Weeks before Death

As the end of life nears, extreme fatigue, confusion, and social withdrawal become more pronounced. Patients may engage in life review and focus on funeral planning, revealing their emotional state.

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Signs & Symptoms

What What You Can Do T Help

Even greater desire to sleep

  • Allow as much rest as needed
  • Create a comfortable sleeping environment
  • Expect changes in sleep pattern

Stopping all eating

  • Monitor for signs of distress or discomfort
  • Respect choices regarding eating- may not want to eat
  • Offer small sips of fluids
  • Provide mouth care to alleviate dry mouth

Increased restlessness

  • Ask and assess for pain, bowl issues
  • Provide gentle repositioning for comfort
  • Offer relaxation techniques - music, soft lighting 

Increased congestion

  • Elevate head to ease breathing
  • Use a humidifier to moisten the air

Increased levels of confusion

  • Provide clear and simple explanations
  • Use visual aids to aid communication
  • Create a calm and quiet environment

Increased hallucinations or visions

  • Offer reassurance and emotional support
  • Validate experiences with empathy
  • Engage in non-confrontational conversation

Changes in vital signs

  • Focus on overall well-being and not specific signs like pulse or breathing rate
  • Should stop blood pressure medications now
  • Expect changes
  • Provide comfort measures for temperature fluctuations- may be too hot, too cold
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