Weakness, fatigue, and functional decline
Increased risk of pressure ulcers
Decreased oral intake
Neurologic changes 
Decreasing levels of consciousness leading to coma and death
Terminal delirium confusion, restlessness, agitation, day-night reversal 
Accumulation of upper airway secretions 
Decreased gag reflex and ability to swallow leads to gurgling, or rattling sounds with each breath
Incontinence of urine and/or stool
Inability to close eyes
Cachexia leads to loss of retro-obital fat pad
Ophthalmic lubricants for dry eyes
Increased risk of pressure ulcers
Decreasing levels of consciousness leading to coma and death
Terminal delirium confusion, restlessness, agitation, day-night reversal
Decreased gag reflex and ability to swallow leads to gurgling, or rattling sounds with each breath
Cachexia leads to loss of retro-obital fat pad
Ophthalmic lubricants for dry eyes
End of life care
Goals of care
Palliative medicine
Poison control
Post cardiac arrest care
Tactical combat casualty care
Tactical field care
Involuntary psychiatric hold