My grandfather has reached the end stage of copd.. I was wondering what exctly does this mean? Also he keeps going through these dementcia like stages.. every couple of months or so he will go for a few days were he some what doesn't know people and talks a lot of crazy stuff mostly about his past. He will lay in his hopital bed and act like he is playing baseball with his sons and he hasn't played base ball in over 40 yrs. He also twitches and acts as if he is going into sesiures. He always comes out of these spells OK and realises he lost a few days but every time it takes longer for him to stop acting this way. Does this have anything to do with endstage copd and will he edventually be this way permantly?