I was there when my MIL passed (as well as FIL, but he was on ATC morphine and out of it) at her home. She was alert until the end but couldn't talk. It was evening and my wife had gone home to get some things so she could spend the night. My MIL was looking around frantically for her and motioning as if to say where is she, and I told her she'd be back soon, and she was. Later that night she started to really get agitated and I noticed there was fluid in her tracheostomy stoma. I kept suctioning it but she was shaking her head as if to get me to stop. She passed soon after. I think she knew she was going to die and wanted to make sure my wife was there when it happened and was trying to say goodbye when the moment arrived. 😢