- The skin will become cool to the touch, most notably in the hands, arms, feet, and legs.
- The skin may also change color and become mottled.
- You may make the person more comfortable by placing warm blankets on.
However, do not use heating pads or electric blankets as these can burn the skin.
|Disorientation and confusion
- The person may not know where they are or what’s going on.
They may be unable to identify people in the room.
- Reassure them that everything is ok and remind them of your name.
- They will have an increased amount of fatigue and will want to sleep often.
They will be hard to arouse and become uncommunicative.
- Continue to talk with them and tell them how much you love them.
If you are able to maintain physical contact such as holding their hand or stroking their hair.
- Just before or just after death bowel retention will cease.
- Keep the person as clean and comfortable as possible.
|Fidgeting and restlessness
- The person may make repetitive motions such as pulling at the bed linen or clothing.
This is due in part to decrease in oxygen.
- Do not interfere with these movements or try to restrain them.
Speak in a quiet, natural way. Lightly massage their forehead. Read to them.
Play soothing music.
|Changes in breathing
- The person may take shallow breaths with periods of no breathing for a few seconds to a minute.
They may experience periods of rapid, shallow panting.
There may be gurgling sounds inside the chest.
These patterns are common and indicate decrease in circulation.
- Elevating their head or turning them on their side may bring comfort. Hold their hand. Speak gently.
|Fluid and food decrease
- Your loved one may want little or no food or fluid.
The body will naturally conserve energy required for the task ahead. Food is no longer needed.
- Do not force them to eat or drink if they don’t want to.
It only makes them more uncomfortable. Small chips of ice or frozen juice chips might be refreshing.
A cool, moist cloth on their forehead might help.
- The person may talk to people that are not in the room, people that have passed on or people they know from your past.
- If they become agitated attempt to call them down. Reassure them that everything is ok.