In the last hours before dying a person may become very alert or active. This may be followed by a time of being unresponsive. You may see blotchiness and feel cooling of the arms and legs. Their eyes will often be open and not blinking.
In the final hours of life, your loved one's body will begin to shut down. Their circulatory and pulmonary systems will slowly begin to fail. This may lead to falling body temperatures, but may also cause sudden outbursts. Your loved one will also experience greater difficulty interacting with the outside world.
Periods of rapid breathing, and no breathing for brief periods of time, coughing or noisy breaths, or increasingly shallow respirations, especially in final hours or days of life.
Physical signs
They might close their eyes frequently or they might be half-open. Facial muscles may relax and the jaw can drop. Skin can become very pale. Breathing can alternate between loud rasping breaths and quiet breathing.
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.
“Our data shows that a dying brain can respond to sound, even in an unconscious state, up to the last hours of life.” This new insight into the dying brain's response to sound can help family and friends bring comfort to a person in their final moments.
Brain activity supports that a dying patient most likely can hear. Even if awareness of sound cannot be communicated due to loss of motor responses, the value of verbal interactions is measurable and positive. Patients appear comforted by the sounds of their loved ones (in person and by phone).
Within a few minutes, their brain stops functioning entirely and their skin starts to cool. At this point, they have died. The signs that someone has died are: there is no breathing or heartbeat.
Yes, you read that right heartbeat stops, the patient is dead but the brain signal works for 7minutes even after our pulses stop. There were noticeable traces of dopamine rise and fall( the hormone that makes us happy).
Gasping is also referred to as agonal respiration and the name is appropriate because the gasping respirations appear uncomfortable, causing concern that the patient is dyspnoeic and in agony.
The end-of-life period—when body systems shut down and death is imminent—typically lasts from a matter of days to a couple of weeks. Some patients die gently and tranquilly, while others seem to fight the inevitable. Reassuring your loved one it is okay to die can help both of you through this process.
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.
At the End
In the last days or hours, your loved one may become restless and confused and have hallucinations so upsetting they may cry out, strike out, or try to climb out of bed. Stay with them. Try to keep them calm with soothing music and gentle touch. Sometimes medication helps.
However, a new study published to Frontiers in Aging Neuroscience suggests that your brain may remain active and coordinated during and even after the transition to death, and be programmed to orchestrate the whole ordeal.
The game. Two people are selected to go into a closet or other dark enclosed space and do whatever they like for seven minutes. It is common for the participants to kiss or make out, but they may instead choose to talk, engage in sexual activity, or simply do nothing at all and wait for the time to expire.
One of the wildest innovations is “living funerals.” You can attend a dry run of your own funeral, complete with casket, mourners, funeral procession, etc. You can witness the lavish proceedings without having an “out-of-body” experience, just an “out-of-disposable-income” experience.
“First hunger and then thirst are lost. Speech is lost next, followed by vision. The last senses to go are usually hearing and touch.”
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 brain and nerve cells require a constant supply of oxygen and will die within a few minutes, once you stop breathing. The next to go will be the heart, followed by the liver, then the kidneys and pancreas, which can last for about an hour. Skin, tendons, heart valves and corneas will still be alive after a day.
While the dying person may be unresponsive, there is growing evidence that even in this unconscious state, people are aware of what is going on around them and can hear conversations and words spoken to them, although it may feel to them like they are in a dream state.
A dying person may try to hold on, despite prolonged discomfort, to be sure loved ones will be all right. Your permission can include saying goodbye, saying it's all right to go and reassuring your loved one you will be all right.
The "death rattle" is a kind of gurgling sound that you may hear when people are dying. It happens because they are no longer able to swallow or cough, so saliva builds up in the back of the throat and upper airways. The fluid causes the rattling sound when air passes through.
Confusion and hallucinations
If you become confused, you may not recognise where you are or the people you're with. Some people may be restless or seem to be in distress. For example, they may want to move about, even though they are not able to get out of bed, or they may shout or lash out.
As a person is dying they will have less energy and become easily tired. They are likely to become weaker and may spend more time asleep. They may become detached from reality, or unaware of what is happening around them. They may be less interested in eating and drinking.
As a patient nears death, it is common for their breathing patterns to change. These end-of-life breathing patterns can happen very quickly, or it can occur over many hours or even days. This is a normal part of the dying process as the body begins to slowly shut down.