2. Decreased Interest in Eating and Drinking

As the body uses less energy, appetite decreases. Older adults may stop wanting solid foods, complain that they don’t like the flavors, or avoid drinking liquids. This doesn’t necessarily cause suffering, but is a natural sign that the body is closing down its functions.

3. Withdrawal and Unresponsiveness

The person may begin to disconnect from the world: speaking less, showing little interest in their surroundings, and responding less frequently or more slowly when spoken to. This withdrawal may indicate a process of saying goodbye and conserving energy.

4. Communication Difficulties

As body energy decreases, the ability to speak clearly or sustain a conversation may be affected. The person may communicate less, make sounds, or simply remain silent, even while conscious.

5. Changes in Breathing

Breathing becomes more irregular and shallow. There may be pauses between inhalations, slower breathing, or even sounds like a “wet snore” when breathing, known as a “death rattle.”

6. Cold Skin, Paleness, and Decreased Physical Activity

Circulatory changes cause the hands and feet to feel cold to the touch. The skin may appear paler, purplish, or mottled, and the person tends to move much less, requiring more support for any physical activity.

7. Confusion or Hallucinations

Disorientation in time and space may occur, along with failure to recognize close people, or even recounting experiences that seem imaginary. This can be part of the mind’s natural process and not necessarily a sign of physical suffering.