Do dementia patients know they are dying? and What are the dying signs of dementia patients?

July 4, 2024 - Reading time: 13 minutes

What are the dying signs of dementia patients, or how do you know the dementia patient is dying?

Dementia is a complex condition that affects millions of people worldwide, causing significant changes in memory, thinking, and behaviour. One aspect of cognition that remains unclear is whether patients with dementia know they are dying. However, for dementia patients, the dying signs are emotionally challenging. Most observe dying signs such as:

  • Decreased appetite
  • Unusually large and watery bowel movements
  • Difficulty swallowing
  • Dehydration
  • Increased sleepiness
  • Reduced communication
  • Withdrawal from surroundings
  • Changes in breathing patterns
  • Restlessness
  • Frequent falls and infections
  • Decline in overall physical and cognitive function


Dying signs can vary and are not universal for all dementia patients, but they can indicate that the person with dementia is approaching the final stages of their illness or death.

Care in the last days of life with dementia

When caring for individuals with dementia, recognising signs of impending death can be challenging and sensitive. It's important to approach the topic with professionalism and empathy. Although it may be challenging to determine whether a dementia patient is aware that they will pass away soon, as a professional caregiver, it is essential to remain vigilant and provide compassionate care for those in the end stages of life. Seeking advice from a healthcare provider or hospice team can also be beneficial in guaranteeing that the patient's requirements are met during this difficult period.

Do dementia patients know they are dying?

"I experienced that some dementia patients are fully aware that they are dying in a few days. On several occasions, the family has been told by their loved one that it's time to go!" - Carol, Caregiver, New Hampshire

The awareness surrounding the impending death of individuals suffering from dementia can vary significantly. Some may experience moments of lucidity where they fully comprehend their situation. In contrast, others may struggle to comprehend or retain knowledge of their condition. The variance appears to correlate heavily with both the individual's cognitive state and the stage of their dementia.

This information is useful when working with such patients and can help provide better-tailored care to ensure maximum comfort. As a duty of healthcare professionals, it's essential to acknowledge these differences and strive to provide compassionate and empathetic care to those who need it most.

Getting prepared for a death

What does end-of-life care for a person with dementia mean?

End-of-life care for individuals with dementia is a sensitive topic that requires compassionate consideration. It refers to the care and support provided to individuals with dementia in the later stages of their lives, often when they are no longer able to communicate their needs and preferences. End-of-life care aims to provide comfort, support, and dignity during this difficult time.

It is essential to have a professional team involved in this process, including doctors, nurses, and caregivers who specialize in geriatric care. The team should provide appropriate pain management, symptom management, and emotional support, both for the person with dementia and their loved ones. The focus of end-of-life care is to make the person with dementia as comfortable as possible, improving their quality of life until their peaceful passing.

Understanding the Perception of Dying Among Dementia Patients:

Exploring Awareness and Communication Dementia is a complex condition that affects millions of individuals worldwide, gradually robbing them of their memories and cognitive abilities. While the physical and mental decline associated with dementia is well documented, there is surprisingly limited research on how individuals with dementia perceive the process of dying.

This article aims to delve into this important but often overlooked aspect of dementia care, shedding light on the awareness and communication surrounding death in dementia patients. By gaining a deeper understanding of how individuals with dementia perceive dying, healthcare professionals and caregivers can adopt more empathetic and person-centred approaches to end-of-life care.

Moreover, exploring communication strategies that are effective in discussing dying with dementia patients can facilitate more open and honest conversations, enabling them to retain a sense of dignity and autonomy until the very end. Through existing studies and expert insights, this article will shed light on the complex dynamics of dying among dementia patients.

By doing so, we hope to contribute to a more compassionate and informed approach to end-of-life care for individuals living with dementia.

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