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“No one can predict the moment of death. But physicians and nurses involved in end end of life care. Know that certain symptoms are usually associated with the body s down these signs of approaching death are specific to the natural dyeing process apart from the effects of particular illnesses. The person may have not all dying symptoms show up in every person.
But most people experience some combination of the following in the final days or hours number one loss of appetite energy needs decline. The person may begin to resist or refuse meals and liquids or accept only small amounts of bland foods such as hot cereals meat. Which is hard to digest may be refused first even favorite foods hold little appeal near the very end of life. The dying person may be physically unable to swallow number two excessive fatigue and sleep.
The person may begin to sleep. The majority of the day and night as metabolism slows in the decline in food and water and take contribute to dehydration..
He or she becomes difficult to rouse from sleep. The fatigue is so pronounced that awareness of immediate surroundings begins to drift number three increase physical weakness. A decline in food intake and lack of energy leads to less energy even for activities like lifting one s head or shifting in bed. The person may even have difficulty sipping from a straw.
Number four mental confusion or disorientation organs begin to fail. Including the brain higher order consciousness tends to change. Few conditions leave people hyper aware when they re dying. Says.
Physician. Ira. Byock. Author of dying well.
Number five laboured. Breathing breath. Intakes and exhales become. Raggedy.
Irregular and labored. A distinctive pattern..
Called chain. Stokes respiration. Might be heard aloud deep inhalation is followed by a pause of not breathing apnea for between five seconds to as long as a full minute before loud deep breath resumes and again slowly peters out sometimes excessive secretions create. Loud.
Inhalation and exhalation he s that some people call. A death rattle. Number six social withdrawal as the body shuts down the dying person may gradually lose interest in those nearby. He or she may stop talking or mutter unintelligibly stop responding to questions or simply turn away a few days before receiving socially for the last time the dying person sometimes surprises loved ones with an unexpected burst of alert.
Attentive behavior. This can last less than an hour or up to a full day number seven changes in urination little going in as the person loses interest in food and drink means little coming out dropping blood pressure part of the dyeing process and therefore not treated at this point in tandem with other symptoms also contributes to the kidneys..
Shutting down the concentrated urine is brownish reddish or c colored. Loss of bladder and bowel control. May happen late in the dying process number 8. Swelling in the feet and ankles as the kidneys are less able to process bodily fluids.
They can accumulate and get deposited in areas of the body away from the heart in the feet and ankles especially these places and sometimes also the hands face or feet take on a swollen puffy appearance number 9 coolness in the tips of the fingers and toes in the hours or minutes. Before death blood circulation draws back from the periphery of the body to help the vital organs as this happens. The extremities hands feet fingers toes become notably cooler nail beds may also look more pale or bluish number 10. Modelled veins skin that had been uniformly pale or ashen develops a distinctive pattern of purplish reddish bluish modeling as one of the later signs of death approaching this is the result of reduced blood circulation.
It may be seen first on the soles of the ” ..
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