What are late-stage vascular dementia symptoms?

To all those that are dealing with dementia and/or grief. My two cents: My loved one passed away February 2022 after dealing with LBD for about four years. She broke her hip about three months before she passed. Last residence was in hospice in a NH. She tested positive for COVID twice in the last two months. Death certificate said "Alzheimers." Never previously diagnosed with Alzheimers. I say COVID took its toll and she eventually succumbed to it. My hats off to all those who are dealing with these dementias and who are grieving or will grieve. I still cherish the sharing on this forum. It helps put my experiences into perspective. We're all in the same boat and doing the best we can. Wishing all of you the best.

Swallowing difficulty so needing a pureed diet, total incontinence, non ambulatory, mostly non verbal, sleeping 20+ hours a day, obvious frailty. My mom had periods of lucidity right up to the end of her life. If they are physically stable this can go on indefinitely, my mom was in NH 18 months before she succumbed to aspiration pneumonia but there were people like her there when she arrived that were still there when she left.

My 100-yr old Aunt was still semi-mobile (with assistance). She said awful things and was delusional and negative and insulting (opposite what she was pre-dementia). Screamed for her sister whenever she left her sight. She was healthy but would forget she couldn't walk without assistance, so had a few falls that resulted in broken bones. Finally one night escaped the barriers we had in place to keep her safe, she fell and broke her hip, which we chose to not have the partial surgical repair. She was about to go into LTC when she passed away (probably from a clot). She had dementia for about 15 years. Her sister just turned 104 with no dementia. Everyone's dementia journey can be different. There's lots of variables that can happen so it's difficult to predict any "end of life" scenarios.

My mom actually passed in November of last year. I have been a bit tortured over her decline.
6 weeks before her death she walked with a walker, ate pretty good, knew my name but she started to refuse meds.
5 weeks or so she started getting very agitated and suspicious of everyone.
4 weeks she got “asymptomatic covid”.
3 weeks she started to refuse food. It was difficult to get her to eat anything. 2 weeks she was diagnosed as “failure to thrive” and did not know my name, 1 weeks she was still walking to the bathroom with a walker.
3 days she was in bed and could not get up.
She took her meds the day before she died.
The day she died she had terminal agitation. Very hard day.

She did have congestive heart failure. The death certificate reflected vascular dementia.

I guess I am rehearsing the info and trying to answer something that is impossible to answer. She did not decline with the typical dementia symptoms. I know vascular can be abrupt and in steps.

Perhaps I need to call my counselor again. Trying to figure this quick decline out is driving me crazy.

No question here, just curious.

My mother had vascular dementia for seven years. What got to me was the loss of her emotions. She had a fantastic sense of humor and was a great crier at movies and music that moved her. All of that disappeared almost overnight.

Her decline was fairly steady throughout those years. When there was a crisis -- medical or my dad's death -- she took a deep dive and never quite came back cognitively to where she'd been before. The isolation during Covid did a huge number on her as far as knowing me, my brother, or the grandchildren, and I don't think she ever did know quite who I was from that point on. It didn't help that she couldn't see either, so my visits to her window were largely for my benefit, not hers.

She was in the hospital for two weeks in December 2020 and went on hospice care on January 1, 2021. She never ate solid food again -- she had no interest, not swallowing issues -- and her cognition continued to decline steadily. She had an imaginary husband who moved into her brain immediately after my dad's death, and even he slowly faded away.

She died peacefully in her sleep seven months after going on hospice. The official cause was dementia, but I think it was heart failure.

As the declines happen they may happen more often.
In all probability the person with Vascular dementia will most likely have a major stroke that will cause their death.
I think my Husband had both Alzheimer's and Vascular Dementias.
He would literally go from being able to do something one day to not being able to do it the next day. I could almost pinpoint each big decline he had as he would have a fall just before the decline. (never hit his head they were controlled "falls")
I think each of these were strokes.

My husband recently passed away after seven years with vascular dementia. Symptoms quickly progressed at the beginning of this year. He did not want to shower regularly, did not want to take his medications (improved after crushing and mixing with applesauce), and no longer knew our children or me.

He was a sweet man, but his moods reflected my moods. If I was angry with him, he would "dig his heels in" and not do anything I asked. If I stayed calm even, though my head was exploding, he would cooperate. During the last week of his life, he was unable to swallow or walk.

He was a wonderful husband, father, and grandfather. I miss him every day and very much regret the times I was angry with him. Just remember this is your loved one and the person you knew is pretty much gone. There are still good days, but they are different. Remeber the good days, forget the ones that were not.

Take care of yourself. Get some help if you can. This is a wonderful forum to vent and get advice from others in the same place as you. ((((( Hugs to you)))).

My late husband who had vascular dementia had swallowing issues the last couple years of his life and almost died from aspiration pneumonia(and developed sepsis and septic shock from almost dying), and I had to puree all his food for a while until he slowly graduated to just soft foods.
He also became completely bedridden where he remained in our home under hospice care for the last 22 months of his life.
His comprehension also got way worse.
I hope that by now you have brought hospice on board as they can better tell you what to expect at end of life as everyone is different. And with vascular dementia being the most aggressive of all the dementias with a life expectancy of only 5 years, it doesn't hurt to bring them on board sooner than later.

My mom had VaD. She declined over the course of 4 1/2 years.

I went on a vacation for two weeks and came back. She had clearly declined. I pointed this out to my brother. He said, no, she was fine. I held my peace.

A few days later he called and said, I see what you mean...

A day after that, her aide was assisting her in the bathroom, gave her the same instructions as always, to hold on. But mom didn't hold on to the bar this time.

Catastrophic fall. We put her on hospice and she died a few days later.

My mother has VD she has been fairly stable for the last three years. Her current status has reached a a pseudo stable point. She had one lapse of forgetfulness where she nearly burned down her apartment. We took action at that point. As it stands what we have noticed is her word recall is not as quick as it once was, and she is hyper sensitive to sound and temperature.