When someone you love is going through the dying process

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Death is still a bit of a taboo subject in our western society. It can be hidden away and we tend to block that part of our lives out. Since I’ve been working in a Nursing home, it has opened my eyes further to death and the dying process.

Many people think of death as a sudden thing and it can be – death by accident, sudden illness, heart attack, stroke or dying from old age overnight. But actually dying from old age is often a process that can happen over quite a long period of time, years even. If you think about the ageing process, it actually makes a lot of sense. It’s this type of death that we’ll be talking about in this post.

For me personally, getting over 40 makes you notice the ageing process more (woe is me). Joints are stiffer, skin starts to sag etc. It doesn’t mean I feel any less fabulous, far from it, and it doesn’t mean you should throw in the towel! I’m a firm believer in grabbing all of life’s possibilities and following your dreams, whatever your age. It’s never too late. I digress.

I’m writing this article not to frighten anyone but to inform people who are perhaps looking out for an elderly relative, or have been told the end is near for their loved one and don’t know what to expect. Whether it’s in a hospital, at home, or in a hospice. It can be frightening when you face the unknown. In a lot of older people, I’m talking 85 plus – and it’s different for everyone – you may notice some of these symptoms or lifestyle changes which could indicate a wind-down of the system:

  • they are having falls, more often than usual
  • They start sleeping a lot more often, for long periods
  • Their weight decreases
  • Appetite decreases
  • They may get confused (always check in case they have a urine infection which can cause confusion)
  • Forgetfulness that is separate to a dementia diagnosis
  • Withdrawal from activities they used to enjoy
  • Talking less

When death is more imminent, in the last couple of weeks you may find they:

  • Sleep most of the time
  • Have difficulty getting out of bed
  • Eat and drink very little and have little or no appetite
  • They can hallucinate, maybe see loved ones passed
  • Less bowel movements and less urine passed
  • Body temperature can go up and down so they can feel hot or cold in the same day
  • Confusion
  • Their breathing changes, they can get mucous build up in the back of their throat or chest

In their final hours, the following can be common:

  • Glazed over eyes
  • They can no longer eat or drink
  • Breathing can be erratic and congested
  • Pulse and blood pressure can be hard to detect and erratic
  • They no longer have bowel movements or pass urine
  • The skin on their hands and feet can turn a bluish purple
  • Drifting in and out of consciousness

What you can do to help the dying process

Just being there for them is a huge help. Keeping them comfortable is the best thing. As a nurse, it’s hugely satisfying to be able to keep someone comfortable in their final weeks of life and to make their transition as smooth as possible. If death is expected and your loved one has no plans to be resuscitated, then it is a very peaceful process. There are medications that can be given to relieve pain, reduce mucous secretions and to relax the body. It’s often harder on the relatives, as the patient is often unaware in their final days of what is going on, certainly in their last hours.

They may still be able to hear and feel, so holding their hand, stroking their face, playing music they like and keeping the lights low with subtle aromas is best. You could read to them, buy them flowers or a plant, massage their hands or feet. If they like animals or have a loyal pet, let them spend time together, this can often be facilitated, even in hospitals. Take turns with family members and friends, and don’t feel guilty if you aren’t there at the final breath. You’ve been there throughout their life and that is what’s most important.

Once they have passed, there’s a whole host of other questions that can crop up. Sun Life have produced a very useful practical checklist of what to do when someone dies, there’s even a free printable checklist. I’d urge you to look through it before the end happens. Further detailed info can be found at Empathy.com.

I hope if you have a loved one who you think or are going through the dying process that this article has helped. I’m always around if you need to talk or have a question.

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The dying process - what happens and how you can support your loved one going through it. Dying, death, terminal, terminal illness, what happens when you are dying, the process of dying.

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January 3, 2019
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13 Comments

  • Reply Kim Carberry

    This is so sad but you are right, death isn’t talked about even thought it’s going to happen to us all one day.

    January 3, 2019 at 1:20 pm
  • Reply Josie

    Really helpful as my grandfather is heading towards this process.

    January 6, 2019 at 8:12 pm
  • Reply Linda

    All of this is spot on, I was with my husband as he died Oct 2020, he seemed so at peace his last 2 weeks of life,

    March 18, 2021 at 11:08 pm
    • Reply Midwife and Life

      Thank you so much for sharing

      March 21, 2021 at 1:17 pm
  • Reply Mishka

    Hi my mom is send home kidney failure and heart failure she is straggling with water retention for a few days and I am seeing all the signs that time is close and it make me scared because she is still in denial and saying that she will get better…do you know how to approach her with this

    August 13, 2022 at 10:45 am
    • Reply Midwife and Life

      I think just be there for her, make her comfortable and answer all questions honestly. Some will be in denial until the end, others will accept way before the time. It’s the same grief cycle for the person dying as it is for the griever. I am sending you strength and light.

      August 19, 2022 at 3:55 pm
    • Reply Carlene Fisher

      Thank you, my sister in law has ‘c’ 63 years of age. So very sad.

      March 26, 2024 at 1:22 pm
  • Reply Maria

    Thank you for all this information, it really helps.

    February 24, 2023 at 6:44 pm
    • Reply Midwife and Life

      You’re welcome

      February 27, 2023 at 11:07 am
      • Reply Carolyn

        This information is really helpful esp.the statement don’t feel guilty if you r not there in their final breath….I was not there the night mom passed but had been there the day before and had been there for years when she needed me …

        January 3, 2024 at 2:50 pm
        • Reply Midwife and Life

          You’re absolutely right, she knew you were there when she needed you.

          January 4, 2024 at 11:20 am
  • Reply Vinita Ackerman

    This is spot on I just spent the last 3 weeks by my mother’s side while all of these things occurred, it was so very heartbreaking but holding her hand until her last breath made me feel better too.

    September 14, 2023 at 7:21 am
    • Reply Midwife and Life

      So sorry to hear of your mother’s passing, I’m sure she felt some comfort with you there.

      September 14, 2023 at 10:48 am

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