Signs 20 days before the end of life of the elderly are mainly manifested in consciousness, diet, and organ failure, such as poor spirit, little diet, cold hands and feet. Family members are advised to seek prompt medical attention when they notice that a senior citizen is not feeling well. 1. Consciousness: the consciousness disorder is gradually aggravated, the elderly 20 days before the end of life is usually manifested as no spirit, few words, sleep, blurred consciousness, memory, orientation disorder, gradually drowsy, lethargy or even coma, no response to all the pain stimuli. 2. Diet: Eating before the death of the elderly will generally become very difficult, only a small amount of liquid food, or even do not eat. 3. Organ failure: severe organ failure, the elderly may have cold hands and feet, limb weakness with pallor, some of the elderly will also have incontinence and breathlessness.