It would certainly to help me to know what their thoughts were to start with, but I also don't think that the person would be able to necessarily predict whether they were suffering or not, because they're not there. That person does change. It's a person whose whole personal, emotional and physical experience does change.
It's a terrible care state to be in. At that point, what do you do? The practicalities will be really difficult. When somebody's this far gone, using supportive end-of-life comfort care measures might be much easier to institute than actively getting medications into that person, who is often, as I said before, not even taking in their drugs anymore. They're not even eating much anymore.
I still think this is going to be a difficult situation. There will be some situations—I've had patients with dementia who've had MAID—that will be doable, but many, like this one, will be very difficult for everyone involved, for the family members, the caregivers and the providers.