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"Vascular dementia is caused by damage from restricted blood flow in your brain. ‘Vascular’ refers to your blood vessels.
Vascular dementia affects your reasoning, planning, judgement and attention, and how you function. These changes are significant enough to interfere with your daily life.
Often, vascular dementia occurs alongside Alzheimer’s disease or other brain disease, and it can be difficult to diagnose".
Many websites report : Later stage often resembles Alzheimer's Disease as memory loss becomes more of a feature.
The following is my own view based on people I have met;
Vascular changes/decline can progress in different ways, depending on cause eg small vessel disease may sneak along somewhat evenly but multiple larger strokes may cause noticeabe ability loss with each stroke.
At that point his comprehension of the spoken word had gotten much worse and he was much more easily confused about how to use the TV remote and such.
He also started sleeping more the last year of his life(16-20 hours/day)and was in a lot more pain as well.
And of course when he started his actual dying process, he stopped eating completely for 41 days and didn't drink for about 25 days, and was in horrible pain that hospice never was able to get under control, because I wanted my husband to remain at home(as did he), instead of taking him to the hospice home, where they would have been able to administer stronger drugs under the supervision of their doctor.
My husband not only seemed to be in great pain but was also very agitated towards the end of his life, along with having many seizures. It was very difficult for me as his wife to witness all of this and I was beyond grateful when his(and my)suffering was finally over.
I hope and pray that your loved ones passing will be much more quick and peaceful than my late husbands was.