Skin Changes in Progressive Illness and at End-of-Life

Skin changes are common as illness progresses. This resource explains what you might see and how to help.

Skin often gets dry from lower fluid intake, less oil production and fluid losses. It can also thin, leading to bruising and tears. You may see swelling, yellowing of the eyes and skin (jaundice), or flushing. Let your healthcare provider know if you notice these.

What you can do: pat skin dry instead of rubbing, use non-scented moisturizers, move your loved one gently and slowly, and reposition regularly (about every 2 hours is a rule of thumb).

At end of life, blotchy red or purplish skin called mottling can appear when the heart can no longer pump blood well to the hands, arms, legs and feet. It doesn't cause pain. Blankets can add warmth, though they likely won't change the colour. Tell your care team if you see it.