15 Signs Hospice Nurses Notice When Someone Is Near the End

Skin changes can be especially noticeable to hospice nurses. As blood circulation slows, the skin may develop a mottled pattern, often on the feet, legs, knees, or hands. It can look blotchy, purplish, or marbled. This sign often appears in the later stages and can be a strong clue that the body is shutting down more slowly. Nurses examine whether the skin is warm or cool, dry or moist, and whether there are any signs of discomfort. While mottling can be startling to families, it usually reflects reduced circulation rather than pain by itself.