Decreased Appetite and Thirst As the body begins to shut down, its need for energy and hydration diminishes. Individuals nearing death may eat or drink very little, sometimes refusing food entirely. Offering small sips of water or moistening the lips can help keep them comfortable.
Increased Fatigue and Weakness A person nearing the end of life often experiences extreme tiredness and may sleep most of the day. Their energy levels drop significantly, making simple activities, like sitting up or speaking, more difficult.
Changes in Breathing Patterns Irregular breathing, shallow breaths, or periods of no breathing (called apnea) are common signs. The "death rattle," a distinctive gurgling sound, may occur due to the buildup of fluids in the throat and airways.
Withdrawal and Detachment Social interaction often becomes less of a priority. The individual may spend more time sleeping or appear unresponsive. This detachment can be a way of conserving energy and mentally preparing for the end.
Cool or Discolored Skin As circulation slows, the extremities—hands, feet, and even the nose—may feel cool to the touch. Skin can also develop a mottled, bluish-purple appearance, particularly in the legs and arms.
Confusion or Restlessness Mental changes like confusion, agitation, or restlessness are common. These symptoms may be caused by reduced oxygen levels in the brain, medication side effects, or the natural process of the body shutting down.
Changes in Urination and Bowel Movements The kidneys and digestive system slow their function, leading to decreased urine output and changes in bowel movements. Dark, concentrated urine or incontinence are common signs.
Loss of Interest in Surroundings As someone nears death, they may show little interest in their environment, people, or activities. Their focus turns inward, and they may seem more introspective or distant.
Seeing Visions or Talking to Unseen People Many individuals report seeing deceased loved ones or having vivid visions. This phenomenon is often described as comforting, offering a sense of peace to the dying person.