My cousin, my mother and I have been keeping a bedside vigil with my aunt every night this week. It was a very difficult decision whether to take her to the hospital or not. Her doctor and NP advised against it, saying even if we "fixed" her this time, she'd be back in the same predicament in a week, as she'd been having lots of these "episodes" over the past month; that this was how the end stage of Alzheimer's presents itself. Unfortunately, it all went down on a weekend and there wasn't a lot of support around for my cousin, who really bore the brunt of the finality of all these decisions. There were also miscommunications so that basically, he had no "official support" from the nursing home until Tues, short of the doc/NP over the phone, and the floor staff who were reluctant to tell us anything, give their opinion, etc.
Annoyed and desperate for help, I went online Tues morning and found the one thing that helped us a lot to be comfortable with the decisions we'd made, which was basically to let her die in peace; that "extraordinary efforts" at this point would prolong her dying, not her living. (Read it
here if you like.) We'd also finally gotten in touch with the Social Work dept (we'd left messages for her main SW Monday but he was on vacation unbeknownst to us) and they got Hospice involved. My cousin's priest friend agreed with our course of action and gave his blessing, which helped, and came in and gave my aunt Last Rites. Uggh. So by Tues night, it was sit and wait - for a person who has a very strong body - to die. Very hard for my cousin, who's never had to do anything like that (his father died suddenly). He was still second guessing himself till the end, though he knows in his heart it was the right thing. Just very hard when it's your mother.
She passed away peacefully at 11pm last night. We stayed until the funeral director came to take her body, and at that point my cousin wanted to leave, so we did. (Kind of comically) we got outside and the hearse was blocking my car in so my mother and I not only had to stay to see her being put into the hearse, it was in front of us on the road for quite a while too. The best thing about that (and a little God Wink, maybe?) was that the theme song from Rocky, Gonna Fly Now, was playing on my radio as I followed behind her, and to me, it made a lot of sense.
I am glad she's at peace, finally.

What a horrible disease.