Mottling often comes around one to four weeks before the end of life. However, it is not always the case and will vary per individual. The mottling comes from the skin temperatures going from highs to lows repeatedly, making the skin pale and moist. It starts near the bottom parts of the body, such as the feet.

Can mottling come and go at end of life?

Mottling sometimes can come and go, but more often progresses in nature as a patient approaches end of life. Reassure the family that this is a normal process and is not at all painful for the patient.

Why does my skin go mottled?

Accidents, trauma, blood loss, infections, poisons, or burns can cause shock. Mottled skin accompanied by other symptoms can be a sign of shock and requires immediate medical help. The symptoms of shock include: mottled, cold, or pale skin.