In the hours before death, most people fade as the blood supply to their body declines further. They sleep a lot, their breathing becomes very irregular, and their skin becomes cool to the touch. Those who do not lose consciousness in the days before death usually do so in the hours before.
Physical signs
Facial muscles may relax and the jaw can drop. Skin can become very pale. Breathing can alternate between loud rasping breaths and quiet breathing. Towards the end, dying people will often only breathe periodically, with an intake of breath followed by no breath for several seconds.
Within one hour: Primary flaccidity (relaxation of muscles) will occur almost immediately, followed by pallor mortis (skin paling). At two to six hours: Rigor mortis (stiffening of muscles) will begin. At seven to 12 hours: Rigor mortis is complete.
The active stage of dying generally only lasts for about 3 days. The active stage is preceded by an approximately 3-week period of the pre-active dying stage. Though the active stage can be different for everyone, common symptoms include unresponsiveness and a significant drop in blood pressure.
Visions and Hallucinations
Visual or auditory hallucinations are often part of the dying experience. The appearance of family members or loved ones who have died is common. These visions are considered normal. The dying may turn their focus to “another world” and talk to people or see things that others do not see.
It is one of the post-mortem signs of death, along with pallor mortis, algor mortis, and rigor mortis. Livor mortis usually sets in 20 to 30 minutes after death and increases in intensity until it becomes fixed at about 12 hours.
Research suggests that even as your body transitions into unconsciousness, it's possible that you'll still be able to feel comforting touches from your loved ones and hear them speaking. Touch and hearing are the last senses to go when we die.
Mottling of skin occurs during the last week of life. Sometimes it may occur sooner or within just a few days of death.
For approximately the first 3 hours after death the body will be flaccid (soft) and warm. After about 3-8 hours is starts to stiffen, and from approximately 8-36 hours it will be stiff and cold. The body becomes stiff because of a range of chemical changes in the muscle fibres after death.
Decomposition begins several minutes after death with a process called autolysis, or self-digestion. Soon after the heart stops beating, cells become deprived of oxygen, and their acidity increases as the toxic by-products of chemical reactions begin to accumulate inside them.
Rigor mortis appears approximately 2 hours after death in the muscles of the face, progresses to the limbs over the next few hours, completing between 6 to 8 hours after death. [10] Rigor mortis then stays for another 12 hours (till 24 hours after death) and then disappears.
For the first few minutes of the postmortem period, brain cells may survive. The heart can keep beating without its blood supply. A healthy liver continues breaking down alcohol. And if a technician strikes your thigh above the kneecap, your leg likely kicks, just as it did at your last reflex test with a physician.
The first visible change to the body—occurring 15 to 20 minutes after death—is pallor mortis, in which the body begins to pale. Pallor mortis occurs because blood stops moving through the capillaries, the smallest of the body's blood vessels.
This typically lasts no more than a few hours, but each patient is different and it can continue for as long as 24-48 hours. While the sound is difficult for family members to hear, it does not cause the patient pain or distress.
People often become more drowsy and sleep more towards the end of life. This is one of many signs that a person may have when they are in their last few days and hours of life, but not everyone will experience this.
The emotional discomfort and interpersonal conflicts go hand in hand in causing suffering at the end of life. Financial instability, marital discord, conflicts with family members, and an inability to get one's affairs in order before death are common causes of total pain.
Noisy chest secretions are caused by fluid in the airways. They are unlikely to cause pain for the patient but can be distressing for those around them. Reassure the patient and those around them that it's not unusual. You can help by positioning the patient in a way that helps the fluid to drain away.
Decompensation progresses over a period of minutes even after the pulse is lost. Even when vascular collapse is the primary event, brain and lung functions stops next. The heart is the last organ to fail.
The first organ system to “close down” is the digestive system. Digestion is a lot of work! In the last few weeks, there is really no need to process food to build new cells. That energy needs to go elsewhere.
Terminal agitation is typically seen during the hours or days before death and can be distressing and overwhelming for caregivers.
How long after death is a wake? A wake (sometimes referred to as a viewing or visitation) will usually happen within a week of death. So this answer is very similar to that of the question “How long after death is the funeral?” The wake itself typically takes place the evening before the funeral.
The first stage, known as clinical death, occurs when a person's heart stops beating. About four to six minutes later, brain cells start to die from the loss of oxygen and biological death occurs. 4. Resuscitation may be possible during clinical death.
The immediate seconds and minutes after death
Muscles including sphincters relax which means dying people may defecate or urinate.