4-6 days before Death

This stage occurs four to six days before death. It is characterized by intensifying emotional and physical symptoms.

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Signs & Symptoms

What You Can Do To Help

Abnormal vitals

  • Abnormal vitals signs - pulse, respirations, blood pressure are expected- there is nothing specific you have to do
  • Any blood pressure medications should be stopped now

Decreased level of consciousness

  • There will be increasing signs of decreased consciousness and somnolence (sleepiness)
  • Ensure comfort and position for sleep or rest
  • Continue to speak calmly and reassuringly

Difficulty drinking liquids

  • Increased difficulties of swallowing liquids with potential risk to aspiration- do not force liquid or food
  • Continue to maintain oral moisture, such as wet sponges, oral swabs, crushed ice, and lip balm
  • Expect that there will be decrease in hydration, lack of fluid intake. This is OK at this time
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