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Signs and Symptoms of Approaching Death

 

 

Hospice of Missoula's philosophy is that the fear of the unknown is always greater than the fear of the known. With that in mind, we've created some general guidelines to help family members be prepared for what is to come. It is important to know that everyone approaches death in his or her own way. Like birth, symptoms and experiences vary from person to person. You may see many of the following symptoms or perhaps just a few.

 

One to three months before death:

 

Your loved one may gradually spend more time sleeping during the day and at times be difficult to arouse. Plan time with your loved one during occasions when she seems more alert. As she becomes more aware of the dying process, she may begin to withdraw from the world. Loss of interest in TV, reading, and people may be evident. Sleeping is one way of withdrawing.

Your loved one may lose interest in food, have no appetite, or be unable to eat. Offer liquids or small amounts of food. However, do not pressure someone to eat or drink. When a body is shutting down, its demand for nourishment ends. A dying person does not have the energy required to digest food. It is okay and natural for a person to stop eating and drinking at the end of life.

 

One to two weeks before death:

 

You may notice increased confusion regarding time, place, and identity of familiar people. You do not need to correct your loved one's confusion; try to follow their train of thought. Sleeping may be almost constant. Although your loved one's eyes may be closed, trust that they can hear you, even if there is no response.

You may notice restless behavior such as pulling at bed linen, picking at clothing or the air, or agitated arm movements. These symptoms are a result of decreased oxygen circulation to the brain and a change in body metabolism. Talk calmly and assuredly to your loved one. Music may be a good source of comfort. You may notice that they seem to be talking to people not present, or about places and events unknown to you. Do not contradict what they are saying; rather, try to reassure them that everything will be okay, and that you are with them.

 

One to two hours before death:

 

The signs and symptoms previously mentioned may become more pronounced as passing approaches.

 

* Restlessness may become more intense.

* Breathing patterns may become slower, shallower, and more congested.

* Eyes may be open or semi-open, glassy, and not seeing.

* Hands and feet may become purplish and may appear blotchy.

* Non-responsiveness.

* There may be a loss of body fluids.

 

Additionally, The National Caregiver Association is a wonderful organization with a vast array of helpful information for those dealing with the challenges of caring for others. Their website is www.thefamilycaregiver.com.