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Any thoughts as to why cognition can be relatively good for days and then tubes?

You have posted under Alzheimer's. Is that the type of dementia your loved one is diagnosed with.
Fluctuation are more common to some types of dementia than to others. My brother suffered with Lewy's dementia, and the fluctuations were profound. One day quite out of it with many hallucinations and another day almost perfect. That is common to Lewy's I learned, it being a type of dementia in which the trajectory is up, down and sideways, whereas in Alzheimer's it tend to trend downward, sometime with stairstep of stability.

It's all quite impossible to predict, but the more information you have the more it may help you. One thing I do know, and particularly with any of the dementias that have a sort of anger or acting out component, is that anxiety is a trigger that is BOUND to worsen a day. The more calm and steady and predictable things are, the better for the person involved.

Wish I had more. I always say "expect the unexpected".
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Reply to AlvaDeer
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It's called the "joys" of dementia. Welcome to it.
It's not unusual for someone with dementia to be able to "showtime" for a good while until they can't any longer, and then the truth comes out about how they really are.
There is nothing "normal" about dementia, and if you've met one person with dementia, you've met just one person with dementia. Everyone is different.
The best thing you can do at this point is educate yourself more about this horrific disease, so you will be better prepared for what the future holds.
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Reply to funkygrandma59
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In particular, Lewy Body Dementia can be like that, early to mid stages .
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Reply to waytomisery
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