HEALTH AND FITNESS
The Final Stages of Dementia: Do Patients Know They’re Dying?

Dementia is a complex and progressive condition that affects memory, cognition, and the ability to communicate. As dementia advances to its later stages, it impacts nearly every aspect of an individual’s mental and physical functioning, including awareness of self and surroundings. One of the common questions that caregivers, loved ones, and even healthcare professionals ask is whether patients with dementia are aware of their own impending end of life.
This question can only be understood through compassionate exploration into what awareness might look like in advanced dementia, how patients experience the end-of-life process, and how to provide meaningful support to caregivers.
Understanding Awareness in Advanced Dementia
Patients with early-stage dementia are still usually aware of their condition but often lose this awareness later in the disease. When dementia progresses to its advanced stages, it severely deranges cognitive functions thus making it difficult to figure out do dementia patients know they are dying?. Patients experience extreme memory failure, become unable to identify their family members, and is disoriented about themselves and even their surroundings. This level of deterioration leaves patients in a position where they may not be able to understand even the basic concepts related to dying.
Physical and Emotional Experiences at the End of Life
The experiences for patients with dementia are physical and emotional, offering some specific challenges compared with other terminal conditions. As much as the patient is unaware that they are nearing the end of life, their loved ones may pick a sense of something amiss by the physical signs of advanced dementia and the emotions brought by these changes.
1. Physical Signs of the End Stage
Patients with dementia mostly manifest physical signs that reflect the progress they have made toward the final stages of life. This involves drowsiness, lack of appetite, deterioration in their general physical health, and infections. Towards the end, the body starts shutting down gradually while patients sleep much and eat little as they need no feeding in the body. Dementia patients may not take proper food, which also results in failure to swallow well and cause dehydration along with further weight loss.
2. Behavioral Changes
Behavior also changes dramatically at the terminal stage of dementia. Patients respond, but that is a minimum level of interaction in the environment around them with caregivers who care for them. Such patients will sometimes display a form of agitation, restlessness, and anxiety. All these manifestations are not reflective of awareness about impending death but only result from changes in physical and neurological terms.
3. Pain and Discomfort
A dementia patient probably does not express the experience of the pain or discomfort in terms of words, but he does experience it. Moaning, grimacing, or physical restlessness were the common markers. These all suggest discomfort to the caregiver about such a particular patient. A dementia care unit can help residents who are suffering from such conditions properly.
Supporting a Patient with Dementia at the Final Stages of Life
Comfortable and appropriate palliative care during the final stages of life for dementia patients can indeed have a great impact on the comfort of such patients and the quality of their life. Indeed, most patients do not understand their condition, making it easier for caregivers to focus on the reduction of discomfort, enhancement of emotional comfort, and peaceful settings.
Palliative Care and Hospice
For patients suffering from dementia at the end stage, generally, it is advised to opt for palliative or dementia care for the administration of their symptoms and relief from discomfort. These provide unique care in terms of managing physical pain, anxiety, and other symptoms occurring in the final stages of a person’s life. Service providers who have been well-trained in hospice care understand the needs of the patient and are able to give excellent support to their caregivers through pain management, dignified living, and peaceful environments.
Emotional and Sensory Comfort
Dementia patients may not understand what is happening, but stimulating their senses can comfort them and give them a sense of security. Gentle touch, soothing music, and familiar fragrances can be some sensory stimulation that may help in soothing a patient’s nerves and make the patient feel better. Also, grounding can occur as a result of a known patient and their routine or belongings. These strategies can help to reduce anxiety and promote a sense of calm, even if the patient is not consciously aware of the rationale for their care.
Support for Family and Caregivers
The care of a patient who has dementia to the end stage is physically exhausting but emotionally draining. Families experience grief, guilt, and despair as they witness their loved ones decline. Healthcare workers, therapists, and the hospice crew may also help the patients’ families in making selections that will be very distressing to them and relieve them of the psychological load of this patient’s disease. Some alleviation for these last times can be experienced by the presence of the family, such as rethinking special times with the patient, reading to them, or embracing their hands, among other acts.
Conclusion: The Mystery of the Last Dementia Stage
It is confusing and not well understood that “do dementia patients know they are dying or not”. They may not have clear knowledge of what is happening, but they may still react emotionally and sense the surroundings. The goal is to offer care in a compassionate manner, to control symptoms, and to provide emotional support. Dementia care provide peaceful ambiance that supports a better end in all senses for the patient and his or her loved ones.
HEALTH AND FITNESS
Osmanthus: The Fragrant Flower with Surprising Health Benefits

Osmanthus. A flower with a scent so sweet, it lingers in the air like a forgotten memory. For centuries, this delicate bloom has been cherished in Asia. It’s more than just a pretty flower. It’s history, culture and healing. From Chinese emperors sipping its tea to modern beauty gurus swearing by its skincare benefits, this tiny flower carries weight. And yet, so many people don’t know about it. But you will. Because once you experience Osmanthus, it’s impossible to forget.
The History and Origin of Osmanthus
Osmanthus has its origin in China, Japan, and the Himalayas. Myths tell us that its fragrance wafted in from the Moon Palace, a heavenly garden where gods reveled in its maddening scent. In ancient China, its wine coursed in imperial courts. Poets wrote of its ephemeral charm. Even now, its yellow flowers herald autumn’s arrival, commemorated in festivals throughout Asia. But it is more than nostalgia—it’s survival. Surviving for centuries, changing, thriving. The world evolves, but its scent does not change.
Different Types of Osmanthus
These plants are not all the same. Some white, some yellow. Some apricot-sweet, some ripely peach-fragrant. Osmanthus fragrans, which is the best known, sweetens whole city streets. Osmanthus heterophyllus? Spiny and hardy but endearing. Osmanthus delavayi? A diminutive but tenacious shrub that defies the cold with tough elegance. Then there’s the hybrid Osmanthus x burkwoodii, a soft-and-strong beauty. Each variety is its own story, its own presence. Yet all have in common one thing—the unmistakable scent of Osmanthus.
Osmanthus in Traditional Medicine
Ancient healers knew something we’re just rediscovering. It isn’t just pretty; it’s powerful. Traditional Chinese medicine used it for detoxifying the body, easing digestion, and even improving skin. People drank Osmanthus tea to soothe sore throats. They applied Osmanthus oil for joint pain. Some believed it even calmed the heart, balanced energy. Science now confirms its antioxidant properties. Rich in flavonoids, it fights inflammation, slows aging, protects cells. State-of-the-art medicine collides with old-school wisdom. And once more, it demonstrates that it’s not just a flower.
Nutritional and Chemical Composition
Behind its scent, it is hiding a secret. It’s loaded with polyphenols, carotenoids, and flavonoids—substances that combat oxidative stress, quell inflammation, and induce longevity. It’s Mother Nature’s response to contemporary illnesses. Unlike processed supplements, Osmanthus is delicate, organic, efficient. It doesn’t only flavor; it brings life. In tea, essential oil, or skin products, it performs from the inside out. Traditional healers can’t help but swear by it. And now science confirms them. It is not only a flower. It’s wellness in bloom.
Osmanthus Tea: Benefits and Preparation
Imagine this. A warm cup in your hands. The golden color glows, the steam carries a scent—peachy, floral, fresh. Its tea isn’t just a drink; it’s an experience. It aids digestion, calms stress, strengthens immunity. Making it is simple. Just steep dried Osmanthus flowers in hot water for 3–5 minutes. Want more flavor? Blend it with green tea or oolong. Some add honey, others sip it pure. One cup, and you’ll see. Osmanthus tea isn’t just refreshing. It’s a ritual, a moment of calm in a noisy world.
Osmanthus in Culinary Delights
Osmanthus isn’t just for tea. In China, it flavors jellies, mooncakes, and sweet soups. Chefs drizzle Osmanthus syrup over pancakes and ice cream. Even cocktails get a floral twist with Osmanthus-infused liquor. The taste? Light, fruity, slightly honeyed. It doesn’t overpower. It enhances. Imagine biting into a dessert, the delicate scent of this flower lingering on your tongue. It’s subtle yet unforgettable. From ancient kitchens to modern restaurants, it keeps evolving. A flower that belongs not just in gardens but on plates.
Osmanthus in Skincare and Beauty
Beauty brands love Osmanthus. And for good reason. It’s a natural anti-aging powerhouse. Rich in antioxidants, it fights wrinkles, brightens skin, locks in moisture. High-end perfumes use its scent—delicate yet deep, floral yet fruity. Essential oils infused with it nourish the skin, heal scars, add radiance. Some mix it with face masks, others add it to bathwater for a spa-like feel. No harsh chemicals. No artificial fragrances. Just pure, botanical luxury. The kind your skin will thank you for.
How to Cultivate and Maintain Osmanthus Plants
Thinking of adding this flower to your garden? You’ll be pleased to know it’s a low-maintenance yet highly rewarding plant. This evergreen shrub flourishes in locations with full sunlight and well-drained soil, requiring only occasional watering to thrive. It stands strong against pests, adapts to cold climates, and endures dry conditions with ease. To keep it looking its best, prune lightly after its flowering season. But the true magic of this flower lies in its blossoms. Once they open, their sweet, captivating fragrance transforms your garden into a sensory paradise. Growing Osmanthus isn’t just about cultivating a plant—it’s about welcoming an ancient botanical treasure into your space.
Where to Source Genuine Osmanthus Products
Ensuring the authenticity of Osmanthus-based products is essential, especially with so many counterfeits on the market. When purchasing it tea, examine its color—genuine tea possesses a rich golden tint and a naturally fruity, peach-like aroma. For essential oils, purity is paramount; steer clear of blends containing synthetic additives. Trustworthy suppliers often carry organic certifications and maintain a strong reputation backed by verified customer reviews. Whether you’re investing in tea made of it, skincare products, or syrups, quality makes all the difference. This delicate flower deserves appreciation in its most authentic form, as only pure Osmanthus offers its renowned benefits.
Final Thoughts
Osmanthus is more than just a plant—it’s a timeless symbol of beauty, wellness, and tradition. Its floral essence has enriched perfumes, teas, and healing remedies for centuries, proving its worth time and time again. While trends come and go, the delicate fragrance of it remains unchanged, continuing to captivate those who experience it. Whether you’re sipping its tea, using its oil, or simply admiring its blossoms, you’re embracing a piece of botanical history. The world moves forward, but this flower endures, waiting to be cherished by a new generation. Will you be the one to rediscover its wonders?
HEALTH AND FITNESS
Best Shoes for Neuropathy: Top Picks for Comfort

Worldwide, up to 50 % of people with diabetes develop peripheral neuropathy, and foot pain is one of the leading reasons they stop exercising. If you feel stabbing, burning, or numb sensations each time you lace up, the right pair of shoes can ease pressure, cushion fragile nerves, and help you stay active.
What Is Neuropathy in Feet?
Neuropathy in feet, also known as peripheral neuropathy, is a condition caused by damage to the peripheral nerves, often resulting in pain, numbness, tingling, or weakness in the feet. It commonly affects people with diabetes but can also be triggered by infections, injuries, vitamin deficiencies, or exposure to toxins.
How do the Right Shoes Help?
A range of scientific studies say that comfortable, rocker-soled shoes reduce plantar pressure levels by up to 30 % and that they also lessen the variation in walking speed, both important in ulcer prevention. Such footwear is helpful for diabetics, as it guides proper positioning and improves stability on uneven surfaces by leveling proprioceptive responses.
Key Features
- Wide, seamless toe box – prevents friction blisters.
- Max cushioning midsole – disperses forces and dampens vibration.
- Removable insole – accommodates custom orthotics or gel layers.
- Secure closure – laces, straps, or knit collars that hug without pinching.
- Slip-resistant outsole – reduces fall risk on slick floors.
- APMA-approved models – vetted by podiatrists for foot health.
Best Shoes for Neuropathy
The 2025 review which studied 30-day wear trials and heel-mapping in the lab, recommended six top-rated shoes: Hoka Bondi 8, Hoka Clifton 9, New Balance 990v6, Skechers Arch Fit Max Cushioning, Orthofeet Edgewater and Propet Stability Walker.
- Hoka Bondi 8 – 40 mm stack height softens heel-strike shocks.
- New Balance 990v6 – firm ENCAP midsole plus Ortholite® liner; comes in 2E-6E widths.
- Skechers Arch Fit Max Cushioning – podiatrist-certified insole with 20 years of data.
Best Shoes for Neuropathy for Women
Foot swelling and the confinement of narrow heels are usual experiences for women with neuropathy. Select styles that include stretch-mesh uppers and heel-lock contours which are part of Hoka Clifton 9 and Skechers Go Walk Joy. A minimal Meta-Rocker design in Clifton supports forward movement and helps relieve pressure on the front of your feet; Joy Go Walks provide light 5GEN cushioning to minimize tiredness during long shifts.
Best Shoes for Men
Often, good arch and depth support is important for men. Dual-density medial posts are featured on the New Balance 860v14, which can help prevent over-pronation, and the Orthofeet Lava has been given the Medicare code A5500 for reimbursement for diabetic shoes. The upper of the shoe can stretch up by one size during edema swelling.
-
Work scenarios
Keen Utility PTC Dress Oxford adds slip-resistant rubber rated ASTM F1677.
-
Running
Hoka Arahi 7 blends plush CMEVA foam with J-Frame™ sidewalls to keep stride neutral.
-
Skechers Shoes for Neuropathy
Designing Skechers’ Arch Fit involved study of 120,000-foot impressions, resulting in an insert that fits the mid-foot and changes how pressure is distributed. Go Walk 6 and Arch Fit Max Cushioning bear the APMA Seal, and you can buy them for under $100.
-
New Balance Shoes for Neuropathy
As well as headlining 990v6, New Balance includes Fresh Foam X in shoes like the 1080v13 to merge softening comfort with a bouncy effect. With broad or extra-broad lasts (2E–6E), the shoe respects your meaty forefeet and firmly built heel walls provide vital support for your sensitive heels.
-
Hoka Shoes for Neuropathy
The Bondi 8 and Gaviota 5 from Hoka use oversized CMEVA midsoles and a Meta-Rocker which are known to help decrease metatarsal peak pressures. A gusseted tongue on the Bondi stops lace bite from affecting numb feet.
-
Best Slip-On Shoes for Neuropathy
Designs that don’t require holding make it easier for people with back or balance problems to use devices. The Heel Pillow™ in the Skechers Ultra Flex 3.0 Slip-ins cups your heel as you put on the slip-ons and the stretch-knit material eliminates bothersome seams. Those with neuropathy state that the shoes are both light and fit securely.
Best Shoes for Specific Neuropathy
Diabetic Neuropathy:
Because Orthofeet Edgewater shoe is Medicare-approved A5500 footwear, it can be reimbursed and has extra-deep insoles for custom plastazote liners.
Chemo-Induced Neuropathy:
Cushioned, rocker designs (e.g., Hoka Clifton 9) ease tenderness in the ball of the foot.
Severe Numbness:
Vibram-grip outsoles (New Balance 880 Trail) offer tactile feedback on uneven paths.
Top 6 Best Shoes for Neuropathy
Brand | Model | Stand-out Feature | Best For |
Hoka | Bondi 8 | 40 mm max-cushion rocker | Long days, heel pain |
New Balance | 990v6 | ENCAP midsole + 2E-6E widths | Walking, everyday wear |
Skechers | Arch Fit Max Cushioning | Podiatrist-certified insole | Budget therapy |
Skechers | Ultra Flex 3.0 Slip-ins | Hands-free heel cradle | Limited dexterity |
Orthofeet | Edgewater | Medicare A5500 depth | Severe diabetic neuropathy |
Propet | Stability Walker | Firm TPU heel counter | Seniors, fall-prevention |
Tips for Finding the Right Fit
Check your size standing, with the pair of socks you are going to wear. Make sure there is a thumb’s worth of space between your longest toe and the end of the shoe; walk on an incline to test if your heels move in the shoe. A new pair should be put in the next day, as foam regains 15 % of its original height overnight. Get new shoes if you notice the tread wearing down or the midsole starting to compress in different places (around 400–500 miles).
“Shoes should feel comfortable the moment you put them on; breaking-in is a myth for neuropathic feet.” — American Podiatric Medical Association
Final Thoughts: Comfort Beats Style
Using the Best Shoes for Neuropathy can prevent or delay the start of it. Choose comfort, support, and thickness before color choices when looking for shoes. Try on your shoes at home on the carpet, and if any part of the shoe feels wrong, return them right away—diabetic nerve problems won’t give you a signal later on. For excessive calluses, get examined by a podiatrist, who may recommend orthotics.
FAQs
Are Skechers good for neuropathic feet?
Yes. The Arch Fit series carries the APMA Seal, provides certified arch support, and includes roomy toe boxes that limit friction.
Which Hoka model helps most with foot pain?
Bondi 8 offers Hoka’s thickest CMEVA midsole and a Meta-Rocker that rolls weight forward, easing pressure on sore forefeet.
Can the right shoes reverse neuropathy?
Best Shoes for Neuropathy can’t reverse nerve damage, but they reduce pain, improve balance, and prevent ulcers that might otherwise lead to infection or amputation.
Does Medicare cover neuropathy shoes?
Yes, Medicare Part B may reimburse one pair per year if the shoes carry an A5500 code and you have a physician’s prescription for diabetic neuropathy.
How often should I replace neuropathy shoes?
Every 6–12 months or 400–500 miles, whichever comes first, because midsole compression reduces shock absorption over time.
HEALTH AND FITNESS
Vijay Education: Boost Your Paramedical Exam Score

With increasing competition and evolving exam patterns, preparing for paramedical and nursing entrance tests like B.Sc Nursing, GNM, AIIMS, RUHS, and others has never been more challenging. Traditional coaching centers are often expensive, location-bound, and lack personalization. But what if there were a more flexible, affordable, and targeted way to boost your paramedical exam score from the comfort of your home?
Vijay Education is one such rising platform that’s changing the way students prepare for healthcare exams in India. Leveraging expert faculty, structured digital content, and personalized test preparation tools, it’s bridging the gap between aspiration and achievement.
Why Vijay Education Helps You Score Higher
Vijay Education is a platform that helps students prepare for nursing and paramedical entrance exams across India. Equipping students with video lectures, suitable study tools, free mock tests, and regular exam updates encourages them to study in a smarter way.
What sets Vijay Education apart is its student-centric model:
- Expert-led courses aligned with each exam syllabus
- Anytime, anywhere access via mobile and web
- Performance tracking to fine-tune your weak areas
- Timely exam notifications and preparation tips
If your goal is success in AIIMS, RUHS, BFUHS, or state-level nursing entrance tests, up-to-date lessons and a well-planned practice strategy help you achieve your target scores. If you are starting this exam for the first time or are repeating, Vijay Education gives you the assistance you need at the right time.
Which Exams Does Vijay Education Cover?
🔸 B.Sc Nursing Entrance Exams
🔸 M.Sc Nursing
🔸 General Nursing and Midwifery (GNM)
🔸 Post Basic B.Sc Nursing
🔸 AIIMS Nursing Entrance
🔸 RUHS (Rajasthan University of Health Sciences)
🔸 BFUHS (Baba Farid University of Health Sciences)
🔸 State-level entrance exams for nursing and paramedical courses
Since the syllabus and exam pattern are closely considered, each course helps students learn things that matter. It also regularly changes or updates its modules after receiving official information about changes to eligibility, pattern, or curriculum.
Key Features of Vijay Education Platform
🟠 Video Lectures: Pre-recorded, expert-led sessions covering every topic
🟠 Free Test Series: Regular mock exams for self-assessment
🟠 Study Materials: Curated notes and PDFs aligned with each exam
🟠 Mobile App: Study anytime, even without internet
🟠 Exam Alerts: Timely notifications on upcoming tests and result dates
🟠 Performance Analytics: Smart dashboards to track learning gaps
This combination of flexibility, content quality, and user support makes Vijay Education a one-stop platform for competitive exam prep in the healthcare domain.
Why Choose Vijay Education for Paramedical Exam Prep?
This distinctive strength comes from the fact that Vijay Education only prepares for healthcare exams.
Furthermore, Mygurukul deals with the main student issues, such as a lack of skilled teachers in remote towns, expensive coaching, parts of the syllabus not covered, and changes in exams. When it comes to preparing for competitive exams, many use Byju’s, which has earned great trust among new learners as well as those who have taken the exams multiple times.
Course Structure and Learning Methodology
Each course on Vijay Education is broken down into logical learning blocks:
- Concept Lectures: Explained in simple language with real-life examples
- Topic-Wise Practice Sets: Immediate application of learned concepts
- Mock Tests: Simulate real exam pressure
- Revision Modules: Summaries for quick brushing up before exams
This ensures that even if a student comes from a non-English background or state board, they can still follow and excel using the materials provided.
How to Use Vijay Education: Step-by-Step Guide
Step | Action | Description |
1 | Visit vijayeducation.com | Create your account |
2 | Download the App | Available on Android |
3 | Select Exam Type | Choose B.Sc Nursing, AIIMS, etc. |
4 | Start Free Tests | Begin with diagnostic tests |
5 | Watch Lectures | Topic-wise, anytime access |
6 | Track Progress | Analyze scores and identify weak topics |
7 | Attempt Mock Tests | Final phase before the actual exam |
Student Success Stories and Testimonials
Thousands of students from Rajasthan, Punjab, Bihar, and other regions have used Vijay Education to crack competitive paramedical exams.
“I cleared RUHS Nursing in my first attempt, and I couldn’t have done it without Vijay Education. The structured mock test series and the clarity of video lectures made all the difference.”
— Priya Sharma, Jaipur
“I was juggling part-time work while preparing for my B.Sc Nursing entrance. The flexibility of learning on the Vijay Education mobile app helped me stay on track and crack the exam.”
— Ravi Kumar, Patna
These stories not only prove the platform’s credibility but also reflect its impact beyond metros.
Vijay Education vs Traditional Coaching Institutes
The shift from classroom to digital is significant. Here’s a quick comparison:
- Location Flexibility: No need to relocate to a metro city
- Cost Efficiency: Courses priced 60–70% lower than offline coaching
- 24/7 Access: Study at your pace, pause/replay lectures
- Updated Content: Real-time updates vs outdated classroom notes
This makes Vijay Education an excellent choice, particularly for students from rural or semi-urban backgrounds.
Tips to Maximize Your Score Using Vijay Education
Make sure you use the app’s scheduler each day to help you prepare for the test. Take every practice test seriously and don’t neglect practicing. Work on questions that mimic the format of the exam, because the NCLEX (National Council Licensure Examination) is designed like that. Weekly, read through what you have learned to help you remember it for a longer time. More than anything, pay attention to what you did wrong instead of only what you did right. By focusing on this section, you will better prepare for the CMA exam.
Future of Online Nursing and Paramedical Education
Because health career growth shows no signs of stopping, online platforms such as Vijay Education are widely used. Studying at home, on your schedule, is transforming how students prepare, mainly for nursing and paramedical sciences.
Students can expect increased use of AI in learning, more one-of-a-kind learning paths, and virtual programs for training—all of which Vijay Education is worried about.
Conclusion
Now that digital learning matters, Vijay Education is helping to make paramedical exam preparation possible for many. Any student who wants to become part of the healthcare profession can benefit from the practical guidance, specialized content, and examples found in the book.
Whether beginning your studies for the first time or planning your last try, Vijay Education gives you everything to help you achieve your best results.
-
BIOGRAPHY1 week ago
Behind the Scenes with Sandra Orlow: An Exclusive Interview
-
HOME7 months ago
Discovering Insights: A Deep Dive into the //vital-mag.net blog
-
HOME9 months ago
Sifangds in Action: Real-Life Applications and Success Stories
-
BIOGRAPHY7 months ago
The Woman Behind the Comedian: Meet Andrew Santino Wife