What are potential signs of end-of-life or impending death?

The presence of coolness and restlessness in a patient can indeed indicate signs of end-of-life or impending death. As the body begins to approach death, various physiological changes occur, including reduced circulation, which can lead to coolness in the extremities and skin. Additionally, restlessness may arise from a combination of factors such as discomfort, confusion, or the body's response to the dying process. These signs often reflect the changes occurring in the body's systems as they transition toward the end of life.

In contrast, increased appetite, active communication, and severe energy are not typically associated with the end-of-life stage. An increase in appetite is usually not seen as the body starts shutting down, while active communication and high energy levels are often indicative of better health and well-being rather than the decline that accompanies impending death. Recognizing these signs helps caregivers and family members prepare for the final stages of life for their loved ones.