### End-of-Life Signs

As the body begins to shut down, these common signs may appear:

1. **Fatigue and Drowsiness**: Increased sleep and low energy. Ensure comfort and reposition regularly.
2. **Loss of Appetite**: Difficulty eating and drinking. Use lip balm for hydration and consult professionals for alternatives.
3. **Breathing Changes**: Irregular or rattling breathing. Adjust position to ease discomfort.
4. **Confusion and Hallucinations**: Stay calm and reassuring; remind them who you are.
5. **Cold Extremities**: Circulation slows, causing pale or mottled skin. Offer blankets for comfort.
6. **Reduced Toilet Use**: Less frequent urination or bowel movements. Caregivers may help with incontinence.
7. **Weak Muscles**: Assist with tasks like drinking or repositioning.
8. **Social Withdrawal**: Reduced interaction; visit when they feel ready.
9. **Vital Sign Changes**: Lower blood pressure, irregular heartbeat—normal signs of decline.

Provide comfort, patience, and support to help them feel at peace.