It could be a couple of things. There are several ways to die that don’t really involve any physical pain because there aren’t nerves in that part of your body, so you wouldn’t feel them, and therefore wouldn’t likely wake up if you were already asleep.
If you’re already in palliative care because of a terminal illness, you’re likely on pain meds and sedatives though so even if it were painful, you might not wake from it, and therefore would pass “peacefully” in your sleep while if you weren’t medicated, you would probably wake.
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