Have you had experiences with pts having a marked sudden improvement just before death? I have a friend whose mother went unresponsive (they were unable to wake her) for most of the day yesterday. She is in end stage Parkinson's and recently had a second CVA. That was the first time she has been unresponsive. They were finally able to wake her last night for very brief periods where she would say one or two words, then go back to sleep. My friend prepared herself for a death vigil. Before her mother became unresponsive and since her last stroke, she has been very weak, not able to speak loudly enough for anyone to hear her, and not "brightly" alert. Today her mother has awakened and is bright-eyed, alert, and talking better than she has in months. My friend is wondering if this could be the phenomenon of getting much better just before death. Since I am a nurse she asked me that question. I told her I just don't know. I've been a nurse since 1998, and I've seen a few people improve a little just before death, but not that much. I would be interested in hearing your experiences on this.