What Are The Three Stages Of Dying? The Hospice‌ ‌Care‌ ‌Staff In Burbank ‌Ca‌ Explains (2024)

For most people at hospice‌ ‌care‌ ‌in Burbank,‌ ‌Ca‌, death is so foreign and an obscure process. Many times, terminally-ill patients and their caregivers think about what they should expect during this stage and how to make this time more comfortable. Having a clear understanding of what happens during this process can assist everyone involved to better arrange for the transition and each of the stages of dying.

What Are The Three Stages Of Dying? The Hospice‌ ‌Care‌ ‌Staff In Burbank ‌Ca‌ Explains (1)

What Are The 3 Main Stages Of Dying?

Caretakers at hospice‌ ‌care‌ in Los‌ ‌Angeles‌ ‌tell us that there are three main stages of dying: the early stage, the middle stage, and the last stage. People at hospice‌ ‌care‌ ‌in Burbank,‌ ‌Ca,‌ gauge these stages in different changes in responsiveness and functioning. Nevertheless, it is critical to keep in mind that the timing of each stage and the symptoms experienced can alter from person to person. Described below is an overall look at what to anticipate during each stage.

What Is The Early Stage Of Dying?

In the early stage of dying, hospice‌ ‌care‌ ‌staff in Burbank‌ ‌Ca‌‌ inform us that a patient will start to eat and drink a lot less. This extent of time can last from a couple of days to several weeks.

What Will You Notice?

The first indication of this stage of dying is a considerable drop in interest in food. For many patients, eating becomes a difficult task, and they find very little joy in it. Also, they may sometimes choke on their fluids and will begin to feel full very fast.

What Is Really Happening?

During this stage, the body begins conserving energy and does not require a lot of nourishment as it did before. Even though it is hard to take in, it does not cause the patient pain or suffering. This is a natural process where the body abandons hunger, and artificial feeding at this moment does not hinder the death and can result in physical distress.

To offer comfort, a loved one can give patients little bits of food, sips of fluid or ice chips, but it is vital to respect the patient’s wishes when it comes to eating and drinking.

What Is The Middle Stage Of Dying?

The middle stage of dying is characterized by alterations in the patient’s physical appearance that could last a few hours or several days.

What Are The Signs You Will Notice?

The person will become increasingly less responsive to their environment and those around them, to the point where they will eventually become incapable of speaking or moving at all. This is usually witnessed during the last days of life.

What Is Happening In Stage 2?

While the body’s circulation slows down, blood is retained to help important internal organs to function. The patient’s hands and feet might feel cold and could become darker in appearance.

During this stage, loved ones can provide blankets to increase comfort as the patient’s circulation changes. However, heating pads and electric blankets are not advised because the patient will be unable to assess if they are becoming too hot.

The detachment from everything around them and relationships is the body’s physical and spiritual response to the process of dying and is absolutely normal.

Loved ones should believe the patient can hear everything they say. Experts advise to speak softly to the patient and stroke them gently only if they usually like being touched. This is a good time for prayer or meditation. It is not advisable to ask the patient questions that need answers.

What Is The Last Stage Of Dying?

During the final stage of dying, disorientation and restlessness may increase. There will be massive changes in the patient’s breathing and continence.

What Will You Notice?

The patient’s bowel movements may completely stop, or they may become incontinent. Also, their breathing may become shallow and irregular, with long pauses that grow frequent as death gets closer. There may also be sounds of chest congestion and throat rattling in the final hours.

What Are Their Bodies Doing?

The restlessness observed in this stage is due to changes in metabolism, while the kidney and bowel functions are modified by decreasing circulation. Relaxing muscles can result in incontinence. The slowing of blood circulation to internal organs causes the lungs to lose their power to clear out fluids and relax the throat muscles.

When a patient commences the final stage of dying, it is helpful to talk to them reassuringly. Once again, gentle touch is fine if the patient likes being touched. Even when they are not responsive, the patient might be able to hear those around them, so it is important to speak respectfully. Even though this can be a distressing time for loved ones, it is highly recommended to try to stay calm.

Some patients may require medication for restlessness, diapers, a catheter, or underbody pads. Nevertheless, it may be handy to lift the head of the patient’s bed or use pillows to help elevate their head; turning the patient on their side may also increase comfort.

Contact Hospice Care About The Stages Of Dying

If your loved one has a terminal illness, hospice care can assist in enhancing their quality of life during their final months. Contact the understanding and caring team at Faith & Hope Hospice and Palliative Care to find out how they can help your family and your loved one physically, emotionally, and spiritually throughout this process.

What Are The Three Stages Of Dying? The Hospice‌ ‌Care‌ ‌Staff In Burbank ‌Ca‌ Explains (2024)

FAQs

What Are The Three Stages Of Dying? The Hospice‌ ‌Care‌ ‌Staff In Burbank ‌Ca‌ Explains? ›

What Are The 3 Main Stages Of Dying? Caretakers at hospice‌ ‌care‌ in Los‌ ‌Angeles‌ ‌tell us that there are three main stages of dying: the early stage, the middle stage, and the last stage. People at hospice‌ ‌care‌ ‌in Burbank,‌ ‌Ca,‌ gauge these stages in different changes in responsiveness and functioning.

What does stage 3 mean in hospice? ›

Stage Three: End-of-Life Care

In addition to providing physical comfort through medication management or massage techniques such as reflexology or acupressure, attention is paid to psychological concerns such as loneliness or fear through activities like reminiscence therapy or music therapy.

What are the stages of dying? ›

What are the five stages of the dying process? The stages of dying include denial, anger, bargaining, depression, and acceptance. These stages are not always experienced in a linear order.

What are the steps of hospice? ›

The four levels of hospice defined by Medicare are routine home care, continuous home care, general inpatient care, and respite care. A hospice patient may experience all four or only one, depending on their needs and wishes.

What are the three C's of hospice care? ›

Three Cs of Palliative Care
  • Comfort. Palliative care enables medical professionals to assist in the treatment of symptoms such as pain, nausea, constipation, shortness of breath, and much more. ...
  • Communication. ...
  • Coordination.

What are the three stages of dying in hospice care? ›

There are three main stages of dying: the early stage, the middle stage, and the last stage. These are marked by various changes in responsiveness and functioning. However, it is important to keep in mind that the timing of each stage and the symptoms experienced can vary from person to person.

What is stage 3 end-of-life? ›

Stage 3: Deteriorating

Stage three, known as the “deterioration phase,” is when the patient experiences gradually worsening symptoms, new and unexpected medical issues, or could even be the first experience of more serious symptoms.

What is the first organ to shut down when dying? ›

The brain is the first organ to begin to break down, and other organs follow suit. Living bacteria in the body, particularly in the bowels, play a major role in this decomposition process, or putrefaction.

What are the 3 stages after death? ›

The early post-mortem phase is most frequently estimated using the classical triad of post-mortem changes – rigor mortis, livor mortis, and algor mortis.

How to tell if someone is actively dying? ›

The signs and symptoms of active dying include:
  1. Long pauses in breathing; patient's breathing patterns may also be very irregular.
  2. Blood pressure drops significantly.
  3. Patient's skin changes color (mottling) and their extremities may feel cold to the touch.
  4. Patient is in a coma, or semi-coma, or cannot be awoken.

What is the last step before hospice? ›

Both palliative care and hospice care provide comfort. But palliative care can begin at diagnosis, and at the same time as treatment. Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness.

Where does mottling start? ›

Mottling most frequently occurs first on the feet, then travels up the legs. Mottling of skin before death is common and usually occurs during the final week of life, although in some cases it can occur earlier. Mottling is caused by the heart no longer being able to pump blood effectively.

What is likely to happen 2 weeks prior to death? ›

During 1 to 2 weeks before death, the person may feel tired and drained all the time, so much so that they don't leave their bed. They could have: Different sleep-wake patterns. Little appetite and thirst.

How do you know when a hospice patient is declining? ›

Blood pressure and heart rate gradually decrease

Near the end of life, vital signs like blood pressure and heart rate can fluctuate and become irregular. This is not necessarily a sign that something is wrong, although these changes should be reported to your hospice nurse or other healthcare provider.

What is life expectancy with hospice? ›

According to the National Institutes of Health, about 90% of patients die within the six-month timeframe after entering hospice. If a patient has been in hospice for six months but a doctor believes they are unlikely to live another six months, they may renew their stay in hospice.

What are three types of care given to a dying person? ›

Generally speaking, people who are dying need care in four areas: physical comfort, mental and emotional needs, spiritual needs, and practical tasks. Of course, the family of the dying person needs support as well, with practical tasks and emotional distress.

What part of the body shuts down first? ›

The digestive and respiratory systems begin to shut down during the gradual process of dying. A dying person no longer wants to eat as digestion slows, the digestive track loses moisture, and chewing, swallowing, and elimination become painful processes.

How do you know when a person is transitioning and actively dying? ›

As the end approaches in two to three days, the active stage of dying begins. Common symptoms include unresponsiveness and a significant drop in blood pressure, indicating impending death.

What is Stage 5 hospice? ›

Stage 4: Terminal – Symptom Management, Emotional & Spiritual Care. Stage 5: Bereavement – Support for Family Members, Loved Ones & Carers.

What are the signs of the final stages of life? ›

This can last hours or days.
  • Becoming drowsy. You'll start to feel more tired and drowsy, and have less energy. ...
  • Not wanting to eat or drink. Not wanting to eat is common in people who are dying. ...
  • Changes in breathing. Your breathing may become less regular. ...
  • Confusion and hallucinations. ...
  • Cold hands and feet. ...
  • More information.

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