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.