How to Recognize, Cope with Anxiety at the End of Life

People who are in the final stage of their life and their loved ones face many challenges, and anxiety is often one of those challenges present during this phase of life. It’s natural for people to feel anxious because of the uncertainty or fear of dying.

Anxiety is a natural response to factors that create stress in our lives. It’s a feeling of worry or fear that is expressed differently by each person. Some people can verbalize how they are feeling, and others can’t. Anxiety can range from mild to panic attacks. When someone feels anxious, the body goes into high alert and the flight or fight responses are activated.

Symptoms of anxiety can include:

  • Avoidance of family/friends
  • Behavioral changes (uncontrollable crying, agitation, yelling/screaming)
  • Changes in vital signs (increased breathing, increased heartrate, chest pain)
  • Constipation/diarrhea
  • Difficulty focusing
  • Exhaustion
  • Irritability
  • Lack of concentration
  • Muscle twitching/trembling
  • Nausea
  • Nervousness (churning or “butterflies” in stomach)
  • Restlessness
  • Sleep disturbances (insomnia or difficulty falling asleep)
  • Sweating
  • Tenseness

There are many things you can do to help your loved one cope with the anxiety that can accompany end of life.

  • Communication: Sometimes just being there to listen or to help a person understand what they are feeling can be enough. Give your loved one time to voice their fears and/or concerns about end of life. Ask open-ended questions, and allow pauses and moments of silence, so your loved one doesn’t feel rushed.
  • Reassurance: Reassure your loved one that anxiety is common. Acknowledge their feelings and don’t minimize them.
  • Relaxation techniques: Deep breathing, imagery and meditation are just a few examples of techniques that may reduce physical symptoms of anxiety when they occur.
  • Incorporate creativity or relaxing activities: Calming, relaxing music playing softly can alleviate anxiety. Suggest relaxing activities, such as taking a hot bath, reading or watching a favorite movie, sports team or show. Help your loved one activate their creativity through journaling, adult coloring or painting. You can add essential oils to paints to aid with stress relief and anxiety.
  • Support from professionals: If your loved one is on Hospice, they have professionals who can assist you and your loved one. Nurses, social workers, chaplains and certified nursing assistants (CNAs) can assist with listening, diffusing a situation, offering services (resources, prayer, support groups/services, etc.) and other assistance.
  • Underlying causes: There are times when underlying issues are causing anxiety. Shortness of breath and pain are two common causes. If your loved one is experiencing either of these, contact your Hospice care team to help treat or alleviate these issues, and their anxiety will likely be reduced.
  • Medications: Medications can help relieve signs and symptoms of anxiety. Remember to give medications as directed and let your Hospice care team know if they seem to be working or not, as adjustments may need to be made.

Anxiety is difficult not only for the one experiencing it, but also those around them. If you find yourself feeling overwhelmed on how to help your loved one, seek assistance. Don’t be afraid to ask for help, so you can avoid feeling anxious yourself.

If you need extra support, we can help. Contact us at (800) 237-4629 or visit our website.

About Hospice of the Red River Valley
In 1981, Hospice of the Red River Valley was founded on the belief that everyone deserves access to high-quality end-of-life care. We fulfill our nonprofit mission by providing medical, emotional, personal and spiritual care, as well as grief support to our patients, their families and caregivers during a tender time in life. Our staff helps those we serve experience more meaningful moments through exceptional hospice care, 24 hours a day, 365 days a year, wherever a patient calls home. The organization serves more than 40,000 square miles in North Dakota and Minnesota, including in and around Bismarck, Detroit Lakes, Devils Lake, Fargo, Fergus Falls, Grand Forks, Lisbon, Thief River Falls, Valley City and many more communities. Hospice of the Red River Valley offers round-the-clock availability via phone, prompt response times and same-day admissions, including evenings, weekends and holidays. Contact us anytime at 800-237-4629 or


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