As the end of life approaches, certain signs may indicate that someone has only a few days left to live. Recognizing these signs can help families and caregivers provide comfort and support during this difficult time.

Decreased Appetite and Thirst: A significant reduction in appetite and thirst is common. “The body’s need for energy decreases,” and the person may no longer desire food or drink. Offering small sips of water or ice chips can help keep the mouth moist.

Increased Fatigue and Sleep: As the body shuts down, the person may spend more time sleeping and find it hard to stay awake. This is a natural part of dying. Allowing rest and ensuring comfort is crucial. They may also become unresponsive, which can be distressing for loved ones.

Changes in Breathing: Irregular breathing patterns, such as rapid breathing followed by long pauses, known as Cheyne-Stokes respiration, are common. Breathing may also become shallow and noisy due to a buildup of secretions, sometimes called the “death rattle.” Keeping the person’s head elevated can provide relief.

Coolness and Color Changes: Circulation slows, causing extremities to feel cool and appear bluish or mottled. Keeping the person warm with blankets can help maintain comfort.

Withdrawal and Decreased Social Interaction: Many people begin to withdraw from their surroundings. “This withdrawal can be a way of letting go and preparing for death.” Offering reassurance and remaining present is important, even if the person does not respond.

Recognizing these signs can help ensure that the person receives the care and comfort they need during their final days.