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You believe she has Lewy Body dementia and the doctors say it would not make a difference in her meds if you know for sure.
I disagree.
It may not make a difference with the medications she is currently taking. But Lewy Body is one where a diagnosis is important because if she does have LBD there are certain medications that she should not take as they can be dangerous for her. For this reason alone I think getting an accurate diagnosis is important. (and I am one not to want to put someone through testing if it is not necessary.)
As far as the not being able to put together a sentence.
My Husband was diagnosed with Alzheimer's but I suspect he also had Vascular dementia. (did not want to put him through testing to be sure)
He was pretty much non verbal the last 6 to 8 years of his life. He may have occasionally said a word her or there but never a sentence.
I think, again not an expert, it was just the part of his brain that was damaged by the dementia(s).
As far as eating...he always had a good appetite and that did not change until about the last month of his life. Although he did not eat as much as he did previously I did not have a problem getting him to eat. And the last few months he had to be fed. (pureed foods and thickened liquids) But it also took him much longer to eat before he would stop.
Each person is different. Each brain is effected differently.
I suggest you read this 33 of booklet online about managing dementia and what to expect with an elder who's been diagnosed with it.
Understanding the Dementia Experience, by Jennifer Ghent-Fuller
https://www.smashwords.com/books/view/210580
Jennifer is a nurse who worked for many years as an educator and counsellor for people with dementia and their families, as well as others in caring roles. She addresses the emotional and grief issues in the contexts in which they arise for families living with dementia. The reviews for her books are phenomenal b/c they are written in plain English & very easy to read/understand. Her writings have been VERY helpful for me.
The full copy of her book is available here:
https://www.amazon.com/Thoughtful-Dementia-Care-Understanding-Experience/dp/B09WN439CC/ref=sr_1_2?crid=2E7WWE9X5UFXR&keywords=jennifer+ghent+fuller+books&qid=1657468364&sprefix=jennifer+ghent%2Caps%2C631&sr=8-2
Wishing you the best of luck with a difficult situation.
Everything you mention is Dementia based.
Unfortunately, there are few if any happy answers to questions about dementia.
It is not unusual for patients to lose their ability to communicate, and as her condition progresses you may become aware that she is losing even more of her current skills.
It is very important FOR YOU as the caregiving spouse to arrange for as much respite time FOR YOURSELF as possible, because in-home caregiving can quickly become VERY DIFFICULT to manage as patient needs progress.
Even small breaks through the day can help you.
You are welcome here. Come often.