Dying process (What to expect)

Dying is a natural part of life and the process of dying is unique to each individual. Although the experience of death is personal, there are several changes that are likely to happen as one is nearing death. In this video, we share with you some signs of active dying but remember, not everyone follows a predictable sequence of stages.
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Recap 🕵️‍♀️

Dying is a natural part of life and the process of dying is unique to each individual. Active dying refers to the last phase of the dying process, which averages about 3 days.

🔹 Minimal appetite for food and drinks.
🔹 Hypotension with cold peripheries. Skin and limbs feel cold to touch, and may also start to mottle due to reduced blood circulation.
🔹 Abnormal breathing patterns. Towards the last few hours of life, the patient may take in long deep breaths with an open mouth, commonly known as gasping. These breathing patterns are often not uncomfortable to patients.
🔹 Accumulation of secretions in the throat causing a rattling sound, known as the death rattle.
🔹 Reduced consciousness level - signs of restlessness, confusion or hallucination.
🔹 Poor urine output and urinary incontinence.

Recognizing this combination of signs allows families and healthcare teams to better prepare and care for patients in the last hours of their lives.

Animation transcript: https://bit.ly/3mBnMlY

References
1. Ellershaw J, Ward C. Care of the dying patient: the last hours or days of life. BMJ 2003; 326:30.
2. Stephanie M Harma, F Amos Bailey, Anne M Walling (2020). Palliative care: The last hours and days of life. UpToDate. Retrieved November 3, 2020, from, https://www.uptodate.com/contents/palliative-care-the-last-hours-and-days-of-life


Content experts: Dr. Ho Peiyan and Dr. Laurence
Video producer: Perry Lee
Voiceover: Henry Kong
Illustrator: Yujun Lim
This video is done in collaboration with GERI Institute - https://www.geri.com.sg/

All rights are reserved to GeriCare and there should not be any reproduction, publication, or adaptation of any part of the video content without prior approval from GeriCare.
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Видео Dying process (What to expect) канала GeriCare