. Then try to find peace with that. Reading comments on sites like this is helpful, IMO. Private counseling or church services helps others. Take care of yourself.
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It won't hurt to ask her MD to send a visiting nurse to check on her. It won't hurt to check her heart rate, BP, O2 levels at home with simple equipment from a drugstore. I know being able to check these often made me feel better.
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