As dementia progresses to its final stages, individuals often experience significant cognitive and physical decline. This period is marked by severe cognitive impairment, where the person may lose the ability to communicate effectively, perform daily tasks, or even move independently. They may become increasingly dependent on caregivers for basic needs like eating, bathing, and using the bathroom.
During these final stages, people with dementia may exhibit restlessness, aggression, and increased vulnerability to illnesses or infections. They might also experience delusions and hallucinations, which can be distressing for both the individual and their family. Impaired swallowing becomes a common issue, leading to difficulties with eating and drinking.
Preparing for these final stages involves focusing on comfort and dignity rather than treatment. Palliative or hospice care can be invaluable in managing pain, supporting rest, and ensuring the person is surrounded by peace and compassion. Even when verbal communication fades, gentle touch, familiar music, and a calm voice can still offer deep comfort.
It’s important for families and caregivers to understand these changes and adapt their approach to provide the best possible care. This includes being patient, understanding, and supportive, even when the person may not seem to recognize or respond to their surroundings. Creating a peaceful environment and maintaining a routine can help reduce anxiety and agitation.
In the final days, signs that death is approaching may include rapid deterioration, loss of consciousness, irregular breathing, and cold hands or feet. It’s crucial to have a support system in place for both the individual with dementia and their loved ones during this challenging time.
