1-3 months
● Withdrawal from people and activities
● Talking less
● Eating and drinking less
● Sleeping more
1-2 weeks
● Confusion
● Talking to others not present
● Physical changes
● Heart beat speeds up or slows down
● Blood pressure goes down
● Skin color changes
● Irregular breathing
● Body temperature changes – hotter or colder
● Eating/drinking less or not at all
Days to Hours
● Sleeping most of the time
● Possible sudden burst of energy (will not last long)
● Restlessness
● Having a hard time swallowing
● More skin color changes
● More irregular breathing, long pauses
● Rattling or wet-sounding breaths
● Weak heartbeat
● Drop in blood pressure
● No urine, or little very dark urine
● Eyelids may not close
Minutes
● Short breaths with long pauses
● Mouth open
● Does not respond
How to know death has occurred
● No breathing
● Possible loss of bladder or bowel control
● Eyelids slightly open
● No blinking
● No heartbeat
● No response
● Jaw relaxed, mouth open
What to do when death occurs
● This is not a medical emergency; nothing needs to be done immediately
● Take a moment to be with your loved one and say goodbye
● Call Hospice of the Piedmont
● A Hospice of the Piedmont nurse is available 24 hours a day, 7 days a week, who will come and assist with final care, contact the funeral home, and provide any support needed.