- More sleep during the day
- Wakefulness at night
- Interrupted or shallow sleep
- Moments of vivid dreams, memories, or perceptions of people who have passed away
These experiences, particularly the vivid dreams or feelings of connectedness can be comforting to the individual.
Palliative care guidance emphasizes respecting these experiences and focusing on creating a calm, peaceful environment.
5. Difficulty Walking and Changes in Mobility
In the last months of life, mobility typically becomes more and more difficult.
Even when they haven’t experienced any form of injury, people can:
- 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:
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