Is vascular dementia worse than alzheimers at the end stage?

No: At the end stage of dementia, you actually can't tell them apart without a brain biopsy. Except for some subtle difference that only an expert could spot, all end stage dementias look the same and the patients have the same signs and symptoms.

Depends: Vascular dementia can totally wipe out all conscious activity and render someone into a permanent vegetative state--not unlike what one might see with a case of severely advanced alzheimer's. However, while vascular dementia can be significantly less severe, alzheimer's, when left to follow its own natural progression, generally proceeds to a severely advanced and debilitated state.

At end stages,: All dementias are equally devastating.

It really depends.: We all fear different types of impairment so what one person considers the worst may not seem that way to others. Most with alzheimer's are unaware of being ill and this can be a blessing. A few with alheimers are aware and suffer because of that. Impairments in vascular dementia are more specific to which area of the brain is effected. Also many who have vascular dementia also have alzhimers.