Sleep and Rest in Hospice Patients: What’s Normal?

Sleep and Rest in Hospice Patients: What’s Normal?

Learn what to expect when it comes to sleep and rest patterns in hospice patients, and how caregivers can provide comfort during this phase of care.

As a loved one enters hospice care, one of the most noticeable changes can be in their sleep and rest patterns. These shifts can raise concerns or confusion among family members and caregivers. At Angel Wings Hospice, we’re here to guide you through what’s normal and when to seek support. Understanding these patterns can help you provide the most compassionate and informed care.

Why Sleep Changes in Hospice

1. The Body’s Natural Transition In the final stages of life, the body naturally begins to slow down. Increased sleep or long periods of rest are common as the body conserves energy and prepares for the final transition.

2. Medications and Comfort Measures Hospice patients are often on medications to relieve pain, anxiety, and other symptoms. These medications can cause drowsiness or deeper sleep, but they also ensure the patient is comfortable and at ease.

3. Emotional and Physical Fatigue Dealing with a terminal illness is both physically and emotionally draining. Sleep becomes a way for the body and mind to rest, recover, and cope with the changes occurring.

What’s Considered Normal?

  • Increased Sleep Time: It is common for patients to sleep 18-20 hours a day in the final weeks or days.
  • Day and Night Confusion: Hospice patients may sleep more during the day and become restless at night. This is a normal part of the dying process.
  • Less Responsiveness: You might notice that your loved one is harder to wake or engages less when awake. This is typical as the body begins to shut down

When to Seek Guidance

While sleep changes are expected, it’s important to notify your hospice care team if:

  • Sleep is interrupted by signs of distress or discomfort
  • There are sudden and severe changes in consciousness
  • You have concerns about medication side effects

Hospice teams are trained to evaluate and adjust care plans to ensure maximum comfort.

Supporting Sleep and Comfort

1. Create a Peaceful Environment Keep noise low, dim lights, and offer soothing touches like soft blankets or gentle music.

2. Respect Their Rhythm Let your loved one sleep when they need to and avoid waking them unless necessary.

3. Be Present Even if they’re asleep, your presence offers comfort. Hold their hand, sit quietly nearby, and speak gently.


Sleep and rest patterns change as part of the natural process of dying. By understanding what’s normal, you can offer peace and dignity during this sacred time.

If you have concerns about your loved one’s sleep or comfort, don’t hesitate to reach out. Contact Angel Wings Hospice today — our compassionate team is here to help every step of the way.

📞 Call Angel Wings Hospice | 🌐 https://angelwingshospice.org/contact-us/

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