Sleep schedules become disrupted. There may be more sleepiness during the day and wakefulness at night, or short, interrupted periods of rest. In some cases, intense dreams, vivid memories, or the sensation of seeing or sensing deceased people appear.
These experiences are often comforting for the person having them. Correcting or denying them can generate more distress. Listening, validating, and providing a calm environment helps navigate these moments with greater serenity.
5. Difficulty walking without apparent cause
Even without visible injuries, walking becomes unsteady. Steps are shorter and slower, and the fear of falling increases, even in familiar places.
Beyond the physical aspect, this change can symbolize a gradual disconnection from the material world. Adapting the environment and reducing the pressure to stay active is a form of care and respect.
6. Confusion and disorientation in familiar places
Moments of disorientation can occur even in people who have never had cognitive problems. The person may talk about “going home” referring to places from their childhood or confuse time and space.
This is not always dementia. Often it is an emotional journey toward memories that represent security and belonging. Instead of correcting them, it is better to offer support with gentle questions and attentive listening.
7. The “awakening” or clarity before the end
One of the most disconcerting signs is a brief period of lucidity and energy. The person seems to improve: they speak clearly, remember things, eat better, and want to see loved ones.
This phenomenon is not usually a recovery, but a final opportunity to say goodbye, to tie up loose ends, and to express affection. Understanding this allows us to deeply value this time without creating false expectations.
Tips and recommendations for supporting this stage
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