Dying process: stages, signs and support for loved ones

When does the dying process begin? What signs are there? Learn how to support a loved one and make the transition with dignity.

The most important things at a glance

  • The dying process can take weeks, days, or just hours.
  • Typical signs include changes in breathing, weakness, and confusion.
  • In the final phase, loss of consciousness and rattling breathing occur.
  • The dying person often still senses touches and voices.
  • Relatives should remain calm and provide comfort through closeness.
  • Palliative care reduces pain and provides comfort.
  • Dying people also go through emotional processes of letting go.
  • Each dying process is individual and takes place at different speeds.

The dying process and its significance for relatives

The process of dying is a natural and inevitable part of life. Yet many people find it difficult to address this issue — whether out of fear, uncertainty, or the desire to suppress the thought of death.

As a relative of a dying person, you are facing a challenging time full of emotional and organizational issues. A basic understanding of the dying process can help prepare for it and help the dying person in their final moments.

Why is it important to address the dying process?

  • Emotional preparation: Knowledge of the phases of dying can help to reduce anxiety and provide empathetic support.
  • Practical assistance: Relatives can respond more specifically to the needs of the dying person and provide him with the best possible care.
  • Relief for the dying person: A loving environment, understanding, and appropriate care can make the transition more peaceful.

When does the dying process begin?

The dying process is a gradual process that can take weeks, days, or just a few hours. It doesn't just start in the last moments before death, but often long before that — depending on the individual situation of the dying person.

The phases of dying: What happens in the body?

The dying process usually takes place in several phases, which can take different lengths of time from person to person. During this time, the body naturally changes and prepares for the end of life. Through their knowledge of these phases, relatives can better understand what is happening with their loved one and help them during this time.

The rehabilitation period: First signs of imminent death

In this early phase, the body slowly begins to prepare to die.

Typical changes:

  • Increasing weakness: The dying person gets tired more quickly and needs more rest.
  • Decreasing mobility: Lying or sitting for longer periods of time is preferred.
  • concentration problems: Conversations are becoming more exhausting, attention span decreases.
  • Less interest in eating and drinking: Appetite decreases gradually.

How can relatives help?

  • Be patient and don't push the dying person into activities.
  • Offer small portions of favorite foods without building up pressure.
  • Respect periods of rest and ensure a pleasant environment.

The terminal phase: The body slowly ceases its functions

This phase often occurs a few days or weeks before death and is characterized by clearly visible physical changes.

Common symptoms:

  • Respiratory changes: Irregular or shallow breathing, sometimes with breaks.
  • perplexity: The dying person appears disoriented, may speak confused or no longer recognize relatives.
  • Reduced fluid intake: The feeling of thirst decreases, saliva production decreases.
  • Cool skin & altered blood flow: Hands and feet feel cold, the skin may appear patchy.

How can relatives help?

  • Reassuring presence: A calm voice and gentle touches convey security.
  • Oral care: A moist swab or a spoon moistened with water can provide relief.
  • No forced fluid intake: The body requires less fluid than relatives often think.

The final phase: A person's last hours

The final phase starts a few hours up to a maximum of two days before death. It is during this time that the last physical changes occur.

Characteristics of the final phase:

  • changes in consciousness: Many dying people are no longer available, but they are in a deep inner process.
  • The “death triangle”: Fallen temples, an open mouth position and bluish skin changes are signs of the imminent end of life.
  • rattle breathing: Decreased muscle function can cause secretion to collect in the respiratory tract. This often sounds threatening, but is usually not burdensome for the dying person.

How can relatives help?

Keep calm: The dying person notices the atmosphere in the room.

Show proximity: Hold your hand or talk to him calmly.

Ensure medical support: Palliative care can reduce pain and make the transition easier.

The process of dying is a profound but also natural process. Memovida accompanies you on this journey — with compassion, experience and support at every stage.

Difference between a sudden and a slow dying process

  • Dying slowly (e.g. due to serious illnesses such as cancer or dementia):
    • The process of dying can take weeks or months.
    • Symptoms develop gradually, relatives have more time to prepare.
  • Sudden dying process (e.g. due to a heart attack or an accident):
    • Death occurs unexpectedly and without warning.
    • Relatives are in particular shock and often need additional support.

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Physical and emotional signs of imminent death

The dying process is not only a medical process, but also a deeply emotional one. In the last few days and hours, typical physical changes occur that indicate that death is near. Dying people can also show emotional reactions that are often difficult for relatives to interpret. Understanding these signs can help you prepare for them and assist the dying person with dignity and love.

Physical changes in the process of dying

As the dying process progresses, the body gradually ceases its functions. The following signs are common:

respiration

  • Irregular breathing with breaks (Cheyne-Stokes breathing).
  • rattle breathing due to accumulation of secretions in the respiratory tract.
  • Shallow or slowed breathing, which finally stops completely.

Relatives can help by creating a calm atmosphere and raising their heads slightly to make breathing easier.

Blood flow & skin changes

  • Pale, cool skin, especially on hands and feet.
  • Bluish or patchy stains (Livores), particularly on the extremities.
  • Slowed pulse and low blood pressure.

A warm blanket or soft touches can make you feel good.

Fluid & food intake

  • loss of appetite and significantly reduced drinking habits.
  • Swallowing reflexes subside, making it difficult to eat and drink.

Relatives should not push people to eat or drink — the body no longer needs it. A moistened cotton swab can help freshen your mouth.

changes in consciousness

  • drowsiness and increasing unresponsiveness.
  • confusion or disorientation, the dying person may no longer recognize relatives.
  • Just before death, a possible clear moment (terminal clarity).

Even if the dying person no longer reacts, he often still senses voices and touches.

Emotional reactions during the dying process

Dying people go through not only physical but also emotional processes. Emotional support from relatives can be particularly valuable during this time.

Common emotional signs:

  • Restlessness or dissatisfaction — Signs of an internal process of letting go.
  • Changed communication — fewer conversations, sometimes just individual words or characters.
  • Retreat into yourself — the dying person appears absent or deeply absorbed.
  • Visual or auditory perceptions — some report deceased relatives or light phenomena.

It is important to treat the dying person with patience and understanding. Talk to him calmly or hold his hand — this provides security.

How can you make the process of dying easier?

The dying process is a challenging time — both for the dying person and for their relatives. But there are ways to make this transition as peaceful and dignified as possible. In addition to medical and nursing support, emotional support and spiritual aspects also play an important role.

Medical and palliative measures to alleviate symptoms

During the dying phase, physical symptoms can occur, which can be alleviated with good palliative care.

Pain management and symptom control

  • Pain medications (such as morphine) help prevent unnecessary suffering.
  • Medication for shortness of breath, restlessness, or nausea can improve well-being.
  • Palliative care providers or hospice services offer specialized support.

Relatives can helpby ensuring that the dying person receives good medical care and is not in pain.

Support through palliative care

  • Body care can help improve well-being (e.g. regular rearrangement to avoid pressure points).
  • Oral care is important as mucous membranes often dry out.
  • A calm and pleasant atmosphere promotes wellbeing.

Tip: Pleasant touches, such as gently holding the hand or massaging lightly, can have a calming effect.

Emotional support: How family members can provide comfort

Convey peace and security

  • The dying person experiences moods around him.
  • A calm, loving atmosphere provides a sense of security.
  • Gentle touch or quiet speech can alleviate anxiety.

Find the right words

  • It is often not what is said that counts, but that you are there.
  • Honest, comforting words are more important than long conversations.
  • Shared memories can be shared if desired.

Sometimes a silent presence says more than a few words.

Respect spiritual and individual wishes

Everyone has their own idea of dying. It is important to respect the wishes of the dying person — whether it is a specific ritual, music, or the assistance of a minister.

Possible spiritual or personal needs:

  • Religious or spiritual rituals (e.g. prayers, final anointing).
  • Favourite music or familiar voices in the background.
  • Farewell to relatives or specific people.

Respect the individual wishes of the dying person — they give him comfort and peace.

Dying peacefully is a gift — for the dying person and their loved ones. Memovida helps you make this moment as calm and dignified as possible.

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Dealing with a dying person: What relatives should know

A loved one is in the last hours of life — a situation that is emotionally stressful for loved ones, but also full of meaning. Many ask themselves: How can I best support the dying person? What am I supposed to say? What can I do to comfort him?

These uncertainties are completely normal. It is particularly important that the dying person does not feel alone and is in an environment that gives him peace.

How do you talk to a dying person?

Communicating during the last stages of life can be difficult, especially when the dying person has little response. However, there are a few principles that can help:

Dos

  • Speak calmly and clearly — The dying person often still hears voices, even if he no longer answers.
  • Responding to needs — ask if he needs anything, but don't force an answer.
  • Share memories — many dying people like to hear beautiful stories about their lives.
  • Express gratitude — Phrases such as “Thank you for always being there for me” can provide comfort.

Don'ts

  • Overwhelm the dying with too many words — sometimes silence is more valuable.
  • Avoiding unpleasant topics — if the dying person wants to talk about their death, they should not be interrupted or appeased.
  • Make false promises — Phrases such as “You'll be better again” can be confusing.

Even when words are missing: Hold your hand or simply stay there. Proximity can be more comforting than any conversation.

Give comfort with personal gestures

Not only words but also gestures play an important role. Physical closeness and sensitive actions can show the dying person that he is not alone.

Possible gestures that may help:

  • Gentle touches — hold a hand, caress your forehead
  • Play favorite music or soothing sounds.
  • Candles or dim lighting create a pleasant atmosphere.
  • Use scents — lavender or other calming aromas can have a beneficial effect.
  • Put a photo or a little reminder on the bed.

Everyone is different — listen to your feelings and to the wishes of the dying person.

How does a dying person say their goodbyes?

Saying goodbye is an individual process. Some people withdraw and barely speak anymore, others feel the need to consciously say goodbye to their loved ones.

Typical signs of a conscious farewell:

  • The dying person utters last words or wishes.
  • He consciously makes eye contact or squeezes his hand.
  • It shows a brief moment of clarity before consciousness fades away.

Not every dying person can actively say their goodbyes — that doesn't mean they feel less love.

How can relatives say their goodbyes?

  • Say goodbye in your own words: “I'm here. I'll never forget you. ”
  • Give peace: “You can go, we'll take care of everything. ”
  • Expressing forgiveness: “It's all good. Thank you ”

The last moment with a loved one is precious. Memovida accompanies you with sensitive advice and support.

Myths and common questions about the dying process

The dying process is an issue that many people view with uncertainty or anxiety. Myths and half-truths often circulate about what happens when you die and how people experience death. In this section, we answer common questions and clear up misunderstandings so that relatives can approach the topic with more knowledge and confidence.

Can the dying process be stopped?

No, the natural process of dying cannot be stopped or reversed. When a person is in the final phase of life, this is an irreversible biological process.

But: The process can be facilitated by palliative measures. Modern pain therapies and sensitive care help to minimize suffering and enable a peaceful transition.

Do dying people feel pain?

Many people are afraid that dying is associated with severe pain. But thanks to modern palliative care, effective pain relief can almost always be achieved.

  • Some dying people are restless or show signs of discomfort — but that doesn't necessarily mean they're in pain.
  • It is often more of an inner restlessness or change of breath that relatives perceive as painful.
  • Palliative care providers make sure to accompany the dying person as comfortably as possible.

Important for relatives: Calming touches, gentle words, and a calm environment can often have just as much effect as medication.

What happens to consciousness when you die?

  • In the terminal phase, many people withdraw into themselves, sleep a lot or appear absent.
  • Scientists assume that hearing remains active as the last sensory organ.
  • Shortly before death, there may be a moment of “terminal clarity” — the dying appear awake and approachable again for a short time.

Even if someone is no longer responding, they can often still hear. Words of farewell or soft music can therefore provide comfort.

What is “rattle breathing” and is it painful?

  • The so-called rattle breathing occurs when secretion collects in the respiratory tract because the swallowing reflex decreases.
  • It often sounds frightening to relatives, but is not unpleasant for the dying person himself.
  • A slightly elevated head position can help reduce noise.

Reassuring to know: Rattling breathing is a normal sign of imminent death and not an indication of suffering.

How long does the dying process take?

The duration of the dying process varies from person to person and depends on many factors, such as the underlying disease or general health status.

  • In the last weeks and days The dying person usually gets weaker, sleeps a lot and barely eats anymore.
  • In the last hours Irregular breathing, cold skin, and loss of consciousness occur before death.
  • The actual time of death can occur within minutes or hours.

Relatives should not rely on an exact time — the body follows its own rhythm.

Is dying always a slow process?

Not always. While many people die slowly from illness or age-related weakness, there are also sudden deaths from:

  • heart attack or stroke
  • accidents
  • Acute illnesses, such as a serious infection
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Katia Lübbert Co-Founder & Managing Director

Katia worked in marketing for large companies for over 20 years before co-founding Memovida. Today, she tells the story of the funeral in a new way — more personally, more humanely and without empty phrases. Death is part of life for her, and that is exactly how she wants to convey it.

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