Why does breathing change in the final 48 hours at home?

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Breathing changes because the body is slowing down and no longer working in the usual way. In the final 48 hours at home, breaths may become shallow, irregular, or separated by pauses. A rattling sound can happen when secretions collect in the throat and the person is too weak to clear them. This noise can be distressing for relatives to hear, but it does not automatically mean the person is suffering. Small changes such as gently repositioning them onto one side, raising their head slightly, and keeping the room calm can help. If they appear uncomfortable, distressed, or breathless, seek advice promptly so any medicines or comfort measures can be reviewed.

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