For context, my grandmother has raised me since I was 4 and is practically my mother. He's a great father, but an absolute terrible partner. What I blacked out was my name.
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I’m going offer you some reassurance even though I don’t know anything about your grandma’s situation. She may just be growing older. All of our bodies will give out at one point. Just because she is getting weaker does not mean impending death! Obviously you know more about her health than I do, but sleep issues are common in the elderly population.
I deeply appreciate the time you took to write this comment. You're absolutely right in that maybe these are just some new changes that are coming from her age, and if they aren't, well then we will cross that bridge when we get to it. I know I'm a stranger on the Internet but this stranger is grateful for your comfort and time.
One thing I'll say, and I don't claim to be an expert, but those things like vacuuming, getting up and moving around, etc., are vitally important. My dad passed away about 20 years ago and my mom never quite recovered emotionally, but when she started having physical issues about 5 years ago she just stopped moving around because it was more difficult. It's very easy for people to become deconditioned, which snowballs and just makes life in general more difficult. Just encourage her to do a little bit every day so that she stays somewhat active.
Best of luck.