Respond to Deterioration

Recognising deterioration is critical if appropriate action is to be taken. Deterioration may be slow occurring over time, or it may be rapid in onset.

Processes to monitor if a person’s condition is changing can prompt actions and care responses.

Key points

Signs that a person’s health is getting worse may include:

  • their function is getting worse
  • feeling more tired
  • sleeping more
  • eating less
  • finding it hard to swallow
  • more pain
  • less interest in doing things or self-care.

Why it is important to respond quickly

Deterioration may occur rapidly, and needs will change. You can prevent acute health problems getting worse. This may reduce distress in the end-of-life process for the person and family.

Have things in place:

  • understand the preferences of the person and their family
  • review the person regularly for signs of deterioration
  • identify how to have a medical review after hours
  • plan how you can offer end-of-life care.

Find out more

The following ELDAC Toolkits provide tailored information and guidance on responding to deterioration:

Page updated 7 September 2026