Physical Changes You May Experience in the Final Hours and Days of Life, According to Health Experts

Although these physical signs may appear simple, there are instances that can make family members feel uneasy or uncertain.

Unpredictable shifts in behavior, sporadic bursts of energy, or fleeting moments of lucidity can happen, making it challenging to anticipate the exact timing of the final moments.

These unpredictable changes might lead to curiosity or optimism, but they are an integral part of the body’s intricate process of preparing for the end.

Recognizing that these differences are normal can alleviate anxiety, enabling family members to be fully present and supportive without setting unrealistic expectations.

Despite these subtle, sometimes enigmatic changes, they serve as a reminder of the delicate equilibrium between life and death—an uncertain and profound transformation that impacts us all. 

According to the NHS, our bodies exhibit distinct changes as we approach the final stages of life. These signs can differ from person to person, but it’s crucial to be aware of them. Generally, these physical symptoms persist for a few hours to a few days when an individual is approaching the end of their life. 

There are nine signs that can indicate when someone is nearing the end of their life. 

When you are responsible for the care of an elderly individual who is terminally ill, it is crucial to be able to recognize when they are approaching the end of their life. There are nine typical physical changes that frequently take place during this period, such as decreased strength, more rest, and diminished hunger. Let’s examine these indicators more closely.

Sleepiness and weariness

As individuals approach the end of their lives, they often experience a notable decline in energy levels, contrasting with their previous state of good health. They often experience extreme drowsiness and spend a significant amount of time in a state of rest. It’s best to let them slumber as required. To guarantee their comfort, encourage them to switch positions every few hours. 

Decreased hunger. 

As the end approaches, various organs gradually lose their functionality and eventually cease to work. This results in severe weakness, making it challenging for the person to consume food or beverages. Seek advice from a medical expert to discover alternative ways of obtaining proper nutrition if necessary. If the individual is unable to consume fluids, applying a nourishing lip balm can provide relief and keep their lips moisturized.

Variations in respiratory rates. 

The NHS clarifies that breathing patterns become irregular as the end of life approaches. A person’s breath can fluctuate between shallow and deep, sometimes accompanied by a short pause. Mucus accumulation can result in loud, rattling respiration. If you observe these alterations, attempt to reposition their head to facilitate easier breathing. 

Disorientation and delusions. 

Some medications administered during the final stages of life can affect brain chemistry, occasionally causing confusion or hallucinations—seeing or sensing things that are not actually there. This can be unsettling for both the individual and their family members. By gently reminding the person of their surroundings and speaking in a calm and soothing manner, their distress can be alleviated.

Decline in Core Body Temperature. 

In the final days, blood circulation decreases as it concentrates on essential internal organs. This leads to reduced blood flow to the hands, feet, and legs, resulting in a sensation of coolness in the skin. The skin may also appear pale or blotchy, with blue or purple patches sometimes visible. Even if they don’t feel chilly, providing a blanket can offer them a sense of comfort. 

Variations in toilet usage. 

As a result of reduced food and fluid intake, bowel movements become less common, and urine output decreases. These adjustments, although disconcerting, are to be anticipated. If the individual loses control of their bladder or bowels, it may be necessary to hire a caregiver for support.

Muscle atrophy. 

As the end of life draws near, muscles gradually lose strength, making everyday activities like holding a cup or turning over in bed increasingly challenging. Providing gentle support and aid with these activities can offer solace during this difficult period. 

Isolation from social contact. 

As individuals approach the end of their lives, their energy levels tend to decrease, leading to a decrease in their participation in social activities. This natural separation shouldn’t be taken to heart. The individual may require additional relaxation and silence. Planning visits during periods when they feel more awake and energized ensures that they can fully engage in meaningful interactions while also honoring their need for rest. 

Additional modifications close to the conclusion of life

Acknowledging that pain management may not completely alleviate discomfort can be challenging. Vital signs can undergo significant changes in the last few days, including a decrease in blood pressure, irregular heartbeats, and a faint or elusive pulse. These signs indicate that the body is gradually shutting down, a natural progression of the dying process. 

Having knowledge about the physical changes that take place in the last hours and days of life can assist caregivers and loved ones in offering compassionate and suitable care. Although these signs may be challenging to observe, identifying them enables individuals to be better prepared and find comfort during the dying process. Providing patience, tender care, and emotional support during this period can make a significant impact, assisting both the person and their family in navigating this natural, yet demanding, phase of life with grace and tranquility.