i dont believe theres a question in what you wrote, but if you made a mistake let me know and I'll try my best to help out!
I think it is because of a varicose ulcer, might not be right though
The patient's cause of their death would have been stroke, loss of blood, or heart fail and the health workers, the patient, and the relatives would now be stressed and maybe depressed for the relatives.
The late stage is where the body and the mind start to fail. It could take weeks or maybe years to get to this stage.