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Palliative Care Center

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Questions of Death and Dying

As Death Approaches continued...

A couple of weeks before death, people often become disoriented. Days and nights switch, and sometimes they can't keep their eyes open. Other times they can't fall asleep. This can be particularly hard on caregivers.

During the week or so immediately prior to death, you'll see physical changes: the pulse and breathing will slow, blood pressure will drop, and skin color will become duskier.

Within a few days or hours before death, there might be what palliative care professionals call "terminal agitation." It's a kind of energy or restlessness that might be expressed as "I need to get out of here." If your loved one is deeply confused and distressed, the palliative care team can offer a sedative that will ease this transitional symptom.

Most people with a terminal illness become unconscious in the last few hours or even days before death. But that doesn't necessarily mean they don't know you are there. Many palliative care and hospice professionals will tell you that hearing is often the last sense to go at the end of life.

Well after your loved one can no longer speak, he or she can still hear you say, "I love you."

WebMD Medical Reference

Reviewed by Melinda Ratini, DO, MS on September 16, 2015
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