Sammie, there are specific things to look for. When the end is near various organs will start shutting down. He may experience jaundice as the liver fails. Blood will pool in the extremities and in the back, or bottom side, as circulation gets poorer. The final stage is known as the "death rattle". Phlegm collects in the back of the throat and produces a distinctive rattling sound. Death is usually imminent within 24 hours at that point. He may drift in and out of consciousness as well. It sounds like it's time to get the hospice people involved in his care. This will insure maximum quality of life, proper pain management and a dignified death. They will guide you through this, counsel you and provide bereavement counseling as well. I wouldn't delay on this.

Try to remember and talk about the really important things that you can. You must help prepare him for his death.

It is very important that you take care of yourself as well. Keep up on your nutrition, find a support group and professional counseling if need be. Get anti-drepressants if you need them.

Make sure that all of the legal matters are resolved, living trust, will, and advanced directives.

I was a primary caregiver for my dad who died of cancer so feel free to email me personally if you need any help with any issues that may arise.

I am so sorry about this turn of events.