Home Audience 4 Dying sighs. Agony - what is it? Signs of agony

Dying sighs. Agony - what is it? Signs of agony

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 diverse (individual) as the process of birth. It is impossible to predict the exact time of death and how exactly a person will die. But people facing death experience many of the same symptoms, regardless of the type of illness.

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 urinary and gastrointestinal systems. Your urine may turn dark brown or dark red, and you may have bad (hard) stools.

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

Emotional changes, the person is not interested in the outside world and individual details 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, walkers 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.

Respiratory changes as death approaches

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

Your breath may become wet and congested. This is called the "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. Since the fluid is deep in the lungs, it is difficult to remove it. Your doctor may prescribe oral tablets(atropines) or patches (scopolamine) to reduce 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.

Changes in vision and hearing as death approaches

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 deep coma. People who came out of comas said that they could hear the entire time they were in the coma.

Hallucinations

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.

ChangesappetiteWithapproachingdeath

As death approaches, you are likely to eat and drink less. This is associated with a general feeling of weakness and a slower metabolism.

Since nutrition is important social significance, it will be difficult for your family and friends to watch you not eat anything. 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 the urinary and gastrointestinal systems as death approaches

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 more and more 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. The terminally ill program may also provide toilet paper or underwear (they 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 cloth or giving you the following medications:

Acetaminophen (Tylenol)

Ibuprofen (Advil)

Naproxen (Aleve).

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 of daily life, such as the 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 old events in the smallest 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 important part your treatment and improve 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 can be so afraid of pain and others physical symptoms that he may be thinking about 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 is 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 by prescribing a lethal dose of medication. Although the doctor is indirectly involved in the death of a person, he is not the direct cause of it. 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. Usually applied first oral medications, as 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 of medications is often the cause of ineffective treatment.

Sometimes pain cannot be controlled with over-the-counter medications. In this case, more effective forms of treatment are needed. 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 trouble swallowing, you can use liquid medicines. Medicines can also be in the form of:

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.

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.

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.

Injections into the area of the spinal nerves (epidural) or under the spinal tissue (intrathecal). At acute pain Strong painkillers, such as morphine or fentanyl, are injected into the spine.

Many people who suffer from severe pain fear 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 accept large number medications and, accordingly, endure a little pain in order to remain active. On the other hand, maybe weakness doesn't matter to you. of great importance 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 medication 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. Sudden termination may cause serious side effects and severe pain. Talk to your doctor about ways to relieve pain without using drugs. Alternative medical therapy can help some people relax and get rid of pain. You can combine traditional treatment With alternative methods, such as:

Acupuncture

Aromatherapy

Biofeedback

Chiropractic

Imaging

Healing Touch

Homeopathy

Hydrotherapy

Magnetotherapy
Meditation

For more detailed information, see the Chronic Pain section.

Emotional stress

While you are learning to cope with your illness, short-term emotional distress is normal. 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.

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 normal median survival even with symbiosis scary signs changes in the patient's condition. This is a kind of miracle that happens at least once in a century.

What signs of death do you know?

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 more often immersed in superficial 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 unless there is acute pain or serious irritating factors. Unfortunately, such an imbalance threatens stagnant processes, mental problems and accelerates death.

Swelling

Very reliable signs death is swelling and the presence of spots on the legs and arms. We are talking about malfunctions of 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

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

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 worsens the patient’s general condition, causing drowsiness and difficulty breathing.

Urinary dysfunction 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.

Problems with thermoregulation

Natural signs before the death of a patient are impaired 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

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 areas in the brain responsible for thinking die. And obvious inadequacy may appear.

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 problems or alternating rapid breathing with stopping

Serious damage to organ tissue

Agony

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

Establishing a breathing rhythm

Normalization of heart contractions

Restoring consciousness in the patient

Muscle activity like cramps

Decreased sensitivity to pain

The agony can last from several minutes to an hour. Usually, she 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 signs are simply a consequence of an illness, 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.

Bedridden patient: signs before death. Changes with a person before death

If there is a bedridden patient in the house who is in in serious condition, it won’t hurt the relatives to know the signs of approaching death in order to be well prepared. The process of dying can occur not only physically, but also mentally. Considering the fact that each person is individual, each patient will have its own characteristics, but there are still some general symptoms, which will indicate an imminent end life path person.

How can a person feel as death approaches?

We are not talking about the person for whom death is sudden, but about patients who for a long time are sick and bedridden. As a rule, such patients can experience mental anguish for a long time, because being in their right mind a person understands perfectly well what he has to endure. A dying person constantly feels all the changes that occur in his body. And all this ultimately contributes permanent shift mood, as well as loss of mental balance.

Most bedridden patients withdraw into themselves. They begin to sleep a lot, but remain indifferent to everything that happens around them. There are also frequent cases when, just before death, patients’ health suddenly improves, but after a while the body becomes even weaker, followed by the failure of all vital functions. important functions body.

Signs of imminent death

It is impossible to predict the exact time of departure to another world, but paying attention to the signs of approaching death is quite possible. Let's look at the main symptoms that may indicate imminent death:

The patient loses his energy, sleeps a lot, and the periods of wakefulness become less and less each time. Sometimes a person can sleep for a whole day and stay awake for only a couple of hours.
Breathing changes, the patient may breathe either too quickly or too slowly. In some cases, it may even seem that the person has completely stopped breathing for a while.
He loses his hearing and vision, and sometimes hallucinations may occur. During such periods, the patient may hear or see something that is not really happening. You can often see him talking to people who have long been dead.
A bedridden patient loses his appetite, and he not only stops using protein food, but also refuses to drink. To somehow allow moisture to seep into his mouth, you can dip a special sponge in water and moisten your dry lips with it.
The color of urine changes, it becomes dark brown or even dark red in color, while its smell becomes very pungent and toxic.
Body temperature often changes, it can be high, and then drop sharply.
An elderly bedridden patient may become lost in time.

Of course, the pain of loved ones from the imminent loss of their loved one it is impossible to extinguish, but preparing and setting yourself up psychologically is still possible.

What does drowsiness and weakness in a bedridden patient indicate?

When death approaches, a bedridden patient begins to sleep a lot, and the point is not that he feels very tired, but that it is simply difficult for such a person to wake up. The patient is often in deep sleep, so his reaction is inhibited. This condition is close to coma. The manifestation of excessive weakness and drowsiness slows down naturally and some physiological abilities of a person, so in order to roll over from one side to the other or go to the toilet, he will need help.

What changes occur in respiratory function?

Relatives who care for the patient may notice how his rapid breathing will sometimes give way to breathlessness. And over time, the patient’s breathing may become moist and stagnant, causing wheezing to be heard when inhaling or exhaling. It occurs because fluid collects in the lungs, which is no longer naturally removed by coughing.

Sometimes the patient is helped by being turned from one side to the other, then the liquid can come out of the mouth. Some patients are prescribed oxygen therapy to relieve suffering, but it does not prolong life.

How do vision and hearing change?

Minute clouding of consciousness in severely ill patients can be directly related to changes in vision and hearing. This often happens in their last weeks of life, for example, they stop seeing and hearing well, or, on the contrary, they hear things that no one else can hear.

The most common are visual hallucinations just before death, when a person thinks that someone is calling him or he sees someone. In this case, doctors recommend agreeing with the dying person in order to at least somehow cheer him up; you should not deny what the patient sees or hears, otherwise it can greatly upset him.

How does your appetite change?

In a bedridden patient, before death, the metabolic process may be reduced, and it is for this reason that he stops wanting to eat and drink.

Naturally, to support the body, the patient should still be given at least some nutritious food, so it is recommended to feed the person in small portions until he is able to swallow. And when this ability is lost, then it is no longer possible to do without IVs.

What changes occur in the bladder and intestines before death?

Signs of imminent death of a patient are directly related to changes in the functioning of the kidneys and intestines. The kidneys stop producing urine, so it becomes dark - brown, because the filtration process is disrupted. A small amount of urine can contain a huge amount of toxins that have a detrimental effect on the entire body.

Such changes may lead to complete refusal in the functioning of the kidneys, the person falls into a coma and dies after a while. Due to the fact that appetite decreases, changes occur in the intestines themselves. The stool becomes hard, causing constipation. The patient needs to alleviate the condition, so relatives who care for him are recommended to give the patient an enema every three days or make sure that he takes a laxative on time.

How does body temperature change?

If there is a bedridden patient in the house, the signs before death can be very diverse. Relatives may notice that a person’s body temperature is constantly changing. This is due to the fact that the part of the brain that is responsible for thermoregulation may not function well.

At some point, body temperature can rise to 39 degrees, but after half an hour it can drop significantly. Naturally, in this case, it will be necessary to give the patient antipyretic drugs, most often Ibuprofen or Aspirin are used. If the patient does not have the function of swallowing, then antipyretic suppositories can be given or an injection can be given.

Just before death, the temperature immediately drops, the arms and legs become cold, and the skin in these areas becomes covered with red spots.

Why does a person’s mood often change before death?

A dying person, without realizing it, is gradually preparing himself for death. He has enough time to analyze his entire life and draw conclusions about what was done right or wrong. It seems to the patient that everything he says is misinterpreted by his family and friends, so he begins to withdraw into himself and stops communicating with others.

In many cases, clouding of consciousness occurs, so a person can remember everything that happened to him a long time ago in the smallest details, but he will no longer remember what happened an hour ago. It can be scary when this condition reaches the point of psychosis, in which case it is necessary to consult a doctor who can prescribe sedatives to the patient.

How can I help a dying person relieve physical pain?

A bedridden patient after a stroke or a person who has become incapacitated due to another illness may experience severe pain. To somehow alleviate his suffering, it is necessary to use painkillers.

A pain reliever may be prescribed by your doctor. And if the patient does not have any problems with swallowing, then the drugs can be in the form of tablets, but in other cases injections will have to be used.

If a person serious illness, which is accompanied by severe pain, then it will be necessary to use drugs that are available only by prescription, for example, these could be Fentanyl, Codeine or Morphine.

Today, there are many drugs that will be effective for pain, some of them are produced in the form of drops that are dripped under the tongue, and sometimes even a patch can provide significant help to the patient. There is a category of people who are very careful about painkillers, citing the fact that addiction may occur. To avoid addiction, as soon as a person begins to feel better, you can stop taking the drug for a while.

Emotional stress experienced by the dying person

Changes with a person before death concern not only him physical health, but they also hurt him psychological state. If a person experiences a little stress, then this normal phenomenon, but if the stress drags on for a long time, then most likely it is the deep depression that a person experiences before death. The fact is that everyone can have their own emotional experiences and will show their own signs before death.

A bedridden patient will experience not only physical pain, but also mental pain, which will have an extremely negative impact on his general condition and will bring the moment of death closer.

But even if a person has a fatal illness, relatives should try to cure their loved one’s depression. In this case, the doctor may prescribe antidepressants or consultations with a psychologist. This natural process, when a person becomes despondent, knowing that he has very little time left to live in the world, therefore relatives must do their best to distract the patient from sad thoughts.

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Additional symptoms before death

It should be noted that there are different signs before death. A bedridden patient may experience symptoms that are not detected in others. For example, some patients often complain of constant nausea and urge to vomit, although their illness is in no way related to gastrointestinal tract. This process is easily explained by the fact that due to illness, the body becomes weaker and cannot cope with the digestion of food, which can cause certain problems with the functioning of the stomach.

In this case, relatives will need to seek help from a doctor who can prescribe medications to alleviate this condition. For example, when constant constipation, it will be possible to use a laxative, and for nausea, others will be prescribed effective drugs, which will dull this unpleasant feeling.

Naturally, not a single such drug can save life or prolong it indefinitely, but it can alleviate suffering dear person It is still possible, so it would be wrong not to take advantage of this chance.

How to care for a dying relative?

Today there are special means for the care of bedridden patients. With their help, the person caring for the patient makes his work much easier. But the fact is that a dying person requires not only physical care, but also a lot of attention- he needs constant conversations to be distracted from his sad thoughts, and only family and friends can provide sincere conversations.

A sick person must be absolutely calm, and unnecessary stress will only bring the minutes of his death closer. To alleviate the suffering of a relative, it is necessary to seek help from qualified doctors who can prescribe everything necessary medications, helping to overcome many unpleasant symptoms.

All the signs listed above are general, and it should be remembered that each person is individual, and therefore so is the body. different situations may behave differently. And if there is a bedridden patient in the house, his signs before death may turn out to be completely unexpected for you, since everything depends on the disease and on the individuality of the organism.

Signs that an elderly person is approaching death

The article will give you mixed feelings. On the one hand, there is mental anguish and suffering. On the other hand, there is a clear understanding of what remains to be experienced. Of course, nothing can replace or drown out the pain of losing a loved one. After reading the note, you will at least be mentally prepared for this.

How does a dying person feel?

On the threshold of death, many things change. Both from the physiological and emotional side. But, like everything in our lives is individual, the onset of death is also purely personal.

This cannot be predicted or changed. But there are similar symptoms, regardless of pre-existing conditions, that all older people experience.

10 signs of approaching death

Drowsiness and weakness in the body
A person sees and hears what others do not notice
Weak, intermittent breathing
Urine turns dark red or brown
Problems with stool
Appetite disappears
Body temperature ranges from too high to extremely low
Mood and feelings change
Legs are swollen
Venous spots appear (especially on the soles of the feet)

Let's talk about each of the points in more detail.

Constant drowsiness and weakness in the body

The period of wakefulness is shortened, metabolism slows down. By hibernating, the body tries to protect itself from dehydration and fatigue. Therefore, an elderly person constantly feels sleepy. At the same time, the sleep is deep, without any reaction. It's getting more and more difficult to wake up in the morning.

Don't wake the person. Let him sleep as much as his body requires. Moreover, even while in deep sleep, he hears and remembers your words.

Visual and auditory hallucinations

Seeing and hearing things that others do not notice is quite normal in this situation. There is nothing mysterious or suspicious here. In addition, hallucinations can affect the organs of vision, smell, tactile and taste.

Breathing changes

Becomes intermittent, wet, noisy and stagnant. It stops more and more often. Wheezing can be observed. To relieve suffering, doctors usually recommend oxygen therapy.

Change in urine color and problems with stool

There is a catastrophic lack of water in the body of an elderly person. Water balance broken. Hence, rare trips to the toilet and kidney problems. As a result, the urine becomes concentrated. It darkens and decreases in number.

Constipation is connected to this. It becomes increasingly difficult for a person to go to the toilet without additional stimulation.

Lack of appetite

As mentioned above, metabolic processes slow down. This is reflected in the desire to eat. Or rather, its absence. I feel less and less thirsty. Food is difficult to swallow. To quench your thirst, you can wet your mouth with a damp cloth. But under no circumstances try to force feed. Nothing good will come of this.

Temperature changes

A fairly common sign of approaching death. Thus, during the day, body temperature can vary from too high to critically low.

This is due to disruption of the part of the brain responsible for thermoregulation. Hence, my hands and feet get cold. The skin changes color.

Rubbing your body with a cool or warm towel will help ease the pain. Or, alternatively, you can give one of the following medications:

If the tablets are painful to swallow, purchase them as rectal suppositories.

Uncontrolled emotions

Along with physical changes, enough common occurrence and mood changes. Some people completely withdraw into themselves and avoid communication with loved ones. Others, on the contrary, are immersed in warm and pleasant memories. They are described down to the smallest detail. But ask about recent events and they won't be able to answer you.

There are also those who communicate with dead people.

In some cases, emotional changes reach the point of psychosis.

Swelling of the legs

A similar symptom is caused bad work kidney Instead of removing fluid, they accumulate it in the body. Typically in the leg area.

Venous spots on the body

Red or blue venous spots appear on the body of the dying person, especially on the soles of the feet. This is caused by slow blood circulation.

And in conclusion

No matter how difficult it may be for you, it is even more difficult for an elderly person on the verge of death, in every sense. Pull yourself together! You cannot change what does not depend on you. But you can surround your loved one with care, love and home warmth.

Healthy Aging

Signs of approaching death

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

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, your caregivers 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 confined to a bed and all your physiological needs (bathing, turning, eating and urinating) will have 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, walkers 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.

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

Your breath may become wet and congested. This is called the "death rattle." Changes in breathing usually occur when you are weak and normal secretions from your airways and lungs cannot be released.

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

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.

Deterioration of vision is very common in the last weeks of 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.

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.

As death approaches, you are likely to eat and drink less. This is associated with a general feeling of weakness and a slower 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.

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.

As you become increasingly weak, it is natural that you will have difficulty controlling your bladder and bowels. A urinary catheter may be placed in your bladder as a means of long-term urine drainage. The terminally ill program may also provide toilet paper or underwear (they can also be purchased at the pharmacy).

The person caring for you can monitor your temperature by rubbing your skin with a wet, slightly warm cloth or giving you the following medications:

Many of these medications are available in the form of rectal suppositories if you have difficulty swallowing.

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

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 may want to bring your loved one back 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:

Symptoms may include:

Delirium tremens can sometimes be prevented by using alternative medicine, such as relaxation and breathing techniques, and other methods that reduce the need for sedatives.

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

Some people don't think about spirituality often. For others, it is 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, 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 refers to the practice of medical professionals assisting a person who voluntarily chooses to die. This is usually done by prescribing a lethal dose of medication. Although the doctor is indirectly involved in the death of a person, he is not the direct cause of it. Oregon is currently the only state to have legalized physician-assisted suicide.

Often, a person with a terminal illness will consider physician-assisted suicide when their physical or emotional symptoms do not receive 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

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 of medications is often the cause of ineffective treatment.

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

Painkillers can be used to manage the pain and help keep it at a tolerable level. But sometimes painkillers make you drowsy. You can take only a small amount of medication and therefore endure little pain and still remain active. 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 can help some people relax and get rid of pain. You can combine traditional treatment with alternative methods, such as:

For more detailed information, see the Chronic Pain section.

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 suffering can make physical pain worse. They can also have a negative impact on your relationships with loved ones and prevent you from saying goodbye to them properly.

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 medications, 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.

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Sooner or later, a person thinks about death - of loved ones or his own. But when death is already at the doorstep, we are not always ready to meet it “fully armed.”

Anxiety caused by the proximity of death often stems from a lack of knowledge, so we recommend that you read this text. Some typical features of the dying process are described here. You may get answers to some questions and hopefully you will want to reach out for additional information and help. It is easier for close people to support each other in this difficult, responsible time if you know what to expect.

What changes happen to a person before death?
The process of a person passing away is unique, but there are still a number of common features, indicating that a person is dying. Any of these signs individually does not necessarily mean that death is approaching, so we must remember that in our case we are talking specifically about dying people.
There are three categories of changes in a person's condition that indicate that his life is approaching the end:

reducing the need for water and food:
changes in breathing patterns;
withdrawal into oneself.

It is difficult to survive the death of a loved one, because you are losing someone you loved. Sometimes you don’t know what to say to each other at such moments. Doctors and nurses at the hospice will help you overcome your grief, provide attention and support.

Signs of approaching death

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 (hard) 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.

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.

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, walkers 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.

Respiratory changes as death approaches

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

Your breath may become wet and congested. This is called the "death rattle." Changes in breathing usually occur when you are weak and normal secretions from your airways and lungs cannot be released.

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

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.

Changes in vision and hearing as death approaches

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.

Hallucinations

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.

ChangesappetiteWithapproachingdeath

As death approaches, you are likely to eat and drink less. This is associated with a general feeling of weakness and a slower metabolism.

Changes in the urinary and gastrointestinal systems as death approaches

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.

Changes in body temperature as death approaches

The person caring for you can monitor your temperature by rubbing your skin with a wet, slightly warm cloth or giving you the following medications:

Acetaminophen (Tylenol)
Ibuprofen (Advil)
Naproxen (Aleve).
Aspirin.

Many of these medications are available in the form of 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.

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 may want to bring your loved one back 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.

Delirium tremens can sometimes be prevented by using alternative medicine, such as relaxation and breathing techniques, and other methods that reduce the need for sedatives.

Pain

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.

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 energy that gives meaning to life.

Some people don't think about spirituality often. For others, it is 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, 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 by prescribing a lethal dose of medication. Although the doctor is indirectly involved in the death of a person, he is not the direct cause of it. Oregon is currently the only state to have legalized physician-assisted suicide.

Control of pain and symptoms at the end of life

Physical pain

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

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 of some substances, such as morphine or fentanyl, can be absorbed by the blood vessels under the tongue. These medications are given in very small quantities—usually just a few drops—and are an effective way to control pain for people who have trouble swallowing.
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.
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.
Injections into the area of the spinal nerves (epidural) or under the spinal tissue (intrathecal). For acute pain, strong painkillers such as morphine or fentanyl are injected into the spine.

For more detailed information, see the Chronic Pain section.

Emotional stress

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 suffering can make physical pain worse. 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 medications, 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.

How does a dying person feel?

On the threshold of death, many things change. Both from the physiological and emotional side. But, like everything in our lives is individual, the onset of death is also purely personal.

This cannot be predicted or changed. But there are similar symptoms, regardless of pre-existing conditions, that all older people experience.

Drowsiness and weakness in the body
A person sees and hears what others do not notice
Weak, intermittent breathing
Urine turns dark red or brown
Problems with stool
Appetite disappears
Body temperature ranges from too high to extremely low
Mood and feelings change
Legs are swollen
Venous spots appear (especially on the soles of the feet)

Let's talk about each of the points in more detail.

Constant drowsiness and weakness in the body

Don't wake the person. Let him sleep as much as his body requires. Moreover, even while in deep sleep, he hears and remembers your words.

Visual and auditory hallucinations

Breathing changes

Becomes intermittent, wet, noisy and stagnant. It stops more and more often. Wheezing can be observed. To relieve suffering, doctors usually recommend oxygen therapy.

Change in urine color and problems with stool

There is a catastrophic lack of water in the body of an elderly person. The water balance is disturbed. Hence, rare trips to the toilet and kidney problems. As a result, the urine becomes concentrated. It darkens and decreases in number.

Constipation is connected to this. It becomes increasingly difficult for a person to go to the toilet without additional stimulation.

Lack of appetite

A fairly common sign of approaching death. Thus, during the day, body temperature can vary from too high to critically low.

This is due to disruption of the part of the brain responsible for thermoregulation. Hence, my hands and feet get cold. The skin changes color.

Rubbing your body with a cool or warm towel will help ease the pain. Or, alternatively, you can give one of the following medications:

Ibuprofen
Aspirin
Naproxen
Acetaminophen

If the tablets are painful to swallow, purchase them as rectal suppositories.

Uncontrolled emotions

Along with physical changes, mood changes are also quite common. Some people completely withdraw into themselves and avoid communication with loved ones. Others, on the contrary, are immersed in warm and pleasant memories. They are described down to the smallest detail. But ask about recent events and they won't be able to answer you.

There are also those who communicate with dead people.

In some cases, emotional changes reach the point of psychosis.

Swelling of the legs

This symptom is caused by poor kidney function. Instead of removing fluid, they accumulate it in the body. Typically in the leg area.

Venous spots on the body

Red or blue venous spots appear on the body of the dying person, especially on the soles of the feet. This is caused by slow blood circulation.