- Take shorter, slower steps
- Be scared of falling even in their home
- Require a higher level of support or assistance
These physical changes are not just related to muscle weakness at the peripheral level, but rather reflect differences in the body’s ability to maintain balance and coordination as blood flow and nerve function diminish.
Caregivers can also try to modify the living environment and walk along with the person to offer balance support as needed.
Also, limiting the time spent doing activities and taking breaks can help avoid injuries and calm fears related to mobility.
6. Confusion and Disorientation in Familiar Places
Confusion and derealization are frequent symptoms that start to manifest as the body and mind begin moving toward the end of life. This can manifest as:
- Moments of disorientation about time, place or people
- Mistaking certain familiar places with ones from the past
- Refer to “going home” in the context of previous life locations
- Transient confusion
This is not necessarily a sign of dementia, although dementia may also be present. On the contrary, it might be a result of metabolic changes, reduced flow of oxygen to the brain, or just a natural cognitive transition as the body gets ready for the end.
Medical literature states that changes in the consciousness and fluctuating levels of awareness are typical even if the person doesn’t experience any cognitive failure.
7. The “Final Clarity” — Terminal Lucidity
Among the most intriguing and perplexing patterns is a short burst of clarity or energy that can take place hours or days before death. This phenomenon, also referred to as terminal lucidity, has been documented in individuals who were disoriented, non-communicative, or suffering from cognitive decline.
During terminal lucidity, a person may:
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