Rally has faded

Not to be unexpected it looks like our rally has faded completely. Boy her chin is locked on her chest and the muscles seems very ridged. It's not clear is she is having any pain with this condition. I know it is very difficult for her to get into a comfortable position when sitting or laying down. Today, her awareness was extremely low and strength was way down. She had some gibberish, but not understandable. I did change her once today as she was wet and the amount of muscle loss is becoming quite obvious from a year ago. She was able to smile and laugh some, but her condition is currently very weakened from even a month ago.