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In my friends' mother's situation, she was impaired by dementia, cardiac issues, bad knees and a previous stroke, and the second stroke was a pretty major one. The dementia added another layer to the physical one, complicating the care somewhat. It could well have been had she been able to communicate and understand what was being communicated to her, follow instructions and such, and been able to take an active role in her treatment, that she might have benefited from medical treatment, PT and OT, etc., since many people, as has been noted, do bounce back surprisingly well from a stroke. It was a sad situation all the way around.