Ace the 2026 Hospice & Palliative RN Cert Exam – Compassionate Care Starts Here!

The symptom typically not associated with imminent death is increased thirst. In the final stages of life, various physiological changes occur that often lead to a decreased appetite and a reduced desire for food and fluids. As patients approach death, they frequently exhibit a natural decrease in thirst, driven by altered body metabolism and changes in the brain's regulation of thirst. This makes them less likely to ask for fluids or feel the need for hydration, distinguishing it from the other listed symptoms.

In contrast, dysphagia (difficulty swallowing), weakness or fatigue, and breathing irregularities are commonly observed in patients nearing death. Dysphagia may occur as the body begins to shut down, impacting the ability to swallow. Weakness or fatigue is a profound symptom experienced by many approaching the end of life, as the body diverts energy towards vital functions. Breathing irregularities, including changes in the depth and pattern of breathing, are also frequent indicators of nearing death, reflecting the body’s physiological response as organ systems begin to fail.