It’s a question that often crosses people’s minds: how can you tell when your time is near, and what does it look like?

Though the thought may be unsettling, identifying the 11 signs that indicate the end of life can help individuals and their families prepare for what’s ahead. Hospice professionals, including Julie McFadden, outline key indicators that typically arise months, weeks, or even hours before death, especially during a natural passing.

Here are 11 common signs indicating the approach of death, based on expert observations:

1. Loss of Appetite

As the body demands less energy, those nearing the end of life often lose interest in food and drink. This early sign typically appears one to two months before death. Keeping their lips moistened with balm can ensure comfort.

2. Increased Sleep

In the weeks leading up to death, people tend to sleep more as their body conserves energy. Even during this period, hearing is one of the last senses to fade, so speaking softly and kindly is recommended.

3. Altered Toilet Habits

With reduced food and fluid intake, bowel movements become less frequent, and in some cases, individuals may lose control of their bladder or bowels, requiring medical support to manage.

4. Muscle Weakness

As muscles weaken, performing basic tasks such as walking or sitting up becomes difficult. Providing support and modifying their environment can help maintain their safety and comfort.

5. Irregular Vital Signs

In the final days, irregular breathing, a rapid heartbeat, or difficulty detecting a pulse are common. A significant drop in blood pressure indicates the slowing of bodily functions.

6. Lower Body Temperature

Poor circulation in the extremities leads to cold, pale, or mottled skin, particularly in the hands, feet, and legs. This is one of the physical signs loved ones may notice.

7. Breathing Changes

Breathing patterns may become erratic, with grunting, rattling, or Cheyne-Stokes breathing. Changing their position can ease breathing, and consulting a doctor may be necessary for additional support.

8. Pain

Pain may intensify, and conventional treatments may not always provide relief. Observing and addressing discomfort can help ensure the individual remains as comfortable as possible.

9. Withdrawal from Social Interaction

A person nearing the end may prefer solitude over socializing, withdrawing from loved ones. This behavior shouldn’t be taken personally. Plan visits according to their comfort level.

10. Confusion and Disorientation

Confusion, memory lapses, or losing awareness of their surroundings often occur in the final days. Gently reminding them of who is present and explaining what’s happening can offer reassurance.

11. Hallucinations

Experiencing visions or conversing with unseen individuals is common. Although this can be distressing for observers, it’s important to remain calm and gently remind them of their surroundings to alleviate anxiety.

Preparing for the End

Recognizing these signs can help loved ones provide better care and support during this emotional time. Though challenging, offering comfort and understanding can make the final moments more meaningful and peaceful.