I used to do ‘live in care’ of palliative or dementia patients. The last package I ever did was a very wealthy family in the Lake District - the mum was in her early 50’s and had terrible early onset Alzheimer’s disease. It was so bad she hadn’t spoken in a few years and would just scream or make guttural noises while charging around the house. One morning I was walking her down the stairs and she stopped, turned and looked me right in the eye and said “My life is over”. She then turned away from me and started down the stairs again. She never said another word for the next 3 years before she died. Absolutely freaked me out when she said it!