Hi neuro Nurses! I'm an Ltc/hospice LPN wondering if you please could shead some light as to what's going on & give pointers with ischemic strokes, since I'm not an expert?My 95 year old grandmother had one this past August. To try to make a long story short, she has been in the hospital since late August in neuro icu & is currently still there in a step down.It has been a steady decline in her condition between earlier in admission she would have normal stroke periods of lots of deep sleep & random energy bursts of being awake & eating. Around Labor Day weekend this pattern has stopped & she went into coma like state, pain stimuli didn't work. She stopped eating & anything near her mouth including a wet sponge she will lock her mouth tight. At this point, the doctor d/c all her reg meds, which were mainly for a-fib & htn.From that point on, a palliative doc overtook her care. About three weeks ago she started to show the classic s&s of actively dying & her pupils are dilated & non reactive, so we think she could have had another stroke? She was put on morphine/Ativan for discomfort/ rapid breathing. During these last 3 weeks her respiration's have been all over the place. The lowest being 2-4,4-6 next day back to 10-12?! No, I'm not joking on that one.Sorry so long folks, I'm just very confused as to what's going with my grandma. I guess it bothers me that she is lingering in an unpleasant state. It has been very difficult for my mom.