Hi,
I think she has multiple problems which probably stem from the strokes.
You have mentioned that
dementia started after stroke. So first and foremost I think it would be better to consider this as post-stroke dementia or multi-infarct dementia, and not Alzheimer's disease.
As for the movement problems, this can be stroke related as well. The difficulty in getting out of bed could well be
stiffness resulting after the stroke.
Similarly, her tremors could possibly be
vascular Parkinsonism. I would need the details of the treatment that she's on. But I would recommend a repeat
MRI BRAIN scan. This may be followed by a PET scan.
If it is indeed found to be due to further multiple small strokes, the medications need to be added and modified. Along with
physiotherapy.
If however, she doesn't have the multiinfarct state the PET will help confirm the type of dementia. Many centres are into different stages of study with use of PET. Enrolling her in one of the centres may help her further.
Hope I have answered your query. Let me know if I can assist you further.