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What are five signs of approaching death?

emedicinehealth.com - 5 Physical Signs of Impending Death: When End of Life Is Near

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The signs that indicate someone is close to death include loss of appetite, increased weakness, labored breathing, changes in urination, and swelling in extremities. Other end-of-life signs may include sleeping more, increased pain, and becoming less social. There are a number of signs that indicate someone is close to death. Some people may pass quickly, while others will gradually decline.

Five physical signs that someone might be close to death include:

1. Loss of appetite

Energy needs decrease as the body shuts down

People often refuse to eat or will only take a few bites of food Toward the very end, people may have difficulty swallowing and will refuse liquids as well While it can be upsetting to see a loved one refuse to eat, it is part of the natural process of dying and it is helpful to have patience and understanding

2. Increased weakness

When people eat less, they have lower energy levels and increased weakness, so even simple activities such as having a conversation, changing clothing, or even sitting on the edge of the bed may be challenging Movements may be very slow and people may require assistance to shift position

3. Labored breathing

Shortness of breath often occurs and can be described as “air hunger,” which is a fearful desire to breathe better The body feels it needs more oxygen, and this sensation can cause fear and anxiety Periods of fast, shallow breathing followed by slow, heavier breathing and moments without any breath at all (apneas) may occur, called Cheyne-Strokes respirations Excessive secretions in the mouth and throat can cause loud gurgling noise during breathing sometimes referred to as a “death rattle”

4. Changes in urination

Dehydration lowers blood pressure, which leads to decreased kidney function and decreased urine output

Eventually renal failure occurs

Urine becomes concentrated Brownish, reddish, or tea-colored May have a very strong odor Loss of bladder and/or bowel control may occur and eventually there is no urine output Kidney failure causes urine and other waste products to accumulate in the body, which causes decreased mental alertness This will eventually result in a peaceful twilight state or comatose state

5. Swelling in extremities

Fluid retention (edema) and swelling of the feet and hands occur as disease processes such as chronic heart failure, renal failure, and liver disease become unmanageable Fluid is not effectively pumped through the kidneys to be filtered and regulated In patients who are bed ridden, the hands and hips may also swell

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What are the last signs of life?

End-of-Life Signs: The Final Days and Hours Breathing difficulties. Patients may go long periods without breathing, followed by quick breaths. ... Drop in body temperature and blood pressure. ... Less desire for food or drink. ... Changes in sleeping patterns. ... Confusion or withdraw.

compassus.com - End-of-Life Signs: The Final Days and Hours - Compassus

Hospice patients may want to eat, but experience difficulty swallowing or with nausea. Medications and disease can also change the taste of food. Food is often associated with nurturing and keeping up our strength. For many people approaching death, food can cause stomach and digestive problems. Avoid forced or pressured eating by allowing loved ones to eat softened versions of food, when they want it. As the body transitions to active dying, it often signals it has less need for food. “The issue of nutrition is probably one of the most guilt-inducing and emotionally charged issues for patients and families, said Synthia Cathcart, R.N., BSN. There will come a time when a patient no longer feels any desire to eat. No matter how upsetting to the family, the patient should not be pressured or forced into eating.”

Solutions

Offer small meals to those who still have a desire to eat. Serve meals during a time when patients experience less pain or agitation. Travel mugs with a straw enable patients to drink on their own schedule. If someone is refusing food or drink, flavored or plain ice chips can keep the mouth moist.

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