I've got a similar situation with my 14 year old Maltese. She doesn't seem to know where she is at times. One minute she can hear our voice and respond to it, then the next minute it is like she is deaf. She will even pee inside on the floor (not often, but it happens).
My sister had a rough coated collie that lived to be 14, and her dementia got really, really bad. The poor dog was in such mental distress all the time, and I think they made her hang on much too long. It was very difficult to watch. I do not want to put my dog through that. It is hard to know what is best for them.
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