• The patient is in pain that is not relieved by the prescribed dose of pain medication;
• The patient shows discomfort, such as grimacing or moaning;
• The patient is having trouble breathing and seems upset;
• The patient is unable to urinate or empty the bowels;
• The patient has fallen;
• The patient is very depressed or talking about committing suicide;
• The caregiver has difficulty giving medication to the patient;

The caregiver is overwhelmed by caring for the patient, or is too grieved or afraid to be with the patient; orAt any time the caregiver does not know how to handle a situation.

Check out the National Cancer Institute if you have more end-of-life care questions.