Hospice nurse Julie McFadden is sharing her expertise to help families face the end of life with less fear. She explains that dying is a natural process that typically follows four distinct stages. Understanding these signs can provide comfort and clarity during a difficult time.
Months before death, a person may begin to “slow down.” They often feel generally tired and less social. You might notice they have less interest in food or drink and prefer to stay in a quiet, restful environment.
As the final three months approach, the decline in strength becomes more visible. The person may find it difficult to leave the house. During this stage, they are often asleep more than they are awake.
About one month before passing, a “transitioning” phase begins. This is when many people experience visions or hallucinations. It is very common for them to report seeing deceased relatives or pets. Nurse McFadden notes that these experiences are often peaceful and comforting to the individual.
The final stage is the most intense but a normal part of the process. The person will likely be unconscious and experience changes in breathing or skin temperature. You may also hear a “death rattle,” which is simply a gurgling sound caused by saliva.
While these signs can be startling, they do not cause the person pain. Being prepared for these changes allows families to focus on providing love and presence in those final moments.