Dying process – when life comes to an end: the death phases
The terminal phase is different for each person. Many dying certain physical changes and symptoms occur shortly before death, which announce the approach of death - in other these signs are missing.
Many dying people want to eat anything in the last few days and drink what often triggers fear among members, the person could die of hunger or thirst. The decreasing hunger and thirst In recent days, however, is normal: the intake of calories and fluid complicates the process of dying. It is believed that pain is less severe and the body reacts less sensitive to various stimuli, if no nutrients are supplied. Nevertheless, one can subject if possible, offering again and again to drink small amounts.
It is particularly important to keep the oral mucosa of the person concerned moist and a good and regular oral care to pay attention to prevent dry mouth and protect the natural oral flora. Otherwise, it can cause problems such as inflammation, difficulty swallowing, pain, scabs and fungal infections (thrush) may occur.
Also the metabolism changes in the dying phase, such as the kidney function. The amount of urine decreases, so that it appears darker and more stringent smells. It may happen that developed a special body odor by these changes in metabolism, which some find unpleasant.
Many dying act restless shortly before death. Others prefer after the death phase "Inside" back and the outside world perceive no longer correct. Often becomes cloudy during the last days of life, the awareness. Frequently, they are people who are dying, as if they were asleep, or as if they were half asleep. The view looks tarnished and absent. For some the perception no longer matches the reality.
The breaths can the dying process quicker and flatter or even much slower. Sometimes the breath is very irregular.
If the patient is too weak to cough up the naturally existing layer of mucus in the airways, often results in a rattling or rattling noise. The sound of breathing does not hinder the breathing of the person concerned, but often the families are concerned it. In this case, it can help to support the upper body high or to position the patient in the lateral position.
Finally, changes the circulationThe pulse is weak and faster, the body temperature drops, so that arms and legs to cool. Just before death occurs, the heart beats only weak and the breathing is shallow. The brain activity decreases, so that the perception only works limited - vision and hearing slacken, until the heart stops. A few minutes after the cardiovascular function has ceased, enters the brain death on.