I had a stroke patient who lost all ability to communicate and move, but who was otherwise cognitively pretty intact. The nursing home had a two month turnover so the staff constantly changed with very little training, and the notes on the nursing software didn't mention any of her preferences so the new staff would have to relearn everything by trial and error.
This patient could only communicate by becoming increasingly frustrated until she cried, and then she'd be inconsolable for hours. It was a perfect hell where she was totally dependent on others for every single thing and yet could never get the help she needed consistently.
I want that for John Fetterman. Stroke #2, you lock him in and throw away the key. I want him to have no mouth and an endless need to scream.