7 Subtle Signs That Indicate an Older Person Is Going Through an Important Transition

Life is a natural process, and the end of an older person’s life, while difficult to face, also has physical and emotional signs that can show the body is gradually shutting down. Recognizing these signs is not about anticipating the loss with sadness, but about accompanying them with love and dignity at each final stage.

1. Changes in Sleep Patterns

It’s common for older adults to start sleeping more than usual, spending much of the day in a state of drowsiness or deep sleep. They may wake up with difficulty or remain asleep even when there are stimuli around them.

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.

Tips and Recommendations for Respectful Support

Supporting a loved one in their final stage is an act of profound love. Here are some tips that may help:

Emotional Support

Speak calmly and lovingly, even if the person doesn’t respond verbally.

Maintain gentle physical contact (holding their hand, a caress), which can provide comfort.

Physical Care

Do not force them to eat or drink. Offer small sips or moisten their lips with a sponge if you prefer.

Make sure they are warm and comfortable, adjusting their position to avoid discomfort.

Constant Communication

Even if they don’t respond much, continue talking to your loved one in a calm and familiar tone; Most people can hear even if they don’t respond.

If there is confusion or agitation, don’t correct them abruptly. Remain calm and loving.

Professional Support

Seek support from palliative care professionals who can guide you with medical or comfort resources.

The process of saying goodbye to an older adult can include very specific physical and emotional signs, from increased sleep to changes in breathing and decreased interest in their surroundings. All of these manifestations are part of the body’s natural process of winding down its functions. Recognizing them allows you to provide not only more appropriate care, but also a warm and respectful presence in the final moments shared.