This document discusses the care of dying patients. It defines palliative care as promoting comfort and peace in the final stage of life. It outlines signs that a patient is approaching death, including changes to appearance, senses, breathing, circulation, digestion and the central nervous system. It also describes symptomatic management of issues like breathing difficulties, eating problems and loss of senses. Finally, it lists signs of clinical death such as the absence of a pulse or pupil reaction and discusses the nurse's role in assessment and care.