End of life care is provided to those in the final weeks before death and includes hospice and palliative care. Signs that death may be near include increased sleep, loss of appetite, withdrawal, and skin becoming cool to the touch. Legal documents like advance directives and medical power of attorney are used in end of life care planning. Religious and cultural beliefs around death involve spiritual support and specific interventions to facilitate expressions of feeling and prayer. Nursing management focuses on addressing compromised family coping, activity intolerance, and anticipatory grieving. The two main approaches to end of life care are palliative care, which aims to improve quality of life, and hospice care, which focuses on keeping pain and suffering to a minimum