People who suffer from dementia will also suffer from multiple symptoms and experiences all at once in the later stages towards the end of their life. There are so many comparisons to how the end of life experience can be different with someone with dementia and someone without dementia. This will have an impact on their level of communication and understanding. This will make it hard for them to communicate their wishes, needs, emotions and thoughts, such as where they want to die, how they want to be treated, whether they are buried or cremated, what happens after they have passed and what is important to them at this stage. People who do not suffer with dementia will usually be able to make their wishes, needs, emotions and thoughts known. A dementia sufferer will experience confusion as to what’s happening to them and going on, this can be very distressing not just for the individual but for their friends and families too. They might struggle with understanding why they are in pain, can’t remember certain memories etc. A non-dementia sufferer will be able to listen and retain information and gain some understanding of what is happening to them. People with dementia tend to have choices made for them if they lack the capacity to make choices without putting themselves or others at risk. Although the decisions made for them they will be made in their best interests. People such as doctors, lawyers or advocate if necessary and also family members. A person without dementia or who has capacity can make important decisions for themselves or with minimal help. Overall the experience towards the end of their life can be far more distressing, undignified, and complex, compared to people without dementia. It’s so important for us to make it easier in every way possible for them to be comfortable. It’s essential that an end of life care plan is created and decisions are made before their illness progresses, that way we know we did all they wanted and more to make it a much bearable ending.