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[Music] I think the the scariest symptom at the end of life for family members is the change in breathing and often you will you will see pauses and breathing it could become irregular you can hear a change in the noise of breathing which can kind of sound like a rattle um and you know physically that can be a buildup of secretions in the in the lungs often people say that this I mean we dont know for sure I suppose but that its not uncomfortable for the for the patient and for the person experiencing it but it is it can be disturbing for the family member whos there beside them and hearing these noises so I think thats probably the the um the most common reason that someone would call 9-1-1 and being aware that there will be breathing changes and changes in the sound um as someone nears the end of life and its likely that you also see some changes in their skin color um theres something that you would see its called modeling so its discoloration of the skin that may start sort
