10/14/2026
Sometimes discomfort doesn't look like pain.
A person receiving hospice care may become unusually restless, anxious, confused, or unable to settle—especially as their condition changes.
You might notice:
✔ Repeatedly trying to get out of bed
✔ Picking or pulling at clothing or blankets
✔ Frequent repositioning or inability to get comfortable
✔ Calling out or appearing unusually anxious
✔ New or worsening confusion
✔ Changes in sleep or increased wakefulness
There can be many possible causes, including pain, constipation, urinary problems, medication effects, difficulty breathing, infection, or changes related to the underlying illness.
Don't assume it's something your family has to manage alone.
If you notice new or worsening restlessness, let your hospice team know. Your nurse can assess what may be contributing and recommend ways to improve comfort.
In the meantime, a quiet environment, familiar voices, gentle reassurance, reduced stimulation, and staying nearby may help.
Behavior is sometimes a form of communication.
When your loved one can't tell you what they need, the hospice team can help you look for the signs.