____________________
____________________
generally
starts
in
the
legs
and
works
its
way
up
to
the
trunk
until
the
patient
becomes
bedbound
.
____________________
may
start
with
coughing
or
sputtering
,
the
patient
may
start
with
moist
or
soft
foods
,
until
he
or
she
can
no
longer
tolerate
intake
.
When
the
____________________
slows
down
the
patient
will
often
become
cool
to
touch
on
their
boney
prominences
,
they
may
also
develop
____________________
tinged
lips
and
a
waxy
pallor
to
their
skin
.
The
____________________
____________________
system
may
malfunction
cuasing
your
patient
to
be
cold
one
moment
and
feverish
the
next
.
As
death
nears
the
____________________
function
will
decrease
,
particulary
24
hours
prior
to
death
,
causing
a
____________________
in
urine
output
.
____________________
____________________
are
caused
by
relaxation
of
the
soft
palate
in
the
throat
with
phlegm
vibrating
against
the
vocal
cords
.