An elder falls, suffers an injury. That person often changes. The mind changes. We all now change along with this life altering journey. Freedom changes. Self worth changes. Perceptions of reality, hard enough to define under normal circumstances, really change. Nothing, short of death, is more painful to watch as their mind wrinkles, crumples, tears in the aftermath of physical damage. Like some imperceptible leak, the loved one you knew drains away, by the drop.