After speech is lost, how can we communicate effectively with an Alzheimer's patient?
Use clues and cues. For instance when it is time to eat, gesture eating and take her hand while beckoning her with the other hand. Showing her soap, a towel, and a bathrobe will help signal that it is time to bathe.
Also don't be surprised if she loses her understanding of English as her disease progresses and will only understand Italian. You may need to resort to holding cue cards written in Italian if you do not speak the language.