In these moments, a reduced appetite is typically part of the body’s natural process rather than a sign of neglect.
2. Increased sleep and lower activity levels

Another common change is a noticeable increase in sleep. The person may spend much of the day resting, appear more drowsy, or respond less to their surroundings.
Periods of wakefulness may become shorter. Even when awake, the person might seem withdrawn or less engaged. This is often linked to the body conserving energy as its systems gradually slow.
For caregivers, it can help to understand that this increased need for rest is a natural progression.
3. Differences in breathing patterns
Breathing may also change. It can become irregular, with pauses between breaths, variations in depth, or shifts in rhythm.
Some individuals develop patterns such as cycles of deeper breathing followed by brief pauses. While these changes can be unsettling to observe, they are commonly associated with the body’s reduced ability to regulate respiration in advanced stages.
Remaining calm and informed can ease anxiety during these moments.