10 Subtle Signs That May Indicate a Person is Close to Death

Death is a topic many of us find difficult to discuss, yet understanding its approach can provide invaluable comfort and preparation. While each person’s journey is unique, certain signs often indicate that life may be drawing to a close.

Here are ten common warning signs that could suggest a person is nearing the end of their life. By recognizing these indicators, family members and caregivers can ensure their loved ones receive appropriate care and support during this challenging time.

1. Decreased Appetite & Thirst

As the body begins to shut down, a person’s appetite and thirst often diminish significantly. They may show little interest in food or drink, even refusing their favorite meals. This reduced intake is a natural part of the dying process and shouldn’t be forced.

Family members might find this change distressing, but it’s important to understand that it’s not causing discomfort to the dying person. Instead of pushing food, keep their mouth moist with ice chips or a damp cloth. Lip balm can help prevent discomfort from dry lips.

2. Increased Sleep & Drowsiness

A person nearing death may spend more time sleeping and appear drowsy when awake. This increased sleepiness is due to changes in metabolism and decreased energy needs. They might struggle to stay awake during conversations or doze off unexpectedly.

While this can be concerning for loved ones, it’s a normal part of the dying process. Allow the person to sleep as much as they need, but ensure they’re comfortable and change their position regularly to prevent bedsores.

When they’re awake, engage in gentle conversation or simply sit quietly with them.

3. Changes in Breathing Patterns

Irregular breathing is a common sign that death may be approaching. The person might experience periods of rapid, shallow breaths followed by long pauses. This is known as Cheyne-Stokes breathing and can be distressing for observers.^(ref)

Another change in breathing is the “death rattle,” a loud, gurgling sound caused by fluid in the throat and airways. While it may sound uncomfortable, it’s generally not distressing for the dying person. Elevating the head of the bed or turning them on their side can help manage these symptoms.

4. Decreased Circulation & Body Temperature

As death nears, blood circulation begins to slow and withdraw from the extremities. This can cause the person’s hands, feet, and legs to feel cool to the touch and appear pale or mottled. Their skin might take on a bluish or purple hue, especially in the hands and feet.

Body temperature regulation may also become impaired, leading to fever or feeling unusually cold. While it’s natural to want to warm them up, it’s best to ask if they’re comfortable and provide light blankets if needed.

Avoid using electric blankets or hot water bottles, as these can be dangerous.

5. Confusion or Disorientation

In the days or hours before death, a person may experience confusion, disorientation, or hallucinations. They might not recognize familiar faces, speak to people who aren’t there or seem unaware of their surroundings. This can be due to changes in brain function as the body shuts down.

While this behavior can be upsetting for loved ones, it’s important to remain calm and reassuring. Gently remind them of the time, place, and who is present. Speak in a soothing voice and avoid arguing or trying to correct their perceptions.

Your presence alone can be comforting, even if they don’t seem to recognize you.

6. Changes in Bladder & Bowel Function

As the body’s systems begin to slow down, changes in bladder and bowel function are common. The person may urinate less frequently or lose bladder control entirely. Bowel movements may become less frequent or stop altogether due to decreased food intake and slowed digestion.

These changes can be managed with the help of healthcare providers. They might recommend using absorbent pads or a catheter to manage urinary issues. For bowel-related concerns, they may suggest gentle laxatives or enemas if the person is experiencing discomfort.

7. Weakening Pulse & Drop in Blood Pressure

As death approaches, a person’s heartbeat may become irregular, and their pulse might weaken. Blood pressure typically drops, which can contribute to the cooling of extremities and changes in skin color. These changes are part of the body’s natural process of shutting down.

Healthcare providers can monitor these vital signs to assess how close the person is to death. However, it’s important to remember that these signs don’t always progress in a predictable manner.

The focus should be on keeping the person comfortable rather than constantly checking their vitals.

8. Social Withdrawal

Many people become less social as they near death. They may show less interest in visitors or engaging in conversations. This withdrawal is often a natural part of the dying process as the person begins to detach from the physical world.

While this can be difficult for loved ones, it’s important to respect the person’s wishes. Continue to speak to them gently, even if they don’t respond. Your presence and touch can still provide comfort.

If they’re open to it, reading to them or playing soft music can be soothing.

9. Visions or Hallucinations

Some people report seeing deceased loved ones or having vivid dreams as they near death. These experiences, often referred to as end-of-life visions, can be comforting for the dying person. They might describe conversations with people who have passed away or speak about preparing for a journey.

While these experiences can be disconcerting for family members, they’re generally not distressing for the person experiencing them. It’s best to listen without judgment and offer reassurance. These visions can provide peace and reduce fear of death for some individuals.

10. A Sudden Burst of Energy

Paradoxically, some people experience a brief surge of energy shortly before death. This phenomenon, sometimes called “terminal lucidity,” can be confusing for family members, who might interpret it as a sign of improvement.

During this time, the person might become more alert, talkative, or even ask for food. While it can be tempting to see this as a positive turn, it’s often a sign that death is very near. Use this time to share any final words or simply enjoy their company. This last rally typically doesn’t last long and is followed by a quick decline.

Understanding the signs that someone may be nearing the end of life can be emotionally challenging, but it’s an essential part of providing compassionate care.

These 10 indicators offer valuable insights into the dying process, helping loved ones and caregivers prepare for what lies ahead. Remember, every individual’s journey is unique, and not all signs may be present in every case.