I imagine in the majority of cases they suffer some catastrophic, terminal event, such as a large stroke or heart attack, and that ends their life. They may or may not wake up during this…I’ve been to lots of elderly people who look like they’ve died peacefully in their sleep and others who had clearly woken and tried to get help, I remember one in particular frozen in rigor reaching for a bible on her bedside cabinet (I’m a paramedic).
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