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End-Stage Dementia: What it is and When Hospice is Needed

Patient looking out the windowEnd-stage dementia, also known as late-stage dementia, is the most advanced phase of a progressive dementing illness such as Alzheimer’s disease. At this point, the individual’s cognitive and physical abilities have declined to the extent that they require constant care and assistance with all daily activities, including eating, dressing, bathing, and mobility.

How Long Does the Last Stage of Dementia Last?

Asian grandchild giving grandfather a kiss on the cheekAs every patient is different, it’s difficult to accurately predict how long end-stage dementia will last. Planning ahead can help alleviate potential issues down the road.

An estimated 1.8 million people in the United States are in the final stages of dementing illnesses, and each person experiences the illness in their own individual way. However, end-stage dementia may last from one to three years.

According to the Alzheimer’s AssociationAccording to the Alzheimer’s Association, “Alzheimer’s disease is a growing public health crisis in New Jersey.” They go on to say:

  • “185,000 people aged 65 and older are living with Alzheimer’s in New Jersey.
  • 15% of people aged 45 and older have subjective cognitive decline.
  • 283,000 family caregivers bear the burden of the disease in New Jersey.”

Avoid confusion about your loved one’s wishes by making healthcare decisions early and putting them in writing. You will have peace of mind knowing these wishes and that you will know the answers when it’s time to make difficult decisions. Resources for having conversations about your healthcare wishes >>

Late-Stage Dementia Symptoms

As the final stage of dementia progresses, your loved one’s abilities become severely limited and their needs increase. During this phase, individuals often experience extreme cognitive and physical decline, requiring round-the-clock assistance.

Common symptoms of late-stage dementia include:

  • having trouble eating and swallowing (dysphagia)
  • needing help sitting up
  • needing help walking, eventually become bedbound
  • needing help with most or all daily activities, including bathing and self-care
  • becoming vulnerable to infections, especially pneumonia
  • becoming unable to speak or be understood
  • the loss of facial expressions, including the ability to smile
  • having difficulty transferring to/from bed, chair, toilet, etc.
  • becoming incontinent
  • becoming unable to recognize family and friends

When is Hospice Called in for End-Stage Dementia?

home care worker talking with patient

Hospice care is typically called in when a patient with dementia is in the final stages of the disease and a physician determines that their life expectancy is six months or less. However, don’t let any questions you have regarding this qualification, or hospice eligibility criteria, prevent you from calling for hospice services. Calling hospice is getting help, not giving up. The sooner you call, the sooner you will gain access to the comfort, support, and quality-of-life hospice care provides.

Hospice care is provided by the hospice’s doctors, nurses, home health aides, social workers, spiritual support counselors, and trained volunteers under the direction of the hospice physician and in conjunction with the attending physician.

Hospice care services focuses on caring, not curing. Hospice care team members help manage pain, anxiety and other symptoms, focusing on your loved one’s physical and emotional comfort. Hospice also supports the family in its caregiving and grief-related needs.

The role of the hospice care team is to support the family caregiver through this type of grief, and the other stresses of tending to a loved one with end-stage dementia. The hospice care team in South Jersey ensures both patients and families maintain their comfort and dignity, while supporting their best possible quality of life.

When Caregiving Becomes Too Much: One Spouse’s Journey

Corinne became her sixty-eight-year-old husband’s 24-hour caregiver when he developed dementia. As Jonathan entered the end stages of Alzheimer’s disease, she realized she needed help.

Her husband couldn’t get out of bed or sit up unassisted, and Corinne was having trouble giving him baths and changing the bed linens. She had questions about providing proper care. Sometimes he didn’t want to eat. Was that because he was confused or not hungry?

All Corinne hoped was that Jonathan was comfortable, happy, and safe. So, when a friend suggested she call Samaritan hospice in South Jersey, she decided it was the right decision.

Learn More about Hospice Care in South Jersey

If you or a loved one has dementia or another life-limiting illness in South Jersey,
please contact Samaritan to learn how we can help. Call us 24/7 at (856) 596-1600.

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