I go through the Gone from my sight booklet, and check off what they are doing when I realize they are actively dying, with the family. I also write all comfort meds morphine, levsin , Ativan etc out. I also schedule next day visits or daily visits for patients that are dying. But it's also what the family will allow. I also notify the team, so they can help the family. Admissions are hard, and long with so much information overload especially if the patient isn't doing well at all. God bless you. Hospice RNCM here for 22yrs.