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Which of the following is NOT a sign of dying?

  1. Lethargy

  2. Disorientation

  3. Increased intake and output

  4. Temperature sensitivity

The correct answer is: Increased intake and output

In the context of signs associated with the dying process, increased intake and output is generally not indicative of dying. During the final stages of life, individuals usually experience a decline in appetite and fluid intake, leading to decreased output. This is part of the body's natural progression as it begins to shut down. On the other hand, lethargy, disorientation, and temperature sensitivity are commonly observed signs in patients nearing death. Lethargy reflects a significant decrease in energy and responsiveness. Disorientation can manifest as confusion about time, place, or identity, and it often occurs as bodily functions begin to fail. Temperature sensitivity is linked to changes in how the body regulates heat, making patients more susceptible to feeling cold or hot, which is another indication of the physiological changes associated with dying. Understanding these signs provides insight into the dying process and is crucial for caregivers and health professionals in offering appropriate support.