Signs and Symptoms of End-of-Life in Hospice Care

When a patient chooses hospice care to pass away at home, there are several signs and symptoms that may indicate they are nearing the end of life. Here are 12 key observations:

Decreased Intake

• Food and Water Reduction: Patients may eat and drink less as the body begins to shut down.

Functional Changes

• Decrease in Functional Ability: The ability to perform daily activities diminishes.

Changes in Sleep

• Increased Sleep: Patients often spend more time sleeping.

Cognitive Changes

• Intermittent Confusion or Disorientation: There may be periods of confusion or being disoriented.

Spiritual or Hallucination Experiences

• Seeing or Talking about Dead Relatives: Patients may begin to talk about or see loved ones who have passed away.

Physical Changes in Final Stages

• Changes in Breathing: Breathing patterns may alter as the body approaches death.
• Changes in Skin Color: Skin may change color, sometimes appearing mottled.
• Fever: A fever may develop.
• Glassy or Teary Eyes: Eyes may take on a glassy or teary appearance.
• Reaching for Things or Staring Off: Patients might reach for unseen objects or stare into space.

Agitation

• Terminal Agitation: Occasional restlessness or agitation may occur.

These symptoms are considered normal in the process of death and dying in hospice care.

Note: Always consult healthcare professionals for guidance and support during hospice care.