Signs in Terminally Ill Patient Suggesting Approaching Death

• show progressive, profound weakness and fatigability?

• show disinterest towards food and fluids?

• have a weakening of the voice?

• show an inability to close the eyelids?

• have urinary incontinence?

• have oliguria?

• have a falling blood pressure unrelated to hypovolemia or bleeding?

• appear disoriented to time?

• have a decreasing attention span?

• report vivid dreams or nightmares?

• report seeing previously deceased individuals?

• make reference to traveling home or to a final destination?

• show mottling and coolness in the pretibial and dependent areas?

• act restless, agitated, or delerious?

• have audible secretions in the lungs?

Respirations

Swallowing

Heart rate

Mobility

Consciousness