Early stages often bring memory lapses, difficulty finding words, and subtle changes in planning. In the middle stage, confusion increases, daily tasks need support, and behavioral symptoms like agitation or wandering may appear. In late stages, communication becomes limited, swallowing can be difficult, and patients depend on others for care. Families caring for someone with end-stage dementia often face heavy caregiver burden, emotional and financial strain, swallowing difficulties, and frequent hospitalizations. Palliative care helps guide difficult decisions. In the terminal stages of dementia, patients are nonverbal, bedbound, and unable to swallow food, with an increased risk of aspiration. They also develop recurrent infections, an increased risk of pressure injuries, and weight loss. On average, caregivers spend about twenty-six percent of their personal income on caregiving expenses. In terminal or advanced dementia, palliative care helps focus on comfort, supports caregivers, and reduces unnecessary interventions while guiding difficult decisions. #DementiaCare #PalliativeCare #CaregiverSupport