I went through additional hospice training to become a vigil volunteer. Vigil volunteers sit with actively dying patients to assure that no one ends their life alone. I accepted my first patient last week and prepared for my 4am-7am shift at his bedside. The patient died before we could hold vigil. He was 36.
During vigil training one of the instructors told us what actively dying looks like. "They may start to withdraw from those around them. Their extremities may begin to mottle or turn blue," they said. In my head I thought, "We. We may start to withdraw. We may begin to turn blue."