And the mouth dries a great deal, and the eyes dry a great deal and other parts of the body became mottled.  And that is because the blood is now so low in the system it’s shunted to the heart and other visceral organs and away from the periphery of the body.
 
When that happens you can tell the family that patient will die within two to four days.  And you do appropriate things for mouth care and for care of the eyes.