if a patient is choosing to pass away at home on hospice here are 12 signs or symptoms that you will likely see 1. a decrease in food and water intake 2. a decrease in functional ability three an increase in sleep four intermittent confusion or disorientation once you start seeing all of these things then you might start noticing that this loved one of yours is talking about dead relatives or even seeing dead relatives this is actually a sign of death and dying on hospice once they get to the very end stages of death and dying these are the things you'll likely see changes in breathing changes in skin color fever glassy or teary eyes reaching for things or staring off and then every once in a while someone will have terminal agitation all of these things are normal in death and dying like for more