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hello my name is Jackie Edgecomb Im a registered nurse Ive been at Saint Johns hospice since 2004 I did my nurse training in London and have spent several years in various hospitals around the country Ive mostly spent time and working in the hospice at home department at st. Johns but also worked an inpatient unit and as a CNS patients tend to slowly gradually over a period of time withdraw from the world they tend to spend more time in bed they sleep more theyre disengaged with wanting to watch television concentration is reduced theres a gradual decline in interest what also can happen is that they tend to sleep more and that day and night can blur that can and raise issues if there tend to be sleeping more during the day and not at night are being wakeful and potentially agitated because they cant sleep at night often we see breathing changes with our patients this is very normal and it can be quite alarming at times patients can develop rapid period of rapid breathing or s