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Jackie Edgecomb, a registered nurse at St. John's Hospice since 2004, shares insights from her experience in hospice care. She has trained in London and worked in various hospitals, focusing on hospice at home and inpatient care. Patients typically experience a gradual withdrawal from the world, spending more time in bed and showing decreased interest in activities like watching television. This decline includes blurred day-night cycles, leading to increased daytime sleep and nighttime wakefulness, which may cause agitation. Common observations include changes in breathing patterns, such as periods of rapid breathing, which can be concerning for both patients and caregivers.