5

Many individuals naturally withdraw in their final year.

This can appear as:

• Reduced conversation

• Limited interest in visitors

• Increased reflection

• Desire for quiet

From a psychological perspective, this withdrawal is not always depression. It can represent a natural transition phase, where the body and mind gradually reduce external engagement.

Important Clarification

These signs do not automatically mean someone will die within a year.

They are more commonly observed in:

• Advanced cancer

• End-stage heart failure

• Severe COPD

• Late-stage dementia

• Advanced kidney disease