The final hours before death are known as the peri-death period (Matzo & Sherman, 2015). During the peri-death period two bodily processes often happen simultaneously. The body begins to physically shut down, and an emotional and spiritual release occurs as the physical body approaches death (Matzo & Sherman, 2015). Matzo and Sherman (2015 describe certain physical symptoms that become evident as an individual approaches end-of-life (EOL). Metabolism transformations in the body cause sleep patterns to change, with a noticeable increase in the time spent sleeping. The extremities begin to cool, which may cause a mottled appearance, especially in the hands, feet, arms, and legs. Food and fluid intake decreases significantly. Patients may
