This isn’t ordinary tiredness. It’s a persistent exhaustion that remains even after many hours of sleep. Every movement requires great effort, and the body seems to grow heavier with each passing day.

This fatigue can have medical causes, but it also reflects a deeper process: a progressive decline in vital energy. Supporting them involves respecting their new rhythms, reducing demands, and prioritizing calm.

3. Gradual withdrawal from social life

Social withdrawal is often mistaken for depression, but at this stage, it frequently represents a natural process of introspection. The person begins to cancel plans, avoids long conversations, and prefers silence or solitude.

This is not a lack of love or disinterest. It’s a way to conserve emotional energy and focus on what’s essential. Accompanying someone means being available without intruding, offering presence without imposing your company.

4. Changes in sleep and increased nighttime restlessness

Sleep schedules become disrupted. There may be more sleepiness during the day and wakefulness at night, or short, interrupted periods of rest. In some cases, intense dreams, vivid memories, or the sensation of seeing or sensing deceased people appear.

These experiences are often comforting for the person having them. Correcting or denying them can generate more distress. Listening, validating, and providing a calm environment helps navigate these moments with greater serenity.

5. Difficulty walking without apparent cause

Even without visible injuries, walking becomes unsteady. Steps are shorter and slower, and the fear of falling increases, even in familiar places.

Beyond the physical aspect, this change can symbolize a gradual disconnection from the material world. Adapting the environment and reducing the pressure to stay active is a form of care and respect.

6. Confusion and disorientation in familiar places

Moments of disorientation can occur even in people who have never had cognitive problems. The person may talk about “going home” referring to places from their childhood or confuse time and space.

This is not always dementia. Often it is an emotional journey toward memories that represent security and belonging. Instead of correcting them, it is better to offer support with gentle questions and attentive listening.

7. The “awakening” or clarity before the end

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