Stage 7: The Final Threshold: Very Severe Cognitive Decline
The final stage of vascular dementia, stage seven, is a culmination of a challenging expedition. It’s akin to reaching the highest peak after an arduous ascent. At this juncture, the individual’s cognitive abilities have significantly receded, necessitating round-the-clock care.
The person’s ability to communicate at this stage dwindles severely. They might struggle to form coherent sentences, often restricted to a few intelligible words or phrases. A simple conversation could feel like trying to solve a complex puzzle with missing pieces. Despite the inherent struggle, non-verbal forms of communication, such as a comforting touch or a shared smile, can still offer meaningful exchanges.
Physical abilities also take a major hit during this stage. The person might require help with all bodily functions, from feeding and drinking to moving around. It’s as if the body has lost its known functions, like a well-oiled machine gradually rusting over time. In many cases, mobility becomes so restricted that they might be confined to a wheelchair or a bed.
In the face of these immense challenges, moments of clarity can still emerge. A fleeting spark of recognition might be triggered by a touch, a familiar fragrance, or the sound of a loved one’s voice. It’s like a sudden beam of sunlight piercing through dense, overcast clouds. These moments, while sporadic, offer profound instances of connection and solace. (7)
