The post-mortem state of opened eyes may result in significant negative consequences for the memory and reputation of the deceased. The social, cultural and personal importance of this simple clinical sign is for some tantamount, thus it is a phenomenon deserving of further study.
Closing the eyes of the dead is a way of saying, “May you sleep peacefully in your eternal sleep”, more commonly expressed simply as, “Rest in peace.”
After death, there is are no reflexes of the pupils to light and the cornea also loses its reflex. The cornea of the deceased also become cloudy after two hours of death. Besides that, the pressure in the eyes start to decrease and the eyeballs become flaccid before it they sink into the orbits of the eyes.
It is believed that an open window in the same room as a death bed is needed to allow the souls of family members who have already died to come to retrieve the soul of the person who is dying, to take them into the next life. Others believe that if the room is closed, the soul will be trapped and unable to move on.
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.
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.
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.
Your loved one may become restless and pull on bed linens or clothing, hallucinate, or even try to get out of bed, due to less oxygen reaching their brain. Repetitive, restless movements may also indicate something is unresolved or unfinished in the person's mind.
Hospice has a program that says that no one should have to die alone, and yet this hospice nurse is telling me to take a break? Some patients want to die when no one else is there. Hospice professionals know that companionship while dying is a personal preference.
You can simply sit with them, perhaps holding hands. Hearing is said to be the last sense to go, so you may want to talk, read aloud, sing or play music. Your cultural or spiritual traditions may require someone to be present, and this may also be the time to perform any rituals.
The immediate seconds and minutes after death
Muscles including sphincters relax which means dying people may defecate or urinate.
Between a half hour to three hours after death, the eyelid loses its elasticity, the pupil dilates and there is a distinct change in the cornea, which is normally transparent.
Most people feel the person's eyes should be closed after death. If the eyes are open, they may be gently closed with a hand. If the person's mouth is open, a tightly rolled towel can be placed under the chin, gently pushing the chin up and closing the mouth.
Your loved ones eyes are closed using glue or plastic eye caps that sit on the eye and hold the eyelid in place. The lower jaw is secured by wires or sewing. Once the jaw is secured the mouth can be manipulated into the desired position.
During stage 1 of sleep, our eyes roll slowly, opening and closing. During stages 2-4 you are in deep sleep and your eyes are still. There's a stage of our sleep cycle called rapid eye movement (REM). During REM sleep, our eyeballs move rapidly behind our eyelids and our bodies become more still.
Most people can't focus on anything as close as a face at kissing distance so closing your eyes saves them from looking at a distracting blur or the strain of trying to focus. Kissing can also make us feel vulnerable or self-conscious and closing your eyes is a way of making yourself more relaxed.
Go Ahead and Cry
When a loved one cries in front of a dying person, that person then gains the permission and confidence to also be candid about emotions. It opens a pathway to a conversation that could be once in a lifetime. Additionally, the loved one who's dying knows others are sad.
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.
"I've witnessed hundreds of deaths and here's the hardest part—terminal agitation," she said in the video.
Terminally ill cancer patients near the end of life can experience refractory symptoms, which require palliative sedation. Midazolam is the most common benzodiazepine used for palliative sedation therapy.
The important findings, along with observations of long-time palliative care doctors and nurses, show: 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.
Feeling very sad and crying often is a very normal part of the dying process. However, feeling down or depressed most of the time is not normal. Thinking a lot about death or suicide and feeling guilty or worthless are often signs of depression. Depression is common in people who are dying and should be treated.
Changing vital signs
As a person approaches death, their vital signs may change in the following ways: blood pressure drops. breathing changes. heartbeat becomes irregular.
Seriously ill patients encountered by hospice and palliative care clinicians are at risk for thirst due to dehydration, electrolyte disturbances, hypotension, xerostomia, and immobility which can impede access to water.