End of life signs include: loss of appetite, excessive fatigue and sleep, increased physical weakness, mental confusion, disorientation, labored breathing, changes in urination, coolness in the tips of the fingers and toes, purplish or bluish mottling in the veins. Learn about signs that death is near and end of life care.These symptoms can also be from to much sedatives.

My daughter has opted for palliative care, not hospice. At 32, she has survived brain cancer for 10 years and treatment for squamous cell carcinoma, and MDS that converted to AML last Fall. She went through BMT without defeating the Leukemia. She said no more chemo. She just wants to be comfortable and no longer poked and prodded. We are following her wishes.

Important discussion. If such a choice to stay at home is made, then how would the spouse/caregiver have enough physical support for 24 hour around the clock care for the patient which could probably occur almost constantly? Financially, that would prove to be unreasonable since the medicare/medical supplement insurance would not cover it?

GW

A good way is certainly to have someone else face the music for you, in that those subjects seem so difficult for people to broach. It is simply not for most people to sit with strangers and make plans for termination.
A close friend or spouse should do as they're generally well into the mind of their spouse way more than any professional.