ADVERTISEMENT
This is often the earliest and most misunderstood sign.
What it feels like for them: As the body begins the natural process of shutting down, it requires less energy. Food becomes less appealing. Digestion slows. The sensation of hunger often fades. This is not depression—it’s biology.Food
What to do: Do not force food. Do not guilt them into eating. “Just one more bite” becomes a source of stress, not nourishment. Instead, offer small, favorite foods. Listen to what they want. Respect their “no.” Focus on comfort, not calories.
Sign #2: A Noticeable Increase in Sleep and Fatigue
This is the sign my grandmother showed that we misinterpreted.
What it looks like: Your loved one is sleeping more during the day. They nap for hours. They are harder to wake. When awake, they seem drowsy or disoriented. They may sleep 16-18 hours a day. They may drift off mid-conversation.
What to do: Do not try to “keep them awake.” Do not schedule activities to prevent napping. Let them sleep. This is what their body needs. Use waking moments for connection—eye contact, hand-holding, quiet presence. Quality over quantity.
Sign #3: A Tangible Decrease in Social Engagement and Conversation
This one breaks my heart because I saw it and didn’t understand.
What it feels like for them: Social interaction requires energy—cognitive, emotional, sometimes physical. As that energy wanes, the effort of conversation becomes exhausting. There may also be a natural turning inward, a kind of preparation for what’s next.
What to do: Do not take it personally. This is not rejection. It is not an assessment of your worth or their love for you. Sit beside them. Hold a quiet hand. Read aloud—even if they don’t respond. Share memories without expecting acknowledgment. Your presence is enough.
Sign #4: Changes in Breathing Patterns
This sign often appears later, closer to the final weeks or days.
What it looks like: Breathing may become irregular—periods of rapid breathing followed by pauses (apnea). You might hear a gurgling sound in the throat or chest (sometimes called a “death rattle”—a clinical term I dislike, but you should know it). Breathing may seem shallow or effortful.
What to do: Do not panic. Reposition the person—raising their head or turning them on their side can help. Use a humidifier or cool-mist vaporizer. Your doctor can prescribe medication to dry secretions if they’re distressing. Most importantly: your calm presence is the greatest comfort.
Sign #5: A Profound Loss of Interest in the External World
This is the most subtle sign and the most profound.
What it looks like: Your loved one no longer cares about things that once mattered. They don’t ask about the weather. They don’t look out the window. They don’t notice if the TV is on or off. They may seem to stare at nothing. They may stop responding to your voice.
What it feels like for them: There is a kind of turning inward—a focusing on the internal experience of dying that is hard to explain and harder to witness. The external world fades in importance. This is not abandonment. It is not a reflection of their love for you.
What to do: Keep being present. Hold a hand. Speak softly. Tell them you love them. Do not demand responses. Do not interpret silence as rejection. Your presence—silent, still, loving—is a profound gift.
The most important thing: Say what you need to say now. Do not wait for a “better time.” Tell them you love them. Forgive any old wounds. Ask for their blessing. Say goodbye if you need to. They may not respond, but hearing is often the last sense to fade.
What to Do (and Not Do) When You Notice These Signs
Let me give you practical, compassionate guidance.
What TO Do:
ADVERTISEMENT