The soul is still there, but it's not fully in the body. A coma is not the same for the soul as Alzheimer's or dementia, though.
Let me describe it plainly.
Alzheimer's and dementia: the soul steps back slowly
With Alzheimer's and deep dementia, the person you love is not trapped and suffering inside a failing mind. The deeper into the disease they go, the less in the body the soul is. It loosens its grip gradually, the way you might slowly step back from a house you're preparing to leave. What remains with the body is enough to keep it going.
The soul does not cross over. It stays attached to the body by the energy cord and simply steps out, often no farther than the room.
Moments of sudden clarity happen when the brain wakes up for a while and the soul steps back into the body.
A coma: a weighted blanket on the soul
An induced coma, as it was once shown to me, is like a weighted blanket on the soul. The soul is held close to the body, stilled, but aware. It is not gone. I've seen it, and it stayed with me.
Why the messages are so surprisingly practical
Here is the detail that convinces families more than anything else I can say. When I connect with someone in this in-between state during a session, what comes through is rarely cosmic. It's earth problems. This blanket is scratchy. Tell my nurse my right ear hurts.
The soul is still tethered to a body, so its concerns are still bodily. Souls that have fully crossed speak very differently. That contrast is one of the clearest things I've ever been shown about where a person actually is.
What this means for the family
Your person can hear you. Speak to them normally, tell them what you need to tell them, and take care of the small comforts: the room, the blanket, the music. The practical things are not trivial. Right now, practical is the language their soul is speaking, and you already know how to speak it.
For the sensitives who do this work
If you're developing mediumship, in-between souls will come through differently than crossed ones: closer, heavier, more literal. Learning to tell the difference protects both you and the family in front of you.
Understanding the difference is what I teach in my seven week mentorship, in the week we spend entirely on the afterlife: learn more here.
Much love.
Malaurie