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Palliative & End-of-Life Care

Recognizing the Signs That Death Is Near

๐Ÿ“… June 27, 2026 ✍️ By Piewy Team

Recognizing that death is near helps you provide comfort and prepare the family. These changes are natural and not something to fear.

Common Signs in the Final Days

  • Sleeping much more, hard to wake
  • Eating and drinking very little
  • Changes in breathing (irregular, pauses)
  • Cool, mottled hands and feet
  • Reduced urine output
  • Withdrawal or restlessness

How PSWs Provide Comfort

  1. Keep the person clean, dry, and repositioned gently.
  2. Provide mouth care and lip moisture.
  3. Keep the room calm and quiet.
  4. Speak gently — hearing often remains.
  5. Manage comfort as the care plan directs.

Supporting the Family

Give them time, answer gently, and let them be present. Your calm presence is a comfort in itself.

Remember

These signs are a natural part of dying. Your care brings dignity to the final moments.

๐Ÿ”‘ Key Takeaways

  • Signs: more sleep, less intake, breathing changes.
  • Provide mouth care, comfort, repositioning.
  • Hearing often remains — speak gently.
  • Support the family with presence and time.
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About the Piewy Team

Piewy study guides are written and reviewed by Canadian healthcare educators and experienced PSW instructors. Our content is based on the NACC PSW competency framework and current best practices in personal support work.