If you are dying or caring for someone who is dying, you may have questions about what the dying process will be like physically and emotionally. The following information will help you answer some questions.

Signs of approaching death

The process of dying is as varied (individual) as the process of birth. Impossible to predict exact time death, and how exactly the person will die. But people who are on the verge of death experience a lot similar symptoms, regardless of the type of disease.

As death approaches, a person may experience some physical and emotional changes, such as:

• Excessive drowsiness and weakness, at the same time periods of wakefulness decrease, energy fades.

• Breathing changes, periods of rapid breathing are replaced by pauses in breathing.

• Hearing and vision change, for example, a person hears and sees things that others do not notice.

• Appetite worsens, the person drinks and eats less than usual.

• Changes in the urinary and gastrointestinal systems. Your urine may turn dark brown or dark red, and you may have bad (difficult) stools.

• Body temperature changes, ranging from very high to very low.

• Emotional changes, the person is not interested in the outside world and certain details of everyday life, such as time and date .

A dying person may experience other symptoms depending on the disease. Talk to your doctor about what you can expect. You can also contact the program for helping the hopelessly ill, where all your questions regarding the dying process will be answered. The more you and your loved ones know, the more prepared you will be for this moment.
Excessive drowsiness and weakness associated with approaching death

As death approaches, a person sleeps more and it becomes more and more difficult to wake up. Periods of wakefulness are becoming shorter and shorter.

As death approaches, people caring for you will notice that you are unresponsive and that you are in very deep sleep. This condition is called coma. If you are in a coma, you will be tied to your bed and all your physiological needs(bathing, turning, feeding and urinating) will need to be supervised by someone else.

General weakness is a very common occurrence as death approaches. It is normal for a person to need assistance with walking, bathing, and going to the toilet. Over time, you may need help turning over in bed. Medical equipment, such as wheelchairs, a walker or a hospital bed can be of great help during this period. This equipment can be rented from a hospital or care center for the terminally ill.

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Respiratory changes as death approaches
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As death approaches, periods rapid breathing may be followed by periods of breathlessness.

Your breath may become wet and congested. It's called " death rattle" Changes in breathing usually happen when you are weak and normal discharge from yours respiratory tract and the lungs cannot come out.

Although noisy breathing may be a signal to your family, you probably won't feel any pain or notice any congestion. Because the fluid is deep in the lungs, it is difficult to remove. Your doctor may prescribe oral tablets (atropine) or patches (scopolamine) to relieve congestion.

Your loved ones may turn you on your other side to help the discharge come out of your mouth. They can also wipe this discharge with a damp cloth or special tampons (you can ask for it at a help center for the hopelessly ill or buy it at pharmacies).

Your doctor may prescribe oxygen therapy to relieve your shortness of breath. Oxygen therapy will make you feel better, but will not prolong your life.

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Changes in vision and hearing as death approaches
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Visual impairment is very common in last weeks life. You may notice that your vision has become difficult. You may see or hear things that no one else notices (hallucinations). Visual hallucinations are common before death.

If you are caring for a dying person who is hallucinating, you need to reassure them. Acknowledge what the person sees. Denying hallucinations can be distressing to a dying person. Talk to the person, even if he or she is in a coma. It is known that dying people can hear even when they are in a deep coma. People who came out of comas said that they could hear the entire time they were in the coma.

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Hallucinations
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Hallucinations are the perception of something that is not actually there. Hallucinations can involve all the senses: hearing, seeing, smelling, tasting or touching.

The most common hallucinations are visual and auditory. For example, a person may hear voices or see objects that another person cannot see.

Other types of hallucinations include gustatory, olfactory and tactile.

Treatment for hallucinations depends on the cause.

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Changes in appetite as death approaches

As death approaches, you are likely to eat and drink less. This is due to general feeling weakness and slow metabolism.

Since food has such important social significance, it will be difficult for your family and friends to watch you not eat. However, changes in metabolism mean that you do not need the same amount of food and fluid as before.

You can consume small amounts of food and liquid as long as you are active and able to swallow. If swallowing is a problem for you, you can prevent thirst by moistening your mouth with a damp cloth or a special swab (available at a pharmacy) soaked in water.
Changes in urinary and gastrointestinal systems with death approaching

Often the kidneys gradually stop producing urine as death approaches. As a result, your urine turns dark brown or dark red. This is due to the inability of the kidneys to properly filter urine. As a result, the urine becomes very concentrated. Its quantity is also decreasing.

As appetite decreases, some changes also occur in the intestines. The stool becomes harder and more difficult to pass (constipation) as the person takes in less fluid and becomes weaker.

You should tell your doctor if you have bowel movements less than once every three days or if your bowel movements cause you discomfort. Stool softeners may be recommended to prevent constipation. You can also use an enema to cleanse your colon.

As you become increasingly weak, it is natural that you find it difficult to control bladder and intestines. They may put it in your bladder urinary catheter as a means of continuous drainage of urine. Also, the program for helping hopelessly ill patients can provide toilet paper or underwear (these can also be purchased at the pharmacy).
Changes in body temperature as death approaches

As death approaches, the area of ​​the brain responsible for regulating body temperature begins to function poorly. You may have a high fever and then feel cold within a minute. Your hands and feet may feel very cold to the touch and may even become pale and blotchy. Changes in skin color are called mottled skin lesions and are very common in last days or hours of life.

The person caring for you can monitor your temperature by rubbing your skin with a wet, slightly warm washcloth or giving you the following medications:
Acetaminophen (Tylenol)
Ibuprofen (Advil)
Naproxen (Aleve).
Aspirin.

Many of these medications are available in the form rectal suppositories if you have difficulty swallowing.
Emotional changes as death approaches

Just as your body prepares physically for death, you must prepare for it emotionally and mentally.

As death approaches, you may lose interest in the world around you and certain details. everyday life, such as date or time. You may withdraw into yourself and communicate less with people. You may only want to communicate with a few people. This kind of introspection can be a way of saying goodbye to everything you knew.

In the days before your death, you may enter a unique state of conscious awareness and communication that may be misinterpreted by your family and friends. You can talk about how you need to go somewhere - “go home” or “go somewhere.” The meaning of such conversations is unknown, but some people think that such conversations help prepare for death.

Events from your recent past may be mixed with distant events. You can remember very long ago events in great detail, but not remember what happened an hour ago.

You may be thinking about people who have already died. You may say that you heard or saw someone who has already died. Your loved ones may hear you talking to the deceased person.

If you are caring for a dying person, you may be upset or frightened by this strange behavior. You might want to return your loved one to reality. If this kind of communication is bothering you, talk to your doctor to better understand what's going on. Your loved one may fall into a state of psychosis, and this may be scary for you to watch. Psychosis occurs in many people before death. It may have one cause or be the result of several factors. Reasons may include:
Medicines such as morphine, sedatives and painkillers, or taking too much of a medicine that doesn't work well together.
Metabolic changes associated with high temperature or dehydration.
Metastasis.
Deep depression.

Symptoms may include:
Revival.
Hallucinations.
Unconscious state, which is replaced by revival.

Sometimes delirium tremens can be prevented with alternative medicine, such as relaxation and breathing techniques, and other methods that reduce the need for sedatives.

Pain

Palliative care can help you relieve physical symptoms associated with your illness, such as nausea or difficulty breathing. Controlling pain and other symptoms is an important part of your treatment and improving your quality of life.

How often a person feels pain depends on their disease. Some fatal diseases, such as bone cancer or pancreatic cancer, can be accompanied by severe physical pain.

A person may become so afraid of pain and other physical symptoms that they may consider physician-assisted suicide. But the pain before death can be effectively dealt with. You should tell your doctor and loved ones about any pain. There are many medications and alternative methods (such as massage) that can help you cope with the pain of death. Be sure to ask for help. Ask a loved one to tell your doctor about your pain if you are unable to do so yourself.

You may want your family not to see you suffer. But it is very important to tell them about your pain if you cannot bear it so that they see a doctor immediately.

Spirituality

Spirituality means a person's awareness of the purpose and meaning of his life. It also denotes a person’s relationship with higher powers or the energy that gives life meaning.

Some people don't think about spirituality often. For others, it's part of everyday life. As you approach the end of your life, you may be faced with your own spiritual questions and challenges. Connecting with religion often helps some people achieve comfort before death. Other people find solace in nature, in social work, strengthening relationships with loved ones or creating new relationships. Think about what can give you peace and support. What questions concern you? Seek support from friends, family, programs, and spiritual guides.

Caring for a dying relative

Physician-assisted suicide

Physician-assisted suicide refers to the practice of medical professionals assisting a person who voluntarily chooses to die. This is usually done using an assignment lethal dose medicines. Although the doctor indirect way participates in the death of a person, he is not its direct cause. On at the moment Oregon is the only state to have legalized physician-assisted suicide.

A person with a terminal illness may consider suicide with the assistance of a physician. Among the factors that can cause such a decision are severe pain, depression and fear of dependence on other people. A dying person may consider himself a burden to his loved ones and not understand that his family wants to provide him with their help as an expression of love and sympathy.

Often a person with a terminal illness contemplates suicide with the assistance of a doctor when his physical or emotional symptoms don't get it effective treatment. Symptoms associated with the dying process (such as pain, depression or nausea) can be controlled. Talk to your doctor and family about your symptoms, especially if your symptoms bother you so much that you think about dying.

Control of pain and symptoms at the end of life

At the end of life, pain and other symptoms can be managed effectively. Talk to your doctor and loved ones about the symptoms you are experiencing. Family is an important link between you and your doctor. If you yourself cannot communicate with a doctor, your loved one can do this for you. There is always something that can be done to relieve your pain and symptoms so that you feel comfortable.

Physical pain

There are many painkillers available. Your doctor will choose the easiest and most atraumatic drug to relieve pain. Oral medications are usually used first because they are easier to take and less expensive. If your pain is not severe, painkillers can be purchased without a doctor's prescription. These include drugs such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. It is important to stay ahead of your pain and take your medications as scheduled. Irregular use medications are often the cause of ineffective treatment.

Sometimes pain cannot be controlled with over-the-counter medications. In this case, more are needed effective forms treatment. Your doctor may prescribe painkillers such as codeine, morphine, or fentanyl. These medications can be combined with others, such as antidepressants, to help you get rid of your pain.

If you cannot take the pills, there are other forms of treatment. If you have problems swallowing, you can use liquid medicines. Medicines can also be in the form of:

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Rectal suppositories. Suppositories can be taken if you have trouble swallowing or nausea.
Drops under the tongue. Just like nitroglycerin tablets or heart pain sprays, liquid forms some substances, such as morphine or fentanyl, may be absorbed blood vessels under the tongue. These drugs are given in very small quantities - usually just a few drops - and are in an efficient way pain relief for people who have trouble swallowing.

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Patches applied to the skin (transdermal patches). These patches allow painkillers, such as fentanyl, to pass through the skin. The advantage of patches is that you instantly receive the required dose of medication. These patches provide better pain control than pills. In addition, a new patch must be applied every 48 to 72 hours, and the tablets must be taken several times a day.

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Intravenous injections (drips). Your doctor may prescribe treatment with a needle inserted into a vein in your arm or chest if your pain is very severe and cannot be controlled with oral, rectal, or transdermal treatments. Medicines can be given as a single injection several times a day, or continuously in small quantities. Just because you are connected to an IV does not mean your activities will be limited. Some people carry small, portable pumps that provide small amounts of medication throughout the day.

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Injections into the area spinal nerves(epidural) or under the tissue of the spine (intrathecal). For acute pain, strong painkillers such as morphine or fentanyl are injected into the spine.
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Many people who suffer from severe pain, they are afraid that they will become dependent on painkillers. However, addiction rarely occurs in terminally ill people. If your condition improves, you can slowly stop taking the medicine to prevent dependence.

Painkillers can be used to manage the pain and help keep it at a tolerable level. But sometimes painkillers make you drowsy. You can only take a small amount of the medicine and tolerate it accordingly slight pain to stay active at the same time. On the other hand, perhaps weakness is not a big deal for you and you are not bothered by drowsiness caused by certain medications.

The main thing is to take medications on a specific schedule, and not just when “the need arises.” But even if you take medications regularly, you may sometimes feel severe pain. These are called "breakthrough pain." Talk to your doctor about what medications you should always have on hand to help manage breakthrough pain. And always tell your doctor if you stop taking your medicine. Stopping suddenly can cause serious side effects and severe pain. Talk to your doctor about ways to relieve pain without using drugs. Alternative medical therapy may help some people relax and get rid of pain. You can combine traditional treatment With alternative methods, such as:

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Acupuncture
Aromatherapy
Biofeedback
Chiropractic
Imaging
Healing Touch
Homeopathy
Hydrotherapy
Hypnosis
Magnetotherapy
Massage
Meditation
Yoga

For more detailed information, see the Chronic Pain section.

Emotional stress

The period when you learn to cope with your illness is short emotional stress is normal occurrence. Depression that lasts more than 2 weeks is no longer normal and should be reported to your doctor. Depression can be treated even if you have a terminal illness. Antidepressants in combination with counseling from a psychologist will help you cope with emotional distress.

Talk to your doctor and family about your emotional distress. Although feelings of grief are a natural part of the dying process, this does not mean you have to endure severe emotional pain. Emotional distress can increase physical pain. They can also have a negative impact on your relationships with loved ones and prevent you from saying goodbye to them properly.

Other symptoms

As death approaches, you may experience other symptoms. Talk to your doctor about any symptoms you may experience. Symptoms such as nausea, fatigue, constipation or shortness of breath can be managed with medication, special diets and oxygen therapy. Have a friend or family member describe your symptoms to a doctor or emergency services worker. It can be helpful to keep a journal and write down all your symptoms.

Why, before death, people’s noses become sharper, they see the dead, and they defecate - especially for readers of “Popular About Health”, I will further consider this information in detail. Life path any person, no matter what he is, ends in death and it is worth coming to terms with this; for some this condition occurs early, and for others after many years of life. You should be prepared for this if there is a bedridden patient in the family.

The signs before death are different for everyone, however, many see the dead before death, which is explained by the fact that a person is gradually preparing to depart to another world and he often sees people who have already died. Immediately at the moment of dying, all physiological sphincters relax, in particular the urinary and intestinal ones, which leads to emptying.

A bedridden patient before death may experience mental anguish and fear of death. In his right mind, he understands what he will have to endure and he becomes scared. Physical and physical changes occur in the body mental level, the emotional background changes, interest in life appears. Some people ask for euthanasia to ease the agony of death, but relatives should consider the dying person's opinion and help him pass easily, either through the use of painkillers or euthanasia.

As death approaches, the patient spends more time sleeping, he is apathetic, and he loses interest in the world around him. The activity of all physiological systems gradually decreases, and irreversible changes develop. A person loses energy and feels tired. A dying person can sometimes perceive things and sounds that do not actually exist. In order not to upset a person, this should not be denied. Loss of orientation may also occur, and confusion is possible.

Already in the last moments before death, it can be noted that the limbs of the dying person become cold, as blood flows to more important organs, which ultimately still refuse life support. A person loses his appetite, his work is disrupted digestive tract, he stops drinking. When the sphincters are weakened, it is important to provide the patient with the necessary hygienic conditions using special absorbent underwear, disposable diapers or nappies.

With severe exhaustion, the patient's eyeballs may become sunken and the person has difficulty opening his eyes. It happens that the eyes, on the contrary, are open, so they should be moisturized special solutions, including saline solution. A weakened person may experience terminal tachypnea with wheezing. Most patients die quietly, gradually losing consciousness and being in a coma.

In the last days before death, the patient should only take painkillers and antiemetic drugs; diuretics, vitamins, antihypertensive drugs and other medications that will no longer be helpful can be discontinued. If a person wants to talk with loved ones about the last moments of his life, it is better to satisfy his request calmly than to hush up such a topic.

The dying person wants to understand that he is not alone, that he will definitely be taken care of, that suffering will not affect him, since painkillers will be given in time. Relatives must provide comprehensive assistance to the dying person. Before death, a person’s facial features may sharpen somewhat, including the nose. This may occur as a result of dehydration.

Sometimes before death a person is given palliative care, which is aimed at pain relief for a person if he has pain syndrome, such help helps improve the last days of the patient and alleviate his suffering. A dying patient needs not only help and attention, but also complete care and normal living conditions. Psychological relief is important for him, in addition, alleviation of experiences.

One of the signs of a person’s imminent departure from life may be a cold and pointed nose. In the old days there was a belief that death holds a person by the nose in his last days, which is why he sharpens his nose. The ancestors believed that if a dying person turns away from the light and spends a lot of time with his face turned to the wall, he is already on the threshold of another world.

If suddenly he suddenly felt some relief and asked to be shifted to his left side, then this indicates a sure sign of his imminent death. Such a person leaves the earthly world without suffering if the windows and doors in the room are opened in a timely manner. Relatives must be prepared for the death of the patient. It is impossible to predict with accuracy the moment of a person’s death and how it all will happen. You need to be ready to help him in the last minutes, you may need to give him a painkiller.

Conclusion

The stages of dying are individual for everyone, as is the process of the birth of life. You must always remember that it is most difficult for the dying person, not his relatives, so you need to help the patient in every possible way, paying attention to him and being with him. Close people need to be patient and show increased concern for their relative, provide him with moral support and invaluable attention. Death is the inevitable outcome of human life life cycle, and this moment is impossible not to cancel, not to change. Perhaps there are cycles of lives, but no one has yet proven this, there are only such assumptions.

Throughout life, the question of how a person dies of old age is of concern to most people. They are asked by the relatives of an old person, by the person himself who has crossed the threshold of old age. There is already an answer to this question. Scientists, doctors and enthusiasts have collected a wealth of information about this, based on the experience of numerous observations.
What happens to a person before death

It is not aging that is believed to cause death, given that old age itself is a disease. A person dies from a disease that the worn-out body is unable to cope with.

Brain reaction before death

How does the brain react when death approaches?

During death, irreversible changes occur to the brain. Happening oxygen starvation, cerebral hypoxia. As a consequence of this, rapid death of neurons occurs. At the same time, even at this moment its activity is observed, but in the most important areas responsible for survival. During the death of neurons and brain cells, a person may experience hallucinations, both visual, auditory, and tactile.

Loss of energy

A person loses energy very quickly, so drips with glucose and vitamins are prescribed.

Elderly dying man experiencing loss energy potential. This shows up more long sleep and shorter periods of wakefulness. He constantly wants to sleep. Simple steps, such as moving around the room, exhausts a person and he soon goes to bed to rest. It seems that he is constantly sleepy or in a state of permanent drowsiness. Some people even experience energy depletion after simply socializing or thinking. This can be explained by the fact that the brain requires more energy than the body.

Failure of all body systems

• The kidneys gradually refuse to work, so the urine they secrete becomes brown or red.
• The intestines also stop working, which is manifested by constipation or absolute intestinal obstruction.
• Respiratory system refuses, breathing becomes intermittent. This is also associated with a gradual failure of the heart.
• Function failure circulatory system leads to pale skin. Wanderers are observed dark spots. The first such spots are visible first on the feet, then on the whole body.
• Hands and feet become icy.

What feelings does a person experience when dying?

Most often, people are not even concerned about how the body manifests itself before death, but about how it feels old man, realizing that he was about to die. Karlis Osis, a psychologist in the 1960s, conducted global research on this topic. Doctors and medical staff from departments caring for dying people helped him. There were 35,540 deaths recorded. Based on observations of them, conclusions were drawn that have not lost their relevance to this day.

Before death, 90% of dying people do not feel fear.

It turned out that dying people had no fear. There was discomfort, indifference and pain. Every 20th person experienced elation. According to other studies, the older a person is, the less afraid he is of dying. For example, one social survey of older people showed that only 10% of respondents admitted to fear of death.

What do people see as they approach death?

Before death, people experience hallucinations that are similar to each other. During visions, they are in a state of clarity of consciousness, the brain worked normally. Moreover, he did not respond to sedatives. Body temperature was also normal. On the verge of death, most people had already lost consciousness.

Often, visions during brain shutdown are associated with the most vivid memories of life.

Mostly, the visions of most people are associated with the concepts of their religion. Anyone who believed in hell or heaven saw corresponding visions. Non-religious people have seen beautiful visions related to nature and living fauna. More people saw their deceased relatives calling them to move on to another world. The people observed in the study were sick various diseases, had different level education, belonged to different religions, among them there were also convinced atheists.

Often the dying person hears various sounds, mostly unpleasant. At the same time, he feels himself rushing towards the light, through the tunnel. Then, he sees himself as separate from his body. And then he is met by all the dead people close to him who want to help him.

Scientists cannot give an exact answer about the nature of such experiences. They usually find a connection with the process of dying neurons (vision of a tunnel), brain hypoxia and the release of a hefty dose of endorphin (vision and feeling of happiness from the light at the end of the tunnel).

How to recognize the arrival of death?

Signs of a person dying are listed below.

The question of how to understand that a person is dying of old age is of concern to all relatives of a loved one. To understand that the patient is about to die very soon, you need to pay attention to the following signs:

1. The body refuses to function (incontinence of urine or feces, color of urine, constipation, loss of strength and appetite, refusal of water).
2. Even if you have an appetite, you may experience a loss of ability to swallow food, water, and your own saliva.
3. Loss of ability to close eyelids due to critical exhaustion and drooping eyeballs.
4. Signs of wheezing during unconsciousness.
5. Critical jumps in body temperature - either too low or critically high.

Important! These signs do not always indicate the arrival of the mortal end. Sometimes they are symptoms of diseases. These signs apply only to old people, the sick and the infirm.

Video: how does a person feel when he dies?

Conclusion

You can find out more about what death is in

None of us can predict exactly when death will occur. However, doctors and nurses who deal with seriously ill people know that the approach of death is accompanied by certain symptoms.

Signs of impending death vary from person to person, and not all of the symptoms listed below are "must-haves." But there is still something in common.

1. Loss of appetite

The body's need for energy becomes less and less. A person may begin to resist eating and drinking, or only eat certain foods (for example, cereal). First of all, a dying person refuses meat, since it is difficult for a weakened body to digest it. And then even the most favorite foods no longer cause any appetite. At the end of his life, it happens that the patient is even physically unable to swallow what is in his mouth.

You cannot force feed a dying person, no matter how worried you may be that he does not eat. You can periodically offer the patient some water, ice or ice cream. To prevent his lips from drying out, moisten them with a damp cloth or moisturize them with lip balm.

2. Excessive fatigue and drowsiness

On the verge of death, a person begins to sleep atypically a lot, and it becomes increasingly difficult to wake him up. Metabolism slows down, and insufficient food and water intake contribute to dehydration of the body, which turns on the defense mechanism and goes into hibernation. The patient cannot be denied this - let him sleep. You shouldn't push him so that he finally wakes up. What you say to a person in such a state, he may well hear and remember, no matter how deep the sleep may seem. In the end, even in a coma, patients hear and understand the words that are addressed to them.

3. Physical weakness

Due to loss of appetite and the resulting lack of energy, the dying person cannot do even the simplest things - for example, he cannot roll over on his side, raise his head, or suck in juice through a straw. All you can do is try to provide him with maximum comfort.

4. Brain fog and disorientation

Organs begin to fail, including the brain. A person may stop understanding where he is and who is next to him, start talking nonsense, or rush around the bed. At the same time, you need to remain calm. Every time you approach a dying person, you should call yourself by name and speak to him extremely gently.

5. Difficulty breathing

The breathing of dying people becomes intermittent and uneven. They often experience so-called Cheyne-Stokes breathing: superficial and sparse breathing movements gradually become deeper and longer, weaken and slow down again, then a pause follows, after which the cycle repeats. Sometimes the dying person wheezes or breathes louder than usual. You can help in such a situation by raising his head, putting an extra pillow, or sitting him in a semi-lying position so that the person does not fall over on his side.

6. Self-isolation

As vitality fade away, a person loses interest in what is happening around him. He may stop talking, answer questions, or simply turn away from everyone. This is a natural part of the dying process and not your fault. Show the dying person that you are there by simply touching him or taking his hand in yours, if he does not mind, and talk to him, even if this conversation is your monologue.

7. Urinary problems

Since little water enters the body, and the kidneys are working worse and worse, the dying person really “walks little”, and the concentrated urine has a brownish or reddish tint. This is why hospices often place a catheter in the last days of a terminally ill patient’s life. Because of renal failure the amount of toxins in the blood increases, which contributes to the dying person’s quiet fall into a coma and a peaceful death.

8. Leg swelling

When the kidneys fail biological fluids Instead of being excreted, they accumulate in the body - most often in the legs. Because of this, many people swell before death. Nothing can be done here, and it makes no sense: swelling is side effect approaching death, not the cause of it.

9. “Icing” of the tips of the fingers and toes

A few hours or even minutes before death, blood is drained from peripheral organs to support vital ones. For this reason, the limbs become noticeably colder than the rest of the body, and the nails may take on a pale or bluish tint. A warm blanket will help provide comfort to the dying person; you need to cover him loosely with it so as not to create a feeling of being swaddled.

10. Venous spots

A characteristic “pattern” of purple, reddish or bluish spots appears on pale skin - the result of poor circulation and uneven filling of the veins with blood. These spots usually appear first on the soles and feet.

It is not customary to talk about death out loud in our time. This is a very sensitive topic and not for the faint of heart. But there are times when knowledge is very useful, especially if there is a cancer patient or a bedridden person at home old man. After all, this helps to mentally prepare for the inevitable end and notice the changes taking place in time. Let's discuss together the signs of death of a patient and pay attention to their key features.
Most often, signs of imminent death are classified into primary and secondary. Some develop as a consequence of others. It is logical that if a person begins to sleep more, then he eats less, etc. We will look at all of them. But, cases may be different and exceptions to the rules are acceptable. The same as options for a normal median survival rate, even with a symbiosis of terrible signs of a change in the patient’s condition. This is a kind of miracle that happens at least once in a century.

Changing sleep and wake patterns
Discussing initial signs As death approaches, doctors agree that the patient has less and less time to stay awake. He is often immersed in light sleep and seems to be dozing. This saves precious energy and reduces pain. The latter fades into the background, becoming, as it were, background. Of course, the emotional side suffers greatly. The paucity of expression of one’s feelings, the self-isolation of the desire to remain silent more than to speak leave an imprint on relationships with others. The desire to ask and answer any questions, to be interested in everyday life and the people around you disappears.
As a result, in advanced cases patients become apathetic and detached. They sleep almost 20 hours a day if not acute pain and serious irritating factors. Unfortunately, such an imbalance threatens stagnant processes, mental problems and accelerates death.

Why Stalin did not believe intelligence reports about the start date of the war

Swelling

Edema appears on lower limbs

Very reliable signs death is swelling and the presence of spots on the legs and arms. We are talking about malfunctions in the kidneys and circulatory system. In the first case of oncology, the kidneys do not have time to cope with toxins and they poison the body. At the same time, metabolic processes, the blood is redistributed unevenly in the vessels, forming areas with spots. It’s not for nothing that they say that if such marks appear, then we're talking about about complete dysfunction of the limbs.

Problems with hearing, vision, perception

Scientists are speechless after seeing evidence of an afterlife

The first signs of death are changes in hearing, vision and normal feeling happening around. Such changes can occur against the background of severe pain, cancer, blood stagnation or tissue death. Often, before death, you can observe a phenomenon with the pupils. The eye pressure drops and when pressed you can see how the pupil is deformed like a cat's.
Regarding hearing, everything is relative. It can recover in the last days of life or even worsen, but this is more agony.

Reduced need for food

Deterioration of appetite and sensitivity are signs of imminent death

When a cancer patient is at home, all her loved ones note the signs of death. She gradually refuses food. First, the dose decreases from a plate to a quarter of a saucer, and then the swallowing reflex gradually disappears. There is a need for nutrition through a syringe or tube. In half of the cases, a system with glucose and vitamin therapy is connected. But the effectiveness of such support is very low. The body tries to use up its own fat reserves and minimize waste. This makes it worse general condition the patient becomes drowsy and has difficulty breathing.
Urinary problems and problems with natural needs
It is believed that problems with going to the toilet are also signs of approaching death. No matter how funny it may seem, in reality there is a completely logical chain in this. If defecation is not carried out once every two days or with the regularity to which a person is accustomed, then feces accumulate in the intestines. Even stones can form. As a result, toxins are absorbed from them, which seriously poison the body and reduce its performance.
It's about the same story with urination. It's harder for the kidneys to work. They allow less and less fluid to pass through and eventually the urine comes out saturated. In it high concentration acids and even blood is noted. For relief, a catheter can be installed, but this is not a panacea in the general context. unpleasant consequences for a bedridden patient.

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Problems with thermoregulation

Weakness is a sign of imminent death

Natural signs before the death of the patient - this is a violation of thermoregulation and agony. The limbs begin to get very cold. Especially if the patient has paralysis, then we can even talk about the progress of the disease. The blood circulation decreases. The body fights for life and tries to maintain the functioning of the main organs, thereby depriving the limbs. They may turn pale and even become blue with venous spots.

Weakness of the body

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Signs near death Everyone's may be different depending on the situation. But more often than not, it's about severe weakness, weight loss and general fatigue. A period of self-isolation begins, which is aggravated by internal processes of intoxication and necrosis. The patient cannot even raise his arm or stand on a duck for natural needs. The process of urination and defecation can occur spontaneously and even unconsciously.

Foggy mind

Many see signs of approaching death in the way they disappear. normal reaction patient on the world around us. He can become aggressive, nervous, or vice versa – very passive. Memory disappears and attacks of fear may occur due to this. The patient does not immediately understand what is happening and who is nearby. The parts of the brain responsible for thinking die off. And obvious inadequacy may appear.

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Predagonia

This defensive reaction all vital systems in the body. Often, it is expressed in the onset of stupor or coma. Regression plays a major role nervous system which calls in the future:
- decreased metabolism
- insufficient ventilation of the lungs due to breathing failures or alternating rapid breathing with stopping
- serious damage to organ tissue

Agony

Agony is characteristic of the last minutes of a person’s life

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Agony is usually called a clear improvement in the patient’s condition against the background of destructive processes in the body. Essentially, these are the last efforts to maintain the necessary functions for continued existence. May be noted:
- improved hearing and restored vision
- adjusting breathing rhythm
- normalization of heart contractions
- restoration of consciousness in the patient
- muscle activity like cramps
- decreased sensitivity to pain
The agony can last from several minutes to an hour. Usually, it seems to foreshadow clinical death, when the brain is still alive, and oxygen ceases to flow into the tissues.
These are typical signs of death in bedridden people. But you shouldn’t dwell too much on them. After all, there may be another side of the coin. It happens that one or two such indicators are simply a consequence of the disease, but they are completely reversible with proper care. Even a hopelessly bedridden patient may not have all these signs before death. And this is not an indicator. So, it is difficult to talk about mandatory rules, as well as to impose death sentences.