How to Recognize a Dying Patient? | Signs of Approaching Death
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- čas přidán 15. 05. 2024
- Facing the possibility of someone's passing can be a difficult and emotional experience. In this video, I hope to offer you some guidance on how to recognize and respond to certain signs that may arise as someone nears the end of their life. My aim is to provide you with a general overview of 5 common changes that a patient may experience during this time. I hope that by learning about these signs, you can feel more prepared and less anxious about what lies ahead. Remember, being informed and aware can help you provide the best care and support for your loved one during this challenging time.
Timecodes:
0:00 Introduction
0:25 (1) Decreased appetite and thirst
2:32 Artificial hydration? No!
2:50 (2) Mottled extremities
3:23 (3) Breathing changes
4:40 (4) Incontinence
5:07 (5) Agitation
5:52 Next video
#death #hospice #endoflife
5 Things You Should Know When Someone Is Actively Dying
What to Expect When Your Loved One Is Dying
As a physician myself, I find your explanation of the end of life spot on. Great job!
Thank you so much, Steven. You made my day. ☺
I HAVE STAGE 4 non small cell lung cancer .. they said that I was in a good candidate for chemotherapy or radiation so I’m on KEYTRUDA .. MY QUESTION IS HOW LONG DO I HAVE TO LIVE AND HOW LONG DOES IT TAKE FOR CANCER TO METASTASIZE TO THE BRAIN OR OTHER ORGANISMS AND THANK YOU SO MUCH FOR COMING UP HERE WE LOVE YOU VERY MUCH AND THANK YOU FOR HELPING MANY PEOPLE TO LIVE, OR TO DIE 💚
@@godschild3640 sorry to hear this.......the biggest problem is that nobody can predict the amount of time. Talk to you MD, and keep is close touch with him/her. Best of luck!!
@@godschild3640 I'm so sorry, but I can't answer that. I don't know where you're from, I don't know your medical history, where the metastases are, etc. And éven if I know, it would still be impossible for me to say how long you have to live. This is something you should discuss with your oncologist. I'm sorry.
Are two weeks of life left always around the right time or can a miricale happen
My dad lived with us for his last 6 years. He died at 88 in our home. He was in hospice care. He knew and accepted it. He said things like, "I'm going away". As his son, I did not know how to handle his comments. All I could say was, "we're all going away...eventually". On one of his better days, he also said, "It's been a great ride". Just like in this video, he died very peacefully in his sleep. No drama. He just didn't take his next breath. A few days before he died, his personality changed. He wanted me to stay next to his bed and hold his hand. I was more than happy to do that. In my entire life, we never even hugged. I was shocked. One day, for no obvious reason, he started crying. I had never seen him cry in my whole life. The whole process was an emotional roller coaster but something I am glad I could be there.
Thank you for sharing
My dad died peacefully at the age of 95 as I held his hand sing and prayed him through the valley of the shadow of death. Thanks for explaining the process, it was exactly as you stated and the attending nurse told me what was happening. I stayed with my dad until he took his last breath. Rest In Peace Dad.
You are a very good daughter.
My Dad died 33 years ago, suddenly while away from home, heart attack, I still think of him and miss him on a daily basis.....ironically and frustratingly, I CAN'T hear my Father's voice in my mind when I try to recall how it sounded, even though I CAN remember how just about everyone else "sounded" that have already passed.....weird huh! I have 2 daughters, I can only hope they're as wonderful as you were with your Dad, kudos to you.
I was alone with my mother her last day. I too held. mom's hand and sang some Irish songs, along with songs we sang in the choir at church.. Death came exactly how it was in this video. My mother passed about two minutes before she died. I thought the morphine caused her stopped breathing. I now know it stopped her gasping for breath. She died so peacefully it was an honor to be with her,her last hours. She died 3 days before her 95th birthday. I miss her so much.
@@brendandoherty2159 I am the same. When my dad passed away I forgot how his voice sounded and sometimes I get frustrated when I can’t hear him in my head but my sister who has a different dad to me tells me she still remembers his voice and laugh
Exactly same my dad too ""I didn't get to him on time 😢
I looked after my husband throughout his illness -oesophagus cancer - and this video shows exactly what happened to him in the last week of his life. He died on 12 February 2023. However, about two hours before he died the district nurse had been using the sponge sticks we had bought to clean the brown fluid from his mouth which was open and he was unconscious. She had to leave our bedroom so I took over and told him what I was doing. When I tried to take the sponge out of his mouth he clamped his mouth shut and I couldn’t get the stick out. I gently told him that he must let the sponge stick go and he did. This happened four times before the district nurse came back in. It didn’t happen when she continued to do it. She said it was his way of communicating with me which was a blessing to me. I was able to give him the death he wanted - at home in his own bed. I miss him so much though as we had been together 60yrs since we were 13yrs old and married at 20yrs.
@@drpaulienmoyaert.. ? I don’t know how to do this.
I am deeply sorry to hear about the loss of your husband. It sounds like you were a devoted and loving caregiver, and you did everything you could to make sure your husband was comfortable and cared for during his illness. It's evident that you had a very special and long-lasting relationship, and it's understandable that you miss him greatly.
I know that the grieving process can be a long and difficult one, and it's different for everyone. It's important to take the time to grieve in your own way and at your own pace. Remember to take care of yourself during this time, and to lean on your loved ones for support. Your husband will always hold a special place in your heart, and the memories you shared together will stay with you forever.💛
Dear Dr the way u express makes a soothing phase in everyones heart..applause..keep going..luv from Tamilnadu..India
I am terribly sorry for your loss, may I ask how long did he have cancer for.
@@Alpha_7227 He was diagnosed on 4 June 2022, had numerous tests CT scan, PET scan, staging laparoscopy and then started an aggressive chemotherapy. He was blue lighted to hospital four times and contracted (whilst in chemotherapy) the superbug CDiff, burst ulcer which didn’t show up on any scan but burst because chemo had stripped his body, hospital acquired pneumonia, Covid. He had his operation on 3 November 2022 which went well but on 28 December a CT scan showed aggressive cancerous tumours all over his liver and he was in a lot of pain. Basically we were told to go home and live what time he had left as best as he could. He gave up fighting. In hindsight I wished he had never had the chemo and operation and that we had just continued with organic alternatives which me and my daughter had started him on after his initial diagnosis and he had started to eat a bit better. But hindsight is a wonderful thing.
I went through this with my mom two years ago. I played her favorite gospel music (Mahalia Jackson), prayed, and cried. She went away in such a peaceful state. Mom just drifted away.
I'm so sorry for your loss.
I was present when my mum died at age 90 years. It was very peaceful. One moment she was looking at me, and the next she closed her eyes and died. This was 23 years ago and it seems like yesterday. Miss her as we all do our parents.
I'm so sorry for your loss, Rocky.
What a wonderful way to leave ❤️
Question did they drug her Was she? not able to wake up. Then I would call that murder. Sorry to rub this in or say this. But I'm going through a nightmare realizing what they did to my mother. I need answers. Hope I don't upset you. 90 is an old age, but if there were things they could have done rather than drugging the person to go to sleep. Then I'm sure there's something better.
No Mike. Drugs were not given to my mum. She died very peacefully from old age as she had no sickness. She wasn’t in pain so there was no need to give her any painkillers.
I saw most of this things with my grandmother a year ago when they gave her days to live..but we refused accept that and put our trust in God. Thanks to God she is alive now better
💛
I noticed this too with my grandfather the day before he died.. He died a month ago
Does she have dementia
Are you serious or just trying to give hope? I'm not being rude. My mom just got diagnosed with stage 4 bone cancer and was given a week.they send her home tomorrow to "get comfortable" I understand different situations....but need hope
@@JerryFlores-ui7xyI am so sorry to hear about your mum. You can always hope but it is better to do and say all you want your mum to know before she passes. Stay strong.
When we gathered at my Dad's bedside, it was because a thoughtful, professional nurse knew the end was very near.
It was very difficult, but I would rather have been there than not be there.
Thank you to all the health professionals who help us handle this exact situation.
💛💛💛
I find it really helps to know that a loved one is dying. When my family member was ill, we took him to a different doctor because we all felt he was terminal, but his doctor refused to discuss anything about the future.
I agree. They are the best. 👏🏽
sc m
I was with my mom
When she died. It was peaceful and all these things occurred. It’s life and death meeting up and I was blessed to be a part of it.
This video is very accurate how my dad was slowing dying from cancer stage 4 leukemia. He just passed away a month ago and was 72 years old. :(
My husband experienced most of the signs before he died. It's comforting to know that it was not painful for him during those times that he experienced it. I love my husband very much and I'll never forget him.
I'm so sorry to hear this. My condolences 💫😥.
@@dr.paulinemoyaert NEVER forget him? One day you`ll die too and he will be forgotten, Sorry, but that`s the way it is.
@@hansundpepiWhat's wrong with you bro?
@@hansundpepino she will be with him in heaven. You are cruel to say what u said and as my grandma use to say you should have kept your mouth shut.
@@marywalker2896well said
Thanks. When my wife was passing she became hot and flushed rather then cold. She had MS for 26 years. The signs that helped me were eating less, sleeping more, talking less. Her breathing near the end was distressing for us but not for her. I found understanding these signs a real help. But both my adult children did not want to know about them. Everyone is different and our grieving is often different.
I'm so sorry to hear this, Ron. Thanks for sharing your story. My deepest condolences to you and your family. 💛💫
My Dad is not in hospice care, but he is in a nursing home. He is going to be 90 soon. I have noticed that his breathing is audible, has no appetite (he is now 108 lbs), and his 'business' in order for awhile now. While this is normal in later years, lately he has been making sure we are prepared for when he is no longer here. I'm tears as I type this, but I am reading other posts of parents and loved ones who have passed, and I want to say God bless you. ❤
Thank you MzNoemi 💛💛
I believe that we should worship the science in this case, scientists in the past don’t get the credit they need, nor doctors.
I’m so sorry you are going through this. It’s is very difficult. 💕
My heart goes out to you. May he have a peaceful end… and may you never lose your love for your father.
It's awful but unfortunately in nursing care ect, people tend to loose interest in life and leave us all prematurely.
Saw my uncle dying,same symptoms,stage 3 liver cancer 56 years old yesterday.A great man left us,my heart is aching seeing him go.
I'm so sorry for your loss. My condolences 💫😥.
So sorry for your loss.😢
@@BonitaIrwin-fs8mp 😢
@@saadsohail6520 my heart aches for you. It will get better but it takes time & support of family & friends.❤
@@BonitaIrwin-fs8mp Thank you,I am more concern for his 2 kids aged 14,16😢and my aunt who became widow at a young age
Thank you so much. This was very helpful. Mom died last month and much of these signs were there. As an RD, it was helpful when you stated, “remember they are not dying because they’re not eating. They’re not eating because they are dying.”
Maybe she just had infections. They could have gave her medication and got better at any age. Instead the way I feel they drugged my mother until she went to sleep. Water without 3 days would be at nightmare. No matter how much pain medication, they give you?
I truly feel that they drugged her until she fell asleep. Because to my experience, she wasn't eating. At the same time it turned out that she had bladder infection. That right there would make you not want to eat. She had water in the lungs. Why didn't they try to take the water out and put my mother on ivy. And at the same time give her medication. My mom was 87. I still feel that they should have gave her medication. Instead of paying killer and drugged her until she went to sleep. Three days without water. No one could survive longer than three days with no water. I'm very angry and I need answers because i'm not stupid and I know what they did..
@@mikecampbell6001were you there with her ? Why didn’t you ask them all those questions and have them explain it to you ? They are the only ones that know what was going on with your mom.
My daughter,Jazana"e had all of these signs ,other than agitation,,fly high Angel 🦋 🕊...
This is so helpful! I have been privileged to be with two close family members when they were passing and I noticed several of these signs as their respective journeys in this world were ending. One of them would point into the air in his last days and when asked what he was seeing he’d say “flowers.” The other just kept his eyes closed as he passed. I hope that when my time comes I’ll have just as peaceful a death as they did.
It was the agitation that really upset me at my fathers demise. I still go over it now on waking after 18 months. The sense of utter helplessness and despair and not being able to do a thing.
I had no idea this was a well documented part of the process.
I hope your video might bring me and others a little comfort over the devastation of losing a loved one. Thank you.
I'm sorry to hear about the loss of your father. My deepest condolences to you and your family. 😕💫😪
Death becomes us
B Chapple
It hit us hard 💔
My father was also highly agitated in his last hours constantly fidgeting moving his hands . Once the syringe driver was put in he was peaceful and died in his sleep . Thanks to Nurses and Doctors
Have to say that my 91 year old grandad was ill with pneumonia in hospital over the past 2 weeks, he wasn't able to eat, drink for days, he was cold and could not keep his eyes open. Honestly even after the doctors had said that the infection had improved but that his kidneys we're struggling and they thought he had a kidney infection now he still wasn't eating and very tired. The doctors weren't worried about the eating too much and honestly I thought he was days from dying because I knew these EOL signs but in the last 3 days he's much brighter, eating much much more, drinking more so hopefully things are going well
Things took a turn for the worse, today he went for a CT scan to check on the chest infection and fluid in lungs and actually it ended up with him being diagnosed with lung cancer. We aren’t too sure just how bad it is atm but they want to do a biopsy and pass it to the oncology team but he’s 91 so honestly I’m not really that hopeful.
Hospice nurse here. I really appreciate your simplified explanations as it helps to relay this information to our patient's families in a way they can understand. Thank you!!
Thank you, Kirsten! 💛😊
Hospice nurses are the best. Yall are so educated in your work. Yall told me what to expect when my mom was passing all the stages of passing away. I thank yall.
What if i told you your loved one is dying? Many would rather not want to hear that.
@@dr.paulinemoyaert its mostly close family at deaths.many are at home or hospice.I find doctors know the least about this supernatural event.
My mother wasn't able to sleep it went on like this for seven months. Also she wasn't able to eat properly. I told her to the palliative care And no more than two days she fell into a deep sleep very fishy. She only had a bladder infection. I'm not a shit disturber i'm always sticking up for government police. But something here turn me against everything. I truly feel that they had drugged my mother until she wasn't able to stay awake.. Now what is haunting me is that she wasn't able to eat or drink. At any minute anymore because of being drugged to sleep.. You can't survive longer than three days without water. Why didn't they give her the medication for the bladder infection and kidney infection. Obviously that's why she wasn't able to eat. Instead I feel they dragged her until she wasn't able to stay awake. No water for two days she wasn't in this care for longer than four days. Something fishy I need answers I can't stop thinking about what they did. I demanded them to put her on ivy and give her medication for the infections. They said to me that your mom is just passing away I don't believe that one bit. I'm so angry and I'm so depressed. And I don't think I'm looking or blaming. I just feel that i'm right she was not ready to go😭😭 She wanted everything possible except for c p r They could have took the water out of her lungs Put her on ivy Game for medication for infections at least try. But they didn't try so I can't rest I need answers
Over the last 2 years I’ve seen both my parents and my step father die. Mum was a few months ago. That was in hospital. Sepsis leg infection, everything fine then 24 hours later she was gone. I was the only one with her holding her hand when she took her last breath at 3am.
It’s a bit weird seeing people's life come to an end, but sooner or later every one of us will be taking that final breath.
Try to get some enjoyment out of your life because before long it will end.
💛💛
You're right!
But we must ensure that we have a true relationship with God through Jesus Christ, so that we can enjoy eternal life after the end of this mortal life. (John 3:16 Hebrews 9:27)
@@olabisiogunnaike5157 The man in the sky 😂
Yes ..So many Christian's canont accept that the Jesus Christ belief is not held by other worldwide "people of faith".. to each there own of course.
I'm glad to hear that the agitation at the end is generally not painful. My dad had a long battle with cancer and was on a lot of morphine for a long time. One day a couple of months ago we found him unresponsive but he went into an agitated state for about 14 hours before passing away. It seemed like he was in constant pain during that time from the signs he was exhibiting but if that wasn't the case it makes me feel a little better because there was nothing anyone could do to help him. He was conscious and moving around (although only from the chest up) but not aware of anyone or anything around him. I'm just glad he didn't go on for days in that state.
People remember things or get delusional and see people others can't see. Death is the end of a journey. People return to their creator. We shouldn't see it as strange even though we are afraid of the unknown
Thank you for sharing this, RyePie. I'm sorry to hear about the loss of your father and the difficult experience you went through during his final hours. My deepest condolences to you and your family 😪💫💛
Susan my wife died dec 2020 stage 4 breast cancer, pain, she died grieving the knowledge that would be lost.
She was in the top 1/4 of one percent SAT and I completely agree with her.
She could do any thing we spent her last years watching spacex launches and musicals from the 1930's and discussing history.
@@theancientsancients1769 0.
Morphine can be given if a dying person is adgitaited or in pain or has difficulty breathing to ease the symptoms and make them more comfortable. My husband was given morphine and he passed quietly. (the use of morphine does NOT make the person die faster or kill them).
My mom passed away from end stage Parkinson's, dementia, and a stroke that paralyzed the left side of her body. She had all the signs you described in this video just days before she passed. I was right by her side when she took her last breath. It was the most difficult thing I had to overcome in my entire life.
So sorry for your loss. I could relate to your experience because my mom also passed on a month ago trust me it not easy. It is well
@@josephjatto6759 no
I know exactly what you feel. My mom passed back in April. I too watched her take her last breath. I also watched the doctor pronounce her dead😭😭😭😭😭.
And mine as well ❤
My mom also passed away on 26th march due to sarcoma cancer stage 4💔she was just 45
Thank you for being a comforting caregiver and knowing that your contribution helps the patient and their family. Thank you 😊
So interesting. I nursed my husband for six months before he passed away. It all makes so much of sense now. Thanks 🙏 for sharing. Love from South Africa 🇿🇦
You're very welcome, Vrooda! Greetings from Belgium! 💛
My mother IL lived with us last 6 years of her life, Parkinson's disease ...at the end she developed renal cancer. She died in 2021 age 81. But before she died I was lucky to witness her last days while she was not responsive to us...but dancing ballet ( moving her arms and trying to move her legs) while we play her Chopin and Debussy. She was a ballet dancer and musician all her life. She was unable to move her arms and legs due to Parkinson's and broken spine ( cancer got there in the end) BUT.. somehow in a weird miracle way she raised her hands to play piano in the air before she died. She couldn't move her arms to brush her hair...and then suddenly she just does all the ballet movements...playing piano in the air and dancing...she died in my & my husband arms. She let out the last breath still pointing her feet like wearing ballet shoes...
This testimony TRUELY touches my heart, since my daughter and granddaughter do ballet. I happen to love it myself, along with those two musical composers. What a gift you gave her on that last day; to play this music for her and to see her miraculously (and perhaps even with some drop of joy) respond to it. She passed away doing what she loved..sweetly, delicately and quietly...on pointe as always. She was with those whom she loved. It was so special how you described her last beautiful moments of movements right into heaven. A blessed passing ...if there is such a phrase. God's grace and strength be yours.
This is probably one of the most insightful and useful videos I've ever seen, whether on the topic of death or not. Thanks very much.
I watch my aunt pass away from cancer her breathing was very loud but slowly got quieter and very shallow until she took one and another didn't follow. Our time on the earth is short so don't judge anyone for anything everybody is here just living their own life experience.
Thank you, Dr Paulien Moyaert, for precisely explaining the body's underlying situations in approaching death. Those signs were exactly the same when I experienced my mother's death three years ago. Because of the shortage of medical staff and their busy routine, nobody told me what would happen when those death signs emerged consecutively. The only thing I heard from the doctor was that my mother would die after she could not eat for ten days. Yes, it was true, but without knowing the more profound reason, I tended to feed my mother every afternoon when I visited her, and my brother did the same when he saw her in the evenings with a needle tube. After she started vomiting several times, her food intake was almost none. We didn't want my mother to starve to death. On the last afternoon, my mother departed when I tried to clean her body as usual, I found one of her right lower limbs turned purple and looked terrible. Yet nobody could tell me what was happening. I had prepared for my mother's death for two years since she was diagnosed with brain cancer. But the uncertainty of the day she left always stressed me as I wanted to be with her at her final moment. I have been feeling guilty because I have doubted my caring efforts for my mother. Your video alleviate my sadness and guilty feelings very much.
I'm so sorry to hear this, and I can only imagine how difficult it must have been for you to witness your mother's decline and eventual passing without proper understanding and guidance.
Your story is one of the reasons why I made this video, people should know about this. It could take away some of people's sadness and guilt. Thank you so much for sharing your story.
Thank you so much forma this video because its Will be educational from my boys when his father flying. I'm from Nicaragua and I aprecietate so much this info.
I have no relationship with you and my parents are alive and I can’t relate to you but I’m full of tears worrying about one day I may have to suffer the loss like you, thanks to the doctor for explaining these things 😢😢😢
😂u
Yes i have heart failure after walkinto shops. My energy has gone unable even to make a cup of day takes days recover but i have the rosary and at peace
Once he went in the hospital my husband never came home again. He wouldn't eat anything once he went in. Wouldn't eat hospital food, I cooked at home roast chicken, scrambled eggs, he still wouldn't eat. I held onto some hope that he would come home but it didn't happen. I also wasn't there when he passed, still bothers me.
Well, i lost my grandfather last week Thursday. It gives me a great comfort that in his last days in the ICU in which he was there for 9 days he went through each of these stages. I’m so happy he’s now in a better place and not suffering anymore. Thank you for your video. It has really given me peace and strength to carry on, knowing what I know now.
My mother is 88 yrs old & she was in the ICU at least 4 different times & faced all of it. Hypoglycemia & breathlessness due to collection of fluids in lungs have been responsible for her near death experiences. She almost died the 3rd time she was in the ICU and even came back to narrate her blissful experience in the heaven. She is alive & fine as of now.
What did she tell you about heaven?
Jeez
God bless her. Protect her from all those who want to take advantage of her. No nursing homes no hospices. Take care of her at home. Get help at home. You can do it. I did it with my 103 year old grandmom.
Thank you for this explanation. As a hospice nurse I've found that there are always many questions around patient intake at the end of life. Also terminal secretions bring up even more conversations. Your presentation is clear and helpful for visual learners. Thank you for the time you put into creating this video. It is most helpful for caregivers.
Havn worked in palliative care
Fascinating! Thank you for posting this straightforward, plain English, overview.
I hope that by learning about these signs, you can feel more prepared and less anxious and ultimately, find some sense of closure. 💛 If you feel comfortable, please share your own story in the comments section below, I'd love to hear from you 💫🙏.
You're great, but why am I watching this...? I'll watch it later. Keep it up, though.
@@bobobandy9382 I'll try to upload a bit more optimistic videos next time! 🤩☺
@@dr.paulinemoyaert It's all part of life. :-)
@@dr.paulinemoyaert I've watched it now. Thank you again.
I turned 60 and have alot of anxiety thinking about death
When my mom was dying, for the last 9-10 hours before she died, she could not close her eyes nor could she blink. She would just turn her eyes towards us to briefly look at us or she would stare straight ahead. The nurse told me that she had lost her muscle abilities to close her eyes and to blink. Even though she was conscious, she was no longer responding to us like before by nodding or shaking her head whenever we would ask her something. It was as if she could no longer understand what we were saying or what was going on around her. She would just look around by moving her eyes. Her breathing started to slow down minutes before she died and she died with her eyes open. I miss her so much but she is finally at peace. She lived for 87 years and for her entire 87 years plus 2 months, God gave her the ability to be able to walk without a cane or walker, to eat and bathe by herself, to talk, to see, and to hear well. She had dementia but she could still do everything by herself except remember things. Two and a half months before she died, she got sick with a uterine infection and Covid but got over these and what ended up killing her was sepsis because she somehow got a perforated colon and an abscess and doctors could not control the infection towards the end and she died this month, on April 6, 2023.
Sorry to hear of your loss. Praying for you and your family. My Mother deceased 11-07 - 2022. I was there when she took her last breath. Knowing that’s she’s no longer in pain, gives me peace. however, I still find myself crying a lot .. I miss my mommy 😢😢.
I'm so sorry to hear this 😢. I don't know what to say... Thank you for sharing your sorry, ABCD. 💛😪💫
Sorry for your loss
But she have a life and was good health before she passed away
She is with god now
I'm so sorry😢
Sending lights 🕯️🙏. My grandma passed away May 2023 she was 88 and 4 months and she was the only parent I know in my entire life. Her cause of death was body-organs failure that includes heart,liver, kidney and hypertension but the Drs found it at it's last stage , she was at the hospital for 9 days and it was her first time in hospital because she was not the sicky person.... she would just visit her doctor for checks-up.
This video is actually comforting .
Thank you so much for this. We , the living need to know for our loved ones passing. All these symptoms I witnessed first hand with the passing of my sister. I knew she was going by all these signs. She had all these except incontinence. She was sound asleep when she passed.
We all have to die one day and leave this world 😢....You are really doing a great job
Thank you, Arham! ☺
I had already read a couple of booklets. They've been very helpful. Now that my wife is very likely in her last week, this short class has been helpful to remind me about not viewing her behavior as personal rejection.
I'm 🙏🏻 for your dad.. you will be in my prayers in his care...
What a wonderful concise explaination! Thank you for this video.
Thank you for this. I have felt guilty for hospice not giving my mom any IV fluids for 5 days while she was unconscious. Now I know what was going on in her body and that it was the best thing for her. This information has given me much comfort.
This helped me so much, also. I felt horrible about ceasing fluids for a family member who came home to die, but he was much more comfortable and his pain reduced considerably. It was definitely the right thing to do!
As a hospice chaplain, I cringe when I hear people say, "Hospice kills people." No it does not. It makes them comfortable so they can pass in peace. Blessings to you both for realizing that. ❤
@@sciencenotstigma9534o
I don't believe in hospices or nursing homes. I believe family members who are sick need to spend every minute of their lives with their loved ones at home, not with people who do not care about them. With my grandmom the nursing home had turned off the heat in her room ( I tried to bring an electric heater and they stopped me ), was not feeding her ( I had to do it), was not helping her to the bathroom ( I had to do it), etc. They are evil places. Eventually she developed a cough and ignored their own floor doctor to do follow up care on her. This shows you. I saw her with bruises on her face in the morgue and one of the evil " nurses ", a Filipino woman. responded by saying that may be it was just a " discoloration of the skin ". I think they beat her up because she would cry. The nursing home was experiencing more deaths due to a group of people there that were working in the building. Everybody was evil there. One of the Social Workers commented that that is the place where they die and they should die fast. That just shows you. Do not believe in their smiles or fancy buildings. You should see what goes on at night in those places. They have still dozens of wrongful death complaints in the Bronx courts, New York. The state does not go after these murderers in nursing homes the way they do in other fields because these places manipulate the system. Stay away from such places and from those who speak good about them because they are not telling you the truth !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!unless you want to see and live through the experience yourself.
Very helpful that you have this video. I recently went through this with my Father-in-law who was on hospice for 6 weeks prior to his death due to congestive heart failure. The hospice had us read some information they provided on end of life and the process and it was very helpful.
I'm so sorry to hear this. My condolences 💫😥.
@@dr.paulinemoyaert thank you
Thanks for these insights. I witnessed all you're highlighting when my mother passed in 2020. It makes me knowledgeable.
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My father died yesterday in hospital. He was asleep for 5 days. His breathing was shallower each day. I miss him so much
The topic about death unites us all. You must stay strong in front of this painful loss of your father. All we can do is pray for them and surround yourself with your best friends.
@@michaelfishman7174 thanks my mum died of cancer 5 weeks later
Thank you for this accurate medical symptoms to watch for. It explains it all perfectly. I wish I had this 4 yrs ago when I watched my unconscious father, with no food, liquid or I. V. live for 5 days while we all sat and watched. With no information on how long it would be, we worried about him constantly. We knew he was dying but didn't know how to tell when it was close. Thanks for making this so families can relax a little, knowing what's naturally occurring.
You're very welcome, Jules. I'm sorry to hear this. My deepest condolences to you and your family. 💛
I went through the exact same thing and have always felt guilty for allowing my mom, to what I thought was, starve to death. Glad to know it was the humane thing.
I am not a nurse or doctor but I wanted to know when my father was coming to end of life so I educated myself for 3yrs on the dying process on Google and CZcams and I was able to recognise every single smythom my father and mother had on thier journey towards death it was the most beautiful journey I ever witnessed in my life and was so blessed to have witness what I did , both had a beautiful death went into a sleep with me by thier sides ❤ ❤
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For some,the journey is easier ,if you are aware of the process...it becomes much less frightening.
Prayer for all the life and death of humans, based on family experiences of my grandparents parents who expired - this is true symptoms 😢
Thanks for sharing this knowledge with us. Cheers from Brazil.
Our family has learnt a lot during the years losing love ones and friends. I believe family members should be told what stages a family member will go through. Losing my dad in 1978, an older brother in 1998, out mom in 2006, others then my sister in 2018 we tried to get them to eat and drink. It was when I was in the hospital I realized when your sick you just don't feel like eating that answer a lot for me. (Plus around 2015 when a friend died the hospital would give them those sponge suckers dipped in water or etc.. my sister who died in 2018 said they was awful tasting she made it clear not to put them in her mouth).
Of all family members and friends it was my sister who saw others in her room or passing by her door when it was closed. It will get to a point they will say their tired if they're pass return let them go, tell them it's okay don't keep them here for you. I could tell you more but with my sister (59) my oldest sister and myself sat on each side of her bed heard the gargle watched her breathing when we got to 45 seconds a breath the nurses rushed us out cleaned and put her in a fresh gown now last period they will fold the blanket and sheet down half on them lay their arms down they may turn them on their left side. A nurse my look at their finger nails because the bottoms will be gray, look at the soles of their feet if they are blotchy circulation is leaving the body it won't be long.
Thank you for sharing your story, Ella 💛
Thank you for sharing and I send my deepest condolences.
I appreciate the way this video was presented with clear, well detailed information with a sensitive, patient focused approach. I have also personally noticed a markedly grey complexion prior to the death of relatives. Thank you Dr. Paulien!
Thank you so much, Kris. You have described in two sentences what I wanted to achieve. I'm glad that people appreciate the way I try to explain - sometimes difficult - topics 💛. Have a great weekend and thanks again. You made my day.
jatt only punjab
I’m so sorry ❤️
@@theresasyverson4479 🙏
@@theresasyverson4479 punjabi munda
Im sure it's not easy to work each and everyday see people dying may the Lord continue giving u more strength to help and assist with comfort to those theyve lost their loved ones May God bless u more and more Doctor
Scary and sad. But helpful to know about these videos. My friend had every single one of these symptoms.
I remember 1 month before my father died he was already in bed. He had liver cancer. He smelled the grilled cheese sandwich I was making and he requested me to make him some as this was our favorite munchies. He had two bites of it. It was his last solid food intake before he passed.
TQ the symptoms/patterns explained are accurate, precise in every sequence...i ve observed for almost a month, subsequent to my beloved mom's passing away recently.
Thank you, Swee Yeo. I'm sorry for your loss 😕😪💫.
My grandmother passed away a couple of days ago. She was showing all of the first 3 signs, exactly the way you described. Thank you for letting us all know that these people likely didn't feel any pain. Very soothing, thank you!
Third video till now and i am already a fan. Thanks a lot
I had in-home hospice care when my husband died. They were a lifesaver for me as I was scared to overmedicate him and how to handle it. I couldn’t have done it without them.
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They are wonderful ❤
Interesting! My grandma before she passed (after a very long illness) did actually exhibit some of these symptoms. I thought it was random but this explains so much 😊 I know she’s not in pain anymore which is what gives me comfort and she always said I’m not scared to go it’s the fear of the unknown not the action so she was happy at the end ❤ she was 78.
Thanks for sharing your story 💛💛. I'm so sorry to hear this, my condolences 😥💫
@@dr.paulinemoyaert It was one of those illnesses that just dragged on and on so I’m sure she’s glad to not be in pain anymore and she’s much happier for it so that gives me comfort 🙂 but I love how you explained it all which was also comforting.
@@LawlessZ 💛💛
My condolences…… my nana had dementia towards the end she had all these signs broke my heart dementia is a nasty disease. She was almost 80 she was a beautiful soul I miss her soooo much I’m telling you if I could I would have traded my life for hers she passed 5 days before her bday
Same for my grandma 🕊️🕯️she passed away last month and she was 88 . My condolences to your loss💔
No embarrassment there! You got words out. That's enough. Wonderful pics & selfie. So, so happy for you. And thank you for sharing!!🎉
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TJ's very nice to this that we talk about the realities ❤
My dad was suffering from CKD. I did a lot of research, and i prepared myself for what is to come. I witnessed the stages you explained, and it happened exactly as you said.😢 He passed away in my arms over a month ago. May he continue to rest in peace.
LAST SYMPTOMS BEFORE DEATH
It still hurts everyday, knowing that i couldn't save him from dying...!
I saw all these symptoms play out in my father's health within few weeks, I became scared but I kept shouting and calling his attention to his sudden deteriorating state. I told him to take care of his health before it got worse and late.
I tried but I couldn't (or I wasn't allowed to) do or say much. There were some "barriers" between us.
I made sure to check up on him every night and I did again 2 or 3 hours before being woken up to see his lifeless body. (I still wish I didn't doze off in those 2 or 3 hours, perhaps, I would have been able to save his life or helped him with his last prayers. Hmmn!)
Though one year now, it's not been easy forgetting the scenes of the unpleasant few weeks, the last few days and the few hours to his passing.
I still pray and hope that he made it to the bosom of God and that he's resting there, till we meet again up there. Keep resting, Daddy!
Hi.
My cousin is aged and from what you have explained, in stage one... eating has become a problem.
We pray God sees him through.
Seen many videos of this kind but this is the first one explaining in simple English. Thanks
Not once or twice but on three separate occasions the hospital staff told us my father was actively dying. He's home (his own home) and doing well. Do not ever give up hope and P.S.....doctors are wrong A LOT
Wow! This was really helpful for me. Thank you for sharing
Glad it was helpful! 💛
Great education for me. As my mom is 91 and you never know what tomorrow brings. Thanks!
this video is very helpful to families and cause less panic. Thank You.
Thank you for the information
Helpful to have a better understanding of what’s going on
You're very welcome 💛
@@drpaulienmoyaert....
Hello doctor
Thank you for your information trying to educate myself in this process as I am experiencing it now
thank goodness I have a wonderful support,
but just trying to have a better understanding of what may happen as we come to the end
I’m thankful for your video and for the videos from nurse hospice Julie
They have been immensely helpful
I think all educational systems can serve societies
Instead of teach me algebra, which I’ve never used in my life to taught me and help me understand the process of death better would be a good class to offer, and they all should take
so we can do better at this
Through videos like yours can be very helpful.
Thank you for putting them out there
Another amazing video. Thank you Dr 👏🏼🙏🏼
My pleasure!😘💛😊
Thank you - this is helpful for me at this time.
Thank you for this video! It certainly helped explain parts of my mother's passing!
You're very welcome! I'm glad that my video was able to shed some light on what may have been going on for your mother during her passing, and I hope that it has brought you some comfort and understanding. 💛💛💫
Thank you very much. We all face the death of our loved ones. The last few days is traumatic for those involved in end of life care. Your video provides comfort in addition to useful information.
Thank you, Zakir 💛
Praise the LORD if we have him we have nothing to fear
I don't know why I'm watching this video. My grandma died from cancer back in November, and I wasn't able to be with her. I don't regret seeing her last moments very ill- as a few months prior to her passing, she was much stronger and I had happier memories
This video makes me sad and miss her. She was like my mom, she raised me and I wish that my baby could've met her in time.
I gave my baby, my grandma's name as her middle name in her memory
I'm so sorry for your loss. My condolences 💫😥.
Mum went through this, the agitation was the worst she stripped naked, and curled up the most valuable I've ever seen her, in the end she waited till we had gone and passed away, sometimes it's not good to stay till the end.
I'm so sorry to hear this. My condolences 💫😥.
Alleine ist es leichter loss zu lassen, deshalb warten viele Sterbenden bis das Zimmer leer ist. Mahl eben Kaffee hohlen😂
Ubrigens, nach eine Sekunde fangt ein neues Leben an.
Yep have been there and done this many times in my life..................as an ex RN emergency Nurse i dealt with this so many times., adults, teenagers and babies......then I had to go through it personally with the loss of my mother and sister.........
I'm so sorry to hear this. My condolences 💫😥.
I watch videos like these so I know what's happening to me, then let friends know what's going on. I'm ok with knowing, I can be prepared for the end. Thanks for the info, and the comments too
I lost my beloved husband on February He was sick but got sicker and passed within a day. I miss him so much
I'm so sorry for your loss. My condolences 💫😥.
It’s good to know and prepare yourself for it and other people in family
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As a retired aide I often had the experience to be with my clients as they passed to the other side.
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I find this Content extremely helpful in the natural process of dying. My mother trusts in God and has complete peace about dying but the family wanted to know what is the natural processes and this was extremely helpful. She’s involved with hospice and it helped me also to know to let her own appetite be her guide, and not to force her to eat. This video explained why that is. Thank you for the help for work you did in providing this video.
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My belovéd Grandmother died on the evening of 11 November 1982. I was 9 years old, and a 'family friend' thought it would be wise to exclude me from her bedroom as she entered the 'active dying' process. This was harder to cope with, than the actual death itself! My late Mum and I cared for her, but to be excluded at the last moments was crushing....Now, in 2023, that 'family friend' passed away suddenly...I hope her family were excluded from being with HER in her final moments on earth, distressed, and without comfort! Decades have passed and I still remember that cold, snowy winters' evening when my Granny passed away
Thank you Dr. Now I understand what my Mum was going though as She was in the stages of dying . Wish I had known then. I Thank you very much. I will attach these signs in my Trust for my children to understand. I am greatly indebted to you ⭐⭐⭐⭐⭐🎖🏆⚘❤
You're very welcome 💛
Thanks for this Dr. As a palliative RN, this is a much better and simple way to assist healthcare professionals in explaining to family members and patients during EOL.
Thanks, Christine, for taking the time to reply! Your comment really made my day. 🧡
My mom died from Covid on Sept 8 2021 at 4pm. The death rattle was so loud, even louder when she would take a sharp breath in (she was comatose on her last day, so I’m hoping she didn’t feel it). She’d just got off quarantine the day she died so my brother and I got to be there for her… so she would know she wasn’t going to die alone. Somehow. I didn’t know I had Covid back then, and it was the delta variant… and through my not knowing I gave it to her. I live with that guilt every day since. But the damn death rattle… sometimes I have nightmares and I can still hear it as clearly as I could that day. When she passed, after my brother had long since left, I think I stayed for another three hours because I wasn’t ready to let go yet. I hope she’s found dad and they are both doing better than they were here. Sorry for the long response to a couple years old video. Great video as well.
My grandmother passed away in 2020, she had Hospice Care at home. Everything you stated is accurate!!! Rest peacefully Ma!!
Thank you, Susan 💛
I am a nurse but when my mom died last October 2020, I didn’t recognized these signs, maybe because of being on denial when it comes to family members who are dear to me. Reminiscing on her last few days, i found out that she have had undergone these signs like decrease in appetite, agitation and breathing changes before we took her to the hospital; mottled extremities, and incontinence during her stay in the ICU. 😔
I'm really sorry to hear about the loss of your mother. It must have been a difficult and emotional time for you. Sometimes, circumstances and emotions can make it hard to see things clearly. I'm quite sure I would also miss some of the signs if someone close to me was dying. 💫😥
Watching this video just reminded me of the last time I saw my grandpa in the hospital. He died this May that I remember seeing him fidget around on the bed and my grandma telling him to eat. I had no idea that he truly was dying now that this video explains it. It was pretty much his time going since he was 98 but it's sad to know he passed on.
I'm so sorry for your loss 😢
@@dr.paulinemoyaert Thank you.
My grandmother passed away from cancer back in 2007. The last time I saw her alive she wasn't eating, she had breathing issues, and her extremities were starting to become mottled, and while I didn't know these signs of approaching death back then (I was only 14 at the time) I still somehow knew that she wasn't long for this world. I think she knew it would be the last time she ever saw me as well, because the entire time my dad, grandpa, and I were at the hospital to visit her she didn't take her eyes off me once. She passed away about a week later.
I'm so sorry to hear this. My condolences 💫😥.
@@dr.paulinemoyaert Thank you. My grandfather just joined her last year, they're both finally together again but very much missed by us.
My mother in law passed away 2023 december 16th she was surffring from lekuma (blood cancer) she was in palliatieve care at home,when she was passing she has all symptoms which you describe here ,it's really hard time to lossed loveones wi missed her very much may her soul rest in peace
I lost a grandparent to dementia last week and this video helped a lot. Thank you.
I'm so sorry for your loss. My condolences 💫😥. Glad to hear this video was helpful.
@@dr.paulinemoyaert Absolutely ☺
My dad died few years ago main cause was a Pneumonia in a matter of 6 days we witnessed the detoritation and failure of other body organs one by one on the last day his symptoms were so identical what you just mentioned and i also truly belive he was not in a pain....
I'm so sorry for your loss. My condolences 💫😥.
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valuable insight into recognizing the signs of approaching death in a patient. Understanding these signs can help caregivers and loved ones provide the best possible care and support during this challenging time.
This is an amazing video
After catastrophic injuries from a car accident, I was sent to nursing homes. My hearing is just fine. In the nursing homes, I had to hear death rattles of other patients on three occassions. While I commiserate with the families and their dying loved ones, it became almost too much for me,... hearing this repeatedly, and there being nothing I could do to be of any help.
That would freak me out too. Sorry you had to go through that.
My mother who passed away recently, showed most of these symptoms. Was relieved to know that she didn't feel the pain much
I'm so sorry for your loss, Sagori 💫😪
May her rest in peace.
Healthcare Christian fellowships Internationally are training Health workers regardless of position to give Holistic care, i.e the much needed Physical care and Spiritial care.
Exactly step by step I could recall all that what happened with my dad ..
Thank you for this video.
My husband died on February 5th of this year. He had a heart condition and had a pacemaker. His heart started to slow down and the pacemaker took up the slack. When it started only beating 35 to 45 bpm, I knew something was wrong. He slept a lot, and hardly ate, but still went golfing on the last day of his life. He hit a birdie, walked over to the golf cart, sat down, and closed his eyes. That's when he died. Around 10:00 in the morning. The hospital called me and told me that he had passed away. I knew that when I kissed him goodbye that I should have hugged him harder.
I am so sorry for your loss. Losing a loved one is never easy, and the pain can be overwhelming. I can only imagine the shock and heartache you must be feeling right now. My thoughts and condolences are with you during this difficult time. 💛😪💫
Dying on the golf course! He was happy.
Wow
My dad passed away in April 2023 from prostate cancer that spread to his bones. These symptoms are real and frightening because you know where it's leading to. I was happy to not see him in pain anymore. Cancer is no joke. Death is real and it's coming for all of us.
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My husband passed on Mar 12, 2023. He had all symptoms. I knew them because I volunteered at hospice. Never thought I would bring him home on a Mon and passed on Sun. Prostrate. Bladder and spine. I knew when he wouldn't drink or eat and was agitated Miss him 😢