01.05.2019

Symptoms of cancer that occur before death. Harbingers of imminent death

Signs of impending death vary from person to person, and not all of the symptoms listed below are “must haves.” But there is still something in common.

1. Loss of appetite

The body's need for energy becomes less and less. A person may begin to resist eating and drinking or only eat certain foods (for example, cereal). First of all, a dying person refuses meat, since it is difficult for a weakened body to digest it. And then even the most favorite foods no longer cause any appetite. At the end of his life, it happens that the patient is even physically unable to swallow what is in his mouth.

You cannot force feed a dying person, no matter how worried you may be that he does not eat. You can periodically offer the patient some water, ice or ice cream. To prevent his lips from drying out, moisten them with a damp cloth or moisturize them with lip balm.

2. Excessive fatigue and drowsiness

On the verge of death, a person begins to sleep atypically a lot, and it becomes increasingly difficult to wake him up. Metabolism slows down, and insufficient food and water intake contribute to dehydration of the body, which turns on the defense mechanism and goes into hibernation. The patient cannot be denied this - let him sleep. You shouldn't push him so that he finally wakes up. What you say to a person in such a state, he may well hear and remember, no matter how deep the sleep may seem. In the end, even in a coma, patients hear and understand the words that are addressed to them.

3. Physical weakness

Due to loss of appetite and the resulting lack of energy, the dying person is unable to do even the simplest things - for example, he cannot roll over on his side, raise his head, or suck in juice through a straw. All you can do is try to provide him with maximum comfort.

4. Brain fog and disorientation

Organs begin to fail, including the brain. A person may stop understanding where he is and who is next to him, start talking nonsense, or rush around the bed. At the same time, you need to remain calm. Every time you approach a dying person, you should call yourself by name and speak to him extremely gently.

5. Difficulty breathing

The breathing of dying people becomes intermittent and uneven. They often experience the so-called Cheyne-Stokes breathing: shallow and rare respiratory movements gradually become deeper and longer, weaken and slow down again, then a pause follows, after which the cycle repeats. Sometimes the dying person wheezes or breathes louder than usual. You can help in such a situation by raising his head, putting an extra pillow, or sitting him in a semi-lying position so that the person does not fall over on his side.

6. Self-isolation

As vitality fades, a person loses interest in what is happening around him. He may stop talking, answer questions, or simply turn away from everyone. This is a natural part of the dying process and not your fault. Show the dying person that you are there by simply touching him or taking his hand in yours, if he does not mind, and talk to him, even if this conversation is your monologue.

7. Urinary problems

Since little water enters the body, and the kidneys are working worse and worse, the dying person really “walks little”, and concentrated urine has a brownish or reddish tint. This is why hospices often place a catheter in a terminally ill patient’s last days of life. Because of renal failure the amount of toxins in the blood increases, which contributes to the dying person’s quiet fall into a coma and a peaceful death.

8. Leg swelling

When the kidneys fail, body fluids, instead of being excreted, accumulate in the body - most often in the legs. Because of this, many people swell before death. Nothing can be done here, and it makes no sense: swelling is a side effect of approaching death, and not its cause.

9. “Icing” of the tips of the fingers and toes

A few hours or even minutes before death, blood is drained from peripheral organs to support vital ones. For this reason, the limbs become noticeably colder than the rest of the body, and the nails may take on a pale or bluish tint. A warm blanket will help provide comfort to the dying person; you need to cover him loosely with it so as not to create a feeling of being swaddled.

10. Venous spots

A characteristic “pattern” of purple, reddish or bluish spots appears on pale skin - the result of poor circulation and uneven filling of the veins with blood. These spots usually appear first on the soles and feet.

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Ten signs that death is near

2018 Oncology. All site materials are posted for informational purposes only and cannot be the basis for making any decisions about self-treatment, including. All copyrights to materials belong to their respective owners

How do cancer patients die?

Thanks to long-term observations, it is estimated that over the past decade, the country has increased by 15% of cancer patients. The World Health Organization publishes data that suggests that at least 300 thousand patients die in one year and this figure is gradually increasing. Despite the increase in the quality of diagnostic measures and the frequency of their implementation, as well as the provision of all necessary medical care for cancer patients, mortality rates remain critically high. In this article we will tell you how a cancer patient dies and what symptoms accompany his last days.

Common causes of death from cancer

One of the main reasons why cancer patients die is late diagnosis of the disease. There is a unanimous opinion among doctors that in the early stages the development of cancer can be stopped. Scientists have found and proven that for a tumor to grow to the size and stage where it begins to metastasize, several years must pass. Therefore, patients often have no idea about the presence of a pathological process in their body. Every third cancer patient is diagnosed with the disease at its most severe stages.

When a cancerous tumor is already “in bloom” and gives many metastases, destroying organs, causing bleeding and tissue decay, the pathological process becomes irreversible. Doctors can only slow down the course of the disease by providing symptomatic treatment, as well as provide the patient with psychological comfort. After all, many patients know how painful it is to die from cancer and become severely depressed.

Important! It is important not only for specialists, but also for the patient’s relatives to know how cancer patients die. After all, the family is the main people around the patient who can help him cope with a serious condition.

Another reason why cancer patients die is the failure of organs due to the growth of cancer cells in them. This process takes a long time and the existing symptoms are joined by newly formed ones. Patients gradually lose weight and refuse to eat. This occurs due to an increase in the area of germination of old tumors and the rapid development of new ones. This dynamics causes a reduction in reserves nutrients and decreased immunity, which leads to a deterioration in general condition and insufficient strength in the fight against cancer.

Patients and their relatives must be informed that the process of tumor disintegration is always painful and how painful it is to die from cancer.

Symptoms of the patient before death

There is a general symptomatic picture that describes how a cancer patient dies.

Fatigue. Patients are often tormented by severe weakness and constant drowsiness. Every day they communicate less with loved ones, sleep a lot, and refuse to do any physical activity. This occurs due to a slowdown in blood circulation and the extinction of vital processes.
Refusal to eat. By the end of their lives, cancer patients are severely exhausted because they refuse to eat. This happens in almost everyone due to a decrease in appetite, since the body simply does not need calories, because the person does not perform any physical activity. Refusal to eat is also associated with depressive state martyr.
Depression of the respiratory center causes a feeling of lack of air and the appearance of wheezing, accompanied by heavy breathing.
Development of physiological changes. There is a decrease in the amount of blood in the periphery and an increase in flow to vital organs (lungs, heart, brain, liver). That is why, on the eve of death, the patient’s arms and legs turn blue and often acquire a slightly purple tint.
Change of consciousness. This leads to disorientation in place, time and even one’s own personality. Patients often cannot say who they are and do not recognize relatives. As a rule, the closer death is, the more depressed the mental state is. In addition to disorientation, patients often withdraw into themselves and do not want to talk or make any contact.

Psychological state of the patient before death

Changes during the fight against the disease psychological condition not only the patient, but also his relatives. Relationships between family members often become tense and affect behavior and communication. Doctors try to tell relatives in advance about how a cancer patient dies and what behavioral tactics need to be developed so that the family is prepared for the changes that will soon occur.

Changes in the personality of a cancer patient depend on age, character and temperament. Before death, a person tries to remember his life and rethink it. Gradually, the patient withdraws more and more into his own thoughts and experiences, losing interest in everything that happens around him. Patients become isolated because they try to accept their fate and understand that the end is inevitable and no one can help them.

Knowing the answer to the question of whether it hurts to die from cancer, people fear severe physical suffering, as well as the fact that they will seriously complicate the life of their loved ones. The most important task of relatives is to provide any support and not show how difficult it is for them to care for a cancer patient.

How do patients with different types of cancer die?

Symptoms and the rate of tumor development depend on the location of the process and the stage. The table provides information on mortality rates different types oncology:

Doctors always tell relatives how cancer patients die and what exactly happens in their body, depending on the location of the pathological focus.

Brain cancer

It has been established that brain tumors are the most aggressive and fast-growing of all cancers. The peculiarity of such malignant neoplasms is that they do not metastasize and the pathological process occurs only in the brain. Patients with this disease can fade away in just a few months, or even weeks. Let's take a closer look at how a person with brain cancer dies. The painfulness of the symptoms increases as the tumor grows, it grows in the brain tissue and the general condition of the human body. The very first sign is headache and dizziness. Often patients do not turn to specialists, but drown out the symptoms with analgesics. This behavior leads to cancer being detected at stages when it is no longer possible to eliminate it. The existing symptoms include impaired coordination of movements and paralysis.

Death occurs due to cerebral edema, as well as when the systems that are responsible for vital functions stop working. important functions body (heartbeat, breathing). Before death, patients with brain cancer experience clouding of consciousness, delirium, hallucinations, and coma. Often the patient dies without regaining consciousness.

Lungs' cancer

The main symptom of lung cancer is respiratory failure. People suffering from stage 4 lung cancer are on mechanical ventilation ( artificial ventilation lungs), because they simply cannot breathe on their own. Due to the breakdown of lung tissue and the accumulation of fluid in them (pleurisy), the body does not receive the normal amount of oxygen and other necessary substances. Thus, carbon dioxide accumulates in the body, and all tissues of the body are in oxygen deficiency. Metabolic processes in cells are disrupted, and some chemical processes are completely impossible. In such patients terminal stage cancer, cyanosis (blueness) of the hands and feet is observed. This is what lung cancer patients die from.

Mammary cancer

The peculiarity of metastasis of this type of tumor is its penetration into bone tissue. Much less commonly, breast cancer affects the brain and lung tissue. Due to the aggressiveness of treatment and a strong decrease in immunity, what such cancer patients die from are any infectious complications(even common cold may be fatal).

When diagnosing stage 4 breast cancer, only symptomatic therapy is prescribed. It includes strong analgesics, since bone metastases cause severe pain and suffering for the patient. Women often ask whether it hurts to die from this type of cancer. Doctors warn and discuss pain therapy in advance, since final stage Cancer symptoms are extremely painful.

Liver cancer

Some of the main causes of liver cancer are cirrhosis and hepatitis caused by a virus. At last stage Liver cancer patients experience the following symptomatic picture:

frequent nosebleeds;
large hematomas at injection sites;
slow blood clotting: any abrasions or cuts continue to bleed for a long time.

Besides hemolytic symptoms the patient experiences nausea, general weakness and weakness, as well as significant pain localized in the liver. Death from liver cancer is very painful, but at the same time the disease progresses quite quickly, which reduces the time of suffering.

Esophageal carcinoma

This is one of the most dangerous types of cancer of organs, since when a tumor grows in the esophagus, the risk of its penetration into nearby organs is extremely high. IN medical practice Giant tumors of the esophagus are often encountered, which, when growing, form a single malignant system.

Patients with terminal cancer experience severe discomfort because, due to the location of the tumor, they cannot receive food normally. To feed them, a nasogastric tube, gastrastomy, and parenteral nutrition are used. In this case, the patient suffers from severe pain, dyspeptic disorders and severe exhaustion.

Stages of death of cancer patients

With any type of cancer, a person fades away in a certain sequence, in which the affected organs and their systems gradually stop working in the body. Sufferers often experience severe pain, exhaustion and weakness. But death does not come immediately. Before this, a person has to go through certain stages that lead to biological, irreversible death. Below are the stages of how a person with cancer dies:

Pain relief before death

When a person is given a terrible diagnosis, the most frequently asked question, which sounds in the oncologist’s office - will it hurt to die from cancer? This topic must be discussed, since patients in the terminal stage of cancer have severe pain that is not relieved by conventional analgesics.

To reduce them, narcotic drugs are prescribed, which significantly alleviate the condition.

Note! If the prescribed medicine does not completely eliminate the pain syndrome and the person complains of constant pain, you should definitely contact your doctor to change the medicine. Under no circumstances should you prescribe medications yourself or change the dosage without your doctor’s knowledge.

When prescribing such drug therapy, it is much easier for the patient to endure the procedures, fall asleep and live out the rest of his days. Medicines are prescribed for life, as with increasing tumor process the pain intensifies and almost never subside on its own.

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Signs of death from cancer

As is known, cancerous tumors can affect various organs. human body. This is largely due to an unhealthy lifestyle, alcohol abuse, smoking, and unfavorable environmental conditions in cities and metropolitan areas. Modern medicine is looking for ways to combat this terrible disease; scientific progress does not stand still. Perhaps in the near future a cure will be found that will save many lives from such a disease as cancer. However, now this terrible disease in its final stages leads to death. Cancer patients suffer and die, and unfortunately, cancer can cause a person to suffer before death.

Symptoms of death

There are some signs by which you can determine the imminent death of a patient. Of course, metastases to various organs cause different symptoms. For example, tumors in the brain can cause hallucinations and memory loss; stomach cancer can cause vomiting of blood, etc.

However, in addition to the mandatory medical symptoms there are other signs of death from malignant tumors:

Drowsiness and fatigue. This is the most common symptom before death from cancer. It becomes very difficult to wake the patient. He wants to sleep a lot, he has no strength to stay awake. This is due to a slowdown in metabolism. The body does not receive the required amount of water and food, so it goes into “hibernation”. This can describe the desire of a patient with cancer to sleep all the time. The patient, despite his condition, is able to hear everything that is happening around. Therefore, if the patient sleeps a lot, do not disturb him. It’s better to tell him something pleasant, especially since the patient can hear you even in a coma.
Before death, a cancer patient may lose interest in food. This is directly related to the fact that the patient’s body requires less and less energy, so he does not feel like eating. Cancer makes patients resist even drinking. Before death, it is very difficult to force them to eat. For example, many people stop eating foods such as meat because the stomach cannot digest food that is so heavy for it. It happens that even the most favorite foods cease to arouse interest in the patient. Under no circumstances should a person dying of cancer be forced to eat. You can simply offer him a drink, lubricate his lips with ice, etc. Moreover, the patient may simply physically lose the ability to chew food.
Difficulty breathing, like other symptoms of death, is common. A person dying of cancer may begin to wheeze or breathe too loudly. This rhythm was called Cheyne-Stokes breathing. The patient's breathing becomes intermittent, at first the movements are superficial, then become deep. After a pause, the cycle repeats again. Patients with difficulty breathing or irregular breathing are usually seated or have a pillow placed under their head.
Physical weakness. Before death, cancer patients lose strength, this is associated with loss of appetite and the development of the disease. The patient sometimes does not have enough strength to turn onto the other side. In such situations, you should be as attentive as possible to the patient, if possible, anticipate his wishes and help.
Disorientation. Symptoms such as cloudiness of consciousness, confused speech, and disorientation indicate the imminent death of the patient. Organs stop functioning properly, the brain fails. The patient may forget his name and what his loved ones look like. But you shouldn’t panic, you need to try to calm down as much as possible and be patient. You can stroke the patient’s hand, call him by name, and maybe the confusion will go away for a while.
The tips of your fingers and toes may become cold. In patients who are dying of cancer, this sign may indicate imminent death. Before death occurs, blood rushes to vital organs, moving away from peripheral ones. The patient's legs and arms may become pale or even blue. In such situations, you need to cover the patient with a blanket.
Before death, a cancer patient's organs begin to fail, almost everything. Therefore, body fluid begins to accumulate, most often the legs become this place. Before death, the patient's limbs may swell. Nothing to do with biological processes in the body it is impossible.
When a patient feels death approaching, he becomes uninterested in everything around him. Some patients being treated for cancer become isolated from the outside world. You need to be more tolerant of the patient, even if he has turned away from you. Before death, the patient may come to the realization that he will no longer be in this world, so everything ceases to make sense to him.
Another sign of approaching death is the appearance of venous spots on the legs. The patient's blood circulation deteriorates, the veins fill with blood unevenly. If such spots appear on the feet and soles, it means the end is near.
The process of urination in patients dying of cancer is disrupted. Such patients are often given a catheter because they go to the toilet infrequently. Patients' urine begins to have a reddish tint before death.

How do people dying of cancer feel?

The symptoms of impending death are approximately the same for various diseases. However, in patients who die from colon, stomach or brain cancer, they are specific:

if the patient has metastases in the bone tissue, then he feels very severe pain in the bones;
when the bile ducts are blocked, the patient may notice signs of jaundice;
Some cancer patients develop gangrene in their legs;
poor blood clotting can lead to stroke;
Patients who die from cancer often experience paralysis of their limbs.
The hematopoietic function of the bone marrow stops working, so patients experience severe anemia before death.

In addition to the above symptoms, patients with stage 4 colon, brain, and blood cancer may experience causeless vomiting, intestinal obstruction, and hallucinations. Death can occur due to hemorrhage; it has a different nature. Patients with intestinal cancer, stomach cancer, and leukemia die from cerebral hemorrhage; some experience bleeding from the rectum. Many patients vomit blood. Patients who die from cancer often feel exhausted. Doctors call this cachexia. In patients, physiological processes in the body slow down and weakness appears. Such patients begin to lose weight before death.

Measures to alleviate the condition

Blood transfusion for cancer

Cancer patients often receive blood transfusions because patients' bodies may lose a lot of blood. Platelets are needed for clotting, but donor blood is not able to save the patient, since the immune system begins to fight healthy blood cells, mistaking them for harmful ones. To prevent frequent bouts of vomiting, patients are given a tube that drains gastric juice. And this is not the entire list of terrible events that terminally ill patients must go through.

Some people stop believing in medicine and turn to charlatans and traditional healers. This often happens when painkillers do not help cancer patients. Many people understand that death is inevitable, but they want to save themselves from suffering and die healthy. Unfortunately, miracles do not happen. Only medications can at least slightly dull the severe pain that appears in the last stages of the disease.

As sad as it is to write about this, it is much more difficult to fight cancer in Russia than abroad. Surgeries, chemotherapy and painkillers cost big money. And in order to get drugs for free, you need to stand in more than one line and go from room to room. I would like to believe that in the near future everything will change, and all cancer patients will have access to treatment and the necessary medications.

The symptoms and signs of approaching death listed above cannot be called mandatory; everything is purely individual. If your doctor has diagnosed you with cancer, then you need to pull yourself together and fight for your life. Modern medicine is constantly looking for ways to combat this disease. Don't lose hope, try all methods of treatment and therapy. If it happens that your loved one or loved one has cancer and the doctor gave a disappointing prognosis, then gain strength and patience, be close to the patient, support him to the end. Take care of yourself and your loved ones!

Stage 4 lung cancer and symptoms before death

Lung cancer is an oncological disease that most often affects people who smoke. Often in the first stages, cancer develops asymptomatically and the person does not even suspect that he is already sick. When the illness becomes permanent, the person consults a doctor, but it is too late. Not many people know how sick people die from lung cancer. This is a real tragedy not only for the dying person himself, but also for his family and friends.

The disease does not develop according to gender; people can get sick in equally, both men and women.

Main symptoms of the terminal stage

The terminal stage of cancer is the last (fourth) irreparable stage of the disease, when tumor cells grow uncontrollably and are distributed throughout the body. Death from lung cancer at this stage is inevitable.

In modern medicine there is no effective therapy for malignant lung tumors. If on early stages There is still a chance for recovery, but at stages 3 and 4 the disease progresses so rapidly that it is no longer possible to stop it.

Existing treatment methods can only prolong the patient’s life for a short time and alleviate suffering. Stage 4 lung cancer is characterized by certain symptoms that appear before death:

Drowsiness and fatigue even with small physical activity. This is due to a slowdown in metabolism due to dehydration. The patient sleeps often and for a long time. Don't bother him.
Decreased appetite. This happens because the body needs less and less energy. It becomes difficult for him to digest heavy food, such as meat, so the patient refuses to eat it, demanding simple porridge. Before death, a person is so weak that he physically cannot swallow food. In this case, the patient should be given water frequently and dry lips should be moistened. You can't force feed.
Weakness. Occurs due to lack of strength. The patient eats little and therefore receives little energy. He is incapable of basic things - raising his head, turning on his side. Relatives should be nearby and provide him with comfort.
Apathy. Comes with the fading of vitality. The patient ceases to be interested in surrounding events, withdraws into himself and withdraws - this is natural for a dying person. Try to just be there, talk to the patient, hold his hand.

Disorientation and hallucinations. They arise due to disruption of the functioning of organs and the brain in particular ( oxygen starvation). The patient may experience memory loss, speech may become incoherent and meaningless.

You need to be patient, address him calmly and gently, saying your name each time.

Venous spots. Appear against the background of impaired blood circulation. Blood fills the vessels unevenly. Burgundy or bluish spots, contrasting with pale skin, begin to appear first in the area of the feet. They usually appear in the last days or hours of death.

Shortness of breath and difficulty breathing intermittently. They accompany the dying person until the very end. Sometimes breathing becomes hoarse and loud - then the patient needs to raise his head and add another pillow or sit him in a semi-sitting position. Breathing is difficult due to the tumor increasing in size and the accumulation of exudate in the lungs.

Urinary dysfunction. Appears due to weak kidney function. The patient drinks little, the urine becomes rich with a brown or reddish tint. Kidney failure occurs, toxins enter the blood, the patient falls into a coma, and then dies.

Edema lower limbs. Appears as a result of kidney failure. Instead of being excreted, biological fluids accumulate in the body, namely in the legs. This indicates imminent death.

Sudden change in body temperature. Hands and feet become cold. This occurs due to impaired blood circulation. In the last moments of life, blood flows from the periphery to vital organs. Nails become blue. The patient should be covered with a warm blanket.

Excruciating pain. Occur when organs are damaged by a tumor (metastasis). They are so strong that only narcotic drugs help.

Symptoms manifest differently in each patient. It depends on the individual characteristics organism and the severity of the disease (localization of foci). The condition of a terminally ill person is steadily worsening every day.

How do patients with terminal cancer die?

It is impossible to determine how long a person with stage 4 cancer will live. One can only speculate based on specific signs. The process of dying from lung cancer is similar to dying from other diseases.

A person already realizes that they are dying and is ready to accept it. In the last days of their lives, cancer patients are mostly constantly immersed in sleep, but for some, on the contrary, psychosis may begin and last for a long time.

Death occurs gradually and in stages:

Predagonia. There are severe disorders of the central nervous system, emotional and physical activity depressed, blood pressure drops sharply, the skin turns pale. The patient may be in this state long time if special assistance is provided.
Agony. It is characterized by cessation of blood circulation and breathing against the background of an imbalance in vital functions, when tissues are unequally saturated with oxygen. This is precisely why death occurs. This stage lasts about 2–3 hours.
Clinical death. A person is considered dead because all body functions stop, except metabolic processes in cells. In other cases, the patient can be resuscitated within 5–7 minutes, but with stage 4 cancer, this stage is irreversible and clinical death always turns into biological death.
Biological death. The last stage, characterized by the complete completion of the vital functions of the entire organism (tissues and brain).

The dying process is individual and occurs differently for each patient. At this moment, it is necessary to create conditions for a calm departure from life for the dying person. It is important to remember that in the last moments of life, relatives should be nearby and provide comfortable conditions for a terminally ill person.

Causes of death in patients with stage 4 lung cancer

With lung cancer, metastases quickly occur, penetrating into the bones, neighboring organs and the brain.

When a tumor infects lung tissue and tumor cells actively multiply, either complete destruction this tissue, or blockage of oxygen - which in both cases reduces the vitality of the body and leads to death. Causes of death from lung cancer can be:

Bleeding

Bleeding is the cause of death in cancer patients in 30–60% of cases. It all starts with the appearance of blood in the sputum, the amount of which increases over time. This is due to an increase in tumor and the appearance of ulcers on the bronchial mucosa. An abscess or pneumonia may develop. The vessels of the bronchi are damaged, followed by profuse bleeding, which leads to death.

Pulmonary hemorrhages are considered the most dangerous:

Asphyxial (lungs filled with blood) – resuscitation actions are ineffective, death can occur within 5 minutes;
Wave-like continuous - blood flows into the lungs.

Complications caused by lung cancer (penetration of metastases to other organs) can cause bleeding in the intestines, hemorrhages in the brain, due to which the patient can also die.

Complications after chemotherapy

This treatment method is used to destroy and stop the growth of tumor cells in the initial stages of the disease and as an additional measure (preparing the patient for surgical treatment).

A cancer tumor with metastases greatly reduces immunity. Chemotherapy drugs destroy cancer cells, but significantly reduce the protective functions of a weakened body.

Therefore, immediately after therapy, the patient may feel relief for some time, but then there is a sharp deterioration in the condition, loss of strength and progression of the disease with a fatal outcome.

Asphyxia

The liquid of cancerous infiltrates gradually accumulates in the lungs and causes suffocation. The patient begins to choke and dies. Medicine does not yet know methods to alleviate this patient’s condition. The torment that stage 4 lung cancer patients are doomed to is difficult to describe, but, unfortunately, they all experience it.

Drug management of pain

Cancer patients are saved from suffering by painkillers, of which there are many, but only a doctor can choose the most suitable one for a particular patient. Pain can vary in intensity, so the doctor’s task is to determine the individual dosage.

Pain therapy involves the use of follow-up medications:

strong opiates with high content narcotic substances(Morphine, Fentanyl, Oxycodone, Methadone, Diamorphine, Buprenorphine, Hydromorphone);
weak opiates with low content narcotic substances (Tramadol, Codeine);
auxiliary drugs:
Dexamethasone, Prednisolone - to relieve swelling;
Topiramate, Gabalentin - against seizures;
Diclofenac, Ibuprofen, Aspirin – non-steroidal anti-inflammatory drugs;
local anesthetics and antidepressants.

For severe pain, you can take over-the-counter pain medications, which are sold at the pharmacy. Usually these are oral medications with a low price. If the pain becomes persistent, your doctor may prescribe Tramadol (prescription) tablets or injections. The patient must keep a log of taking the drug over time and describe the pain. Based on these data, the doctor will adjust the frequency of administration and dose of the medications per day.

Important! You should strictly follow the schedule for taking painkillers “ahead” of the pain. Treatment will be ineffective if medications are not taken regularly.

When the medications used no longer help, the oncologist will prescribe strong narcotic medications, such as Morphine or Oxycodone.

They combine well with antidepressants. For patients with swallowing dysfunction or severe nausea Suitable dosage forms include rectal suppositories, drops under the tongue (one dose is 2-3 drops), patches (applied every 2-3 days), injections and droppers.

Many cancer patients are afraid of developing a dependence on painkillers, but this happens extremely rarely. If the condition improves during treatment, you can gradually reduce the dose medicine. Painkillers cause drowsiness; if the patient is not satisfied with this, the doctor can reduce the dosage to a tolerable pain limit.

Nutrition and nursing

The more the disease progresses, the more the patient begins to depend on the help of others. He himself cannot move, go to the toilet, bathe, and over time even turn over in bed.

To move patients around, hospices have walkers and wheelchairs; hopelessly ill patients are recommended to communicate with a psychologist who will mentally prepare them for their impending death.

If the patient begins to rarely have bowel movements (a break of more than three days), and the stool has become hard, he is prescribed enemas or laxatives. Violations also occur in urinary system. An indwelling catheter is often required. As vitality fades, the patient's appetite also fades. With each meal and water, the portions become smaller. When problems with swallowing begin, loved ones can only moisturize their mouth and lips.

The last days of the life of a person with stage 4 cancer should be spent in a calm atmosphere of family and friends. You can talk to him, read books to him, or play soothing music. But sometimes it happens that the patient no longer wants to live and thinks about suicide, despite all the efforts and care of relatives.

In modern society, there is debate about euthanasia (translated from Greek as “good death”) - whether the procedure is a humane way to end the life of terminally ill people and why, at the request of the patient, the doctor cannot end his suffering by administering a lethal dose of the drug.

The only place where euthanasia is legal is Oregon. Medical ethics has undergone a number of changes over the past few centuries. If previously it was believed that only the sick should be treated, now a lot of attention is paid to the dying.

Mortality statistics for cancer patients are disappointing. Everything is complicated by the fact that in the early stages the cancer may not manifest itself in any way, and in the absence of specific treatment, about 90% of patients die within the first year.

Cancer cells in the lungs can only be detected by taking a sputum test, but often a debilitating night cough (one of the signs of lung cancer) is simply attributed to colds. Therefore, everyone should undergo preventive medical examinations promptly and regularly.

– an oncological disease that most often affects people who smoke. Often in the first stages, cancer develops asymptomatically and the person does not even suspect that he is already sick. When the illness becomes permanent, the person consults a doctor, but it is too late. Not many people know how sick people die from lung cancer. This is a real tragedy not only for the dying person himself, but also for his family and friends.

The disease does not develop according to gender; both men and women can get sick equally.

Main symptoms of the terminal stage

In modern medicine there is no effective therapy for malignant lung tumors. If in the early stages there is still a chance for recovery, then at stages 3 and 4 the disease progresses so rapidly that it is no longer possible to stop it.

Existing treatment methods can only prolong the patient’s life for a short time and alleviate suffering. Stage 4 lung cancer is characterized by certain symptoms that appear before death:

Symptoms manifest differently in each patient. This depends on the individual characteristics of the body and the severity of the disease (localization of lesions). The condition of a terminally ill person is steadily worsening every day.

How do patients with terminal cancer die?

A person already realizes that they are dying and is ready to accept it. In the last days of their lives, cancer patients are mostly constantly immersed in sleep, but for some, on the contrary, psychosis may begin and last for a long time.

Death occurs gradually and in stages:

Causes of death in patients with stage 4 lung cancer

With lung cancer, metastases quickly occur, penetrating into the bones, neighboring organs and the brain.

When a tumor infects the lung tissue, and the tumor cells actively multiply, either complete destruction of this tissue occurs or a blockage of oxygen occurs - which in both cases reduces the vitality of the body and leads to death. Causes of death from lung cancer can be:

bleeding;
consequences of chemotherapy;
asphyxia (suffocation).

Bleeding

Pulmonary hemorrhages are considered the most dangerous:

Asphyxial (lungs filled with blood) - resuscitation efforts are ineffective, death can occur within 5 minutes;
Undulating continuous- blood flows into the lungs.

Complications caused by lung cancer (penetration of metastases to other organs) can cause bleeding in the intestines, hemorrhages in the brain, due to which the patient can also die.

Complications after chemotherapy

This treatment method is used to destroy and stop the growth of tumor cells in the initial stages of the disease and as an additional measure (preparing the patient for surgical treatment).

A cancer tumor with metastases greatly reduces immunity. Chemotherapy drugs destroy cancer cells, but significantly reduce the protective functions of a weakened body.

Asphyxia

The liquid of cancerous infiltrates gradually accumulates in the lungs and causes suffocation. The patient begins to choke and dies. Medicine does not yet know methods to alleviate this patient’s condition. The torment that patients are doomed to is difficult to describe, but, unfortunately, they all experience it.

Drug management of pain

Pain therapy involves the use of follow-up medications:

Important! You should strictly follow the schedule for taking painkillers “ahead” of the pain. Treatment will be ineffective if medications are not taken regularly.

When the medications used no longer help, the oncologist will prescribe strong narcotic medications, such as Morphine or Oxycodone.

They combine well with antidepressants. For patients with impaired swallowing function or severe nausea, dosage forms such as rectal suppositories, drops under the tongue (one dose is 2-3 drops), patches (applied every 2-3 days), injections and droppers are suitable.

Many cancer patients are afraid of developing a dependence on painkillers, but this happens extremely rarely. If the condition improves during treatment, you can gradually reduce the dose of the drug. Painkillers cause drowsiness; if the patient is not satisfied with this, the doctor can reduce the dosage to a tolerable pain limit.

Nutrition and nursing

The more the disease progresses, the more the patient begins to depend on the help of others. He himself cannot move, go to the toilet, bathe, and over time even turn over in bed.

To move patients around, hospices have walkers and wheelchairs; hopelessly ill patients are recommended to communicate with a psychologist who will mentally prepare them for their impending death.

If the patient begins to rarely have bowel movements (a break of more than three days), and the stool has become hard, he is prescribed enemas or laxatives. Disturbances also occur in the urinary system. An indwelling catheter is often required. As vitality fades, the patient's appetite also fades. With each meal and water, the portions become smaller. When problems with swallowing begin, loved ones can only moisturize their mouth and lips.

In modern society, there is debate about euthanasia (translated from Greek as “good death”) - whether the procedure is a humane way to end the life of terminally ill people and why, at the request of the patient, the doctor cannot end his suffering by administering a lethal dose of the drug.

The last stage of the disease turns into real agony for him, and ultimately death is inevitable. Relatives who are close to a cancer patient should know what symptoms and signs characterize this period. In this way, they will be able to create the appropriate conditions for the dying person, support him and provide assistance.

Death from cancer

All cancer diseases progress in stages. The disease develops in four stages. The last fourth stage is characterized by the occurrence of irreversible processes. At this stage, it is no longer possible to save the person.

The last stage of cancer is the process in which cancer cells begin to spread throughout the body and affect healthy organs. A fatal outcome at this stage cannot be avoided, but doctors will be able to alleviate the patient’s condition and slightly prolong his life. The fourth stage of cancer is characterized by the following signs:

emergence malignant tumors throughout the body;
damage to the liver, lungs, brain, esophagus;
the occurrence of aggressive forms of cancer, such as myeloma, melanoma, etc.).

The fact that the patient cannot be saved at this stage does not mean that he will not need any therapy. On the contrary, properly selected treatment will allow a person to live longer and significantly alleviate his condition.

Symptoms that occur before death

Oncological diseases affect different organs, and therefore, signs of imminent death can be expressed in different ways. However, in addition to the symptoms characteristic of each type of disease, there are general signs that may occur in a patient before death:

Weakness, drowsiness. Most characteristic feature coming death is constant fatigue. This occurs because the patient's metabolism slows down. He constantly wants to sleep. Don't bother him, let his body rest. During sleep, the sick person rests from pain and suffering.
Decreased appetite. The body does not need large quantities energy, so the patient does not feel the desire to eat or drink. There is no need to insist and force him to eat.
Difficulty breathing. The patient may suffer from lack of air, wheezing and heavy breathing.
Disorientation. Human organs lose the ability to function normally, so the patient becomes disoriented in reality, forgets basic things, and does not recognize his family and friends.
Immediately before death, a person's limbs become cold, they may even acquire a bluish tint. This happens because blood begins to flow to vital organs.
Before death, cancer patients begin to develop characteristic venous spots on their legs, the reason for this is poor blood circulation. The appearance of such spots on the feet signals imminent death.

In general, the process of death from cancer occurs sequentially in several stages.

Predagonia. At this stage, significant disturbances in the activity of the central nervous system are observed. Physical and emotional functions decline sharply. The skin turns blue, blood pressure drops sharply.
Agony. At this stage, oxygen starvation occurs, as a result of which breathing stops and the blood circulation process slows down. This period lasts no more than three hours.
Clinical death. There is a critical decrease in the activity of metabolic processes, all body functions suspend their activity.
Biological death. The vital activity of the brain stops, the body dies.

Such pre-death symptoms are typical for all cancer patients. But these symptoms can be supplemented by other signs, which depend on which organs are affected by cancer.

Death from lung cancer

Lung cancer is the most common disease among all cancers. It is practically asymptomatic and is detected very late, when it is no longer possible to save the person.

Before dying from lung cancer, the patient experiences unbearable pain when breathing. The closer death is, the stronger and more painful the pain in the lungs becomes. The patient does not have enough air and feels dizzy. An epileptic attack may begin.

Liver cancer

The main cause of liver cancer is liver cirrhosis. Viral hepatitis is another disease that leads to liver cancer.

Death from liver cancer is very painful. The disease progresses quite quickly. In addition, pain in the liver area is accompanied by nausea and general weakness. The temperature rises to critical levels. The patient experiences excruciating suffering before the onset of imminent death from liver cancer.

Esophageal carcinoma

Esophageal cancer is very dangerous disease. At the fourth stage of esophageal cancer, the tumor grows and affects all nearby organs. That's why pain symptoms can be felt not only in the esophagus, but even in the lungs. Death can occur from exhaustion of the body, since a patient suffering from esophageal cancer cannot take food in any form. Nutrition is provided only through a tube. Eat regular products Such patients will no longer be able to.

Before death, everyone suffering from liver cancer experiences great agony. They open severe vomiting, most often with blood. Sharp pain in the chest causes discomfort.

Last days of life

Patients with stage four cancer They are usually not kept within the walls of a hospital. Such patients are sent home. Before death, patients take strong painkillers. And yet, despite this, they continue to experience unbearable pain. Death from cancer may be accompanied by intestinal obstruction, vomiting, hallucinations, headaches, epileptic seizures, and hemorrhages in the esophagus and lungs.

By the time the last stage occurs, almost the entire body is affected by metastases. The patient is entitled to sleep and rest, then the pain torments him to a lesser extent. The care of loved ones is very important for a dying person at this stage. It is the close people who create for the patient favorable conditions, which at least briefly ease his suffering.

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Signs of imminent death of a patient

It is not customary to talk about death out loud in our time. This is a very sensitive topic and not for the faint of heart. But there are times when knowledge is very useful, especially if there is a cancer patient or a bedridden person at home old man. After all, this helps to mentally prepare for the inevitable end and notice the changes taking place in time. Let's discuss together the signs of death of a patient and pay attention to their key features.

Most often, signs of imminent death are classified into primary and secondary. Some develop as a consequence of others. It is logical that if a person begins to sleep more, then he eats less, etc. We will look at all of them. But, cases may be different and exceptions to the rules are acceptable. The same as options for a normal median survival rate, even with a symbiosis of terrible signs of a change in the patient’s condition. This is a kind of miracle that happens at least once in a century.

What signs of death do you know?

Changing sleep and wake patterns

Discussing initial signs As death approaches, doctors agree that the patient has less and less time to stay awake. He is more often immersed in superficial sleep and seems to be dozing. This saves precious energy and reduces pain. The latter fades into the background, becoming, as it were, background. Of course, the emotional side suffers greatly. The paucity of expression of one’s feelings, the self-isolation of the desire to remain silent more than to speak leave an imprint on relationships with others. The desire to ask and answer any questions, to be interested in everyday life and the people around you disappears.

As a result, in advanced cases, patients become apathetic and detached. They sleep almost 20 hours a day unless there is acute pain or serious irritating factors. Unfortunately, such an imbalance threatens stagnant processes, mental problems and accelerates death.

Swelling

Very reliable signs death is swelling and the presence of spots on the legs and arms. We are talking about malfunctions of the kidneys and circulatory system. In the first case of oncology, the kidneys do not have time to cope with toxins and they poison the body. In this case, metabolic processes are disrupted, blood is redistributed unevenly in the vessels, forming areas with spots. It is not for nothing that they say that if such marks appear, then we are talking about complete dysfunction of the limbs.

Problems with hearing, vision, perception

The first signs of death are changes in hearing, vision and normal sensation of what is happening around. Such changes can occur against the background of severe pain, cancer, blood stagnation or tissue death. Often, before death, you can observe a phenomenon with the pupils. The eye pressure drops and when pressed you can see how the pupil is deformed like a cat's.

Regarding hearing, everything is relative. It can recover in the last days of life or even worsen, but this is more agony.

Reduced need for food

When a cancer patient is at home, all her loved ones note the signs of death. She gradually refuses food. First, the dose decreases from a plate to a quarter of a saucer, and then the swallowing reflex gradually disappears. There is a need for nutrition through a syringe or tube. In half of the cases, a system with glucose and vitamin therapy is connected. But the effectiveness of such support is very low. The body tries to use up its own fat reserves and minimize waste. This worsens the patient’s general condition, causing drowsiness and difficulty breathing.

Urinary problems and problems with natural needs

It is believed that problems with going to the toilet are also signs of approaching death. No matter how funny it may seem, in reality there is a completely logical chain in this. If defecation is not carried out once every two days or with the regularity to which a person is accustomed, then feces accumulate in the intestines. Even stones can form. As a result, toxins are absorbed from them, which seriously poison the body and reduce its performance.

It's about the same story with urination. It's harder for the kidneys to work. They allow less and less fluid to pass through and eventually the urine comes out saturated. It contains a high concentration of acids and even blood is noted. For relief, a catheter can be installed, but this is not a panacea against the general background of unpleasant consequences for a bedridden patient.

Problems with thermoregulation

Natural signs before the death of a patient are impaired thermoregulation and agony. The limbs begin to get very cold. Especially if the patient has paralysis, then we can even talk about the progress of the disease. The blood circulation decreases. The body fights for life and tries to maintain the functioning of the main organs, thereby depriving the limbs. They may turn pale and even become blue with venous spots.

Weakness of the body

The signs of imminent death may be different for everyone, depending on the situation. But more often than not, it's about severe weakness, weight loss and general fatigue. A period of self-isolation is approaching, which is getting worse internal processes intoxication and necrosis. The patient cannot even raise his arm or stand on a duck for natural needs. The process of urination and defecation can occur spontaneously and even unconsciously.

Foggy mind

Many see signs of approaching death in the way the patient’s normal reaction to the world around him disappears. He can become aggressive, nervous, or vice versa – very passive. Memory disappears and attacks of fear may occur due to this. The patient does not immediately understand what is happening and who is nearby. The areas in the brain responsible for thinking die. And obvious inadequacy may appear.

Predagonia

This is a protective reaction of all vital systems in the body. Often, it is expressed in the onset of stupor or coma. The main role is played by regression of the nervous system, which causes in the future:

Decreased metabolism

Insufficient ventilation of the lungs due to breathing problems or alternating rapid breathing with stopping

Serious damage to organ tissue

Agony

Agony is usually called a clear improvement in the patient’s condition against the background of destructive processes in the body. Essentially, these are the last efforts to maintain the necessary functions for continued existence. May be noted:

Improved hearing and restored vision

Establishing a breathing rhythm

Normalization of heart contractions

Restoring consciousness in the patient

Muscle activity like cramps

Decreased sensitivity to pain

The agony can last from several minutes to an hour. Usually, it seems to foreshadow clinical death, when the brain is still alive, and oxygen ceases to flow into the tissues.

These are typical signs of death in bedridden people. But you shouldn’t dwell too much on them. After all, there may be another side of the coin. It happens that one or two such signs are simply a consequence of an illness, but they are completely reversible with proper care. Even a hopelessly bedridden patient may not have all these signs before death. And this is not an indicator. So, it is difficult to talk about mandatory rules, as well as to impose death sentences.

Signs of imminent death in a cancer patient

Anyone who is faced with a serious illness feels in a difficult situation. It’s also difficult for his friends and family. Of course, modern medicine is located on high level, however, some situations can be changed through pills, operations, etc. already unrealistic.

It happens that a cancer patient anticipates his death, thinks, perhaps dreams, and can accurately determine the time period when the irreparable will happen, without telling anyone, so as not to upset them even more.

In order to be able to personally monitor the condition, it is useful for relatives and friends to know not only the signs of a cancer patient’s imminent death, but also what is hidden behind the ornate statements of the treating staff.

Signs of imminent death of a person with cancer - what are they?

Medical professionals know that even with seemingly successful treatment that is not accompanied by frequent manifestations of cancer, the patient dies. Even innovative anti-cancer drugs that are produced and released in countries with developed medicine are becoming useless in resisting a cruel disease.

Deterioration of condition, as well as possible impending death seriously ill person, can be traced to the following factors (most often they are observed in combination):

loss of appetite;
fatigue;
incredible apathy (moral and physical);
nervous breakdowns;
difficult breathing;
sudden fluctuations in weight;
ensuring your own isolation;
difficulty urinating;
disruption of vascular activity;
rapid freezing.

Each of them is discussed separately. Difficulties eating food take priority. Refusal or extremely unexpected loss of habits. Now he likes fish, and a day later he completely turns away from it.

This is explained by the fact that the need to eat food disappears, and an ever smaller share of the energy that a healthy person is used to getting from food is spent. Meat is removed from the diet. The fact is that it is difficult for an organism weakened by a serious illness to digest it. Because of this, many doctors switch to cereals and increase the consumption of increased amounts of liquid: juices, broths, compotes. At the moment when the patient can no longer independently swallow what is in his mouth, those close to him, unfortunately, can prepare for the worst ending.

Fatigue, weakness and breakdowns can be added and collected into a single aspect, since they develop simultaneously, which is quite natural. Caused by nothing more than exhaustion. The rest develops on the basis of this. It is difficult for the patient to move even short distances. The defining stage in the development of the above is a disorder of the central nervous system. There is a loss in space when the dying person forgets the people and the place where he was located more than once.

The dying person gives up and decides that there is no reason or strength to cope. From this point, a neurologist and a psychologist are connected, whose work is aimed at motivation and further fight against the disease. If you do not take these actions, the seriously ill patient will definitely give up.

If we are talking about breathing problems, then you need to study Cheyne-Stokes syndrome. Thus, they indicate that they mean intermittent and superficial inhalations and exhalations, which deepen and then return to their original character. This cycle is repeated more than once. Then it becomes complicated by developing wheezing and acquires a permanent appearance.

Changes in weight are characteristic and quite logical precisely because of the difficulties that arise. Therefore, they rarely stop at this point. The efforts of those around them and their determination to provide drinking water are commendable. But there must be an understanding that all the signs of death of a cancer patient are interconnected.

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The closer the inevitable outcome is, the more the sick person strives to be alone with himself and get as much sleep as possible. This may be perceived as normal. This is explained by psychological and physical reasons. He doesn't want his family to see him weak. There is no desire to provoke anyone’s pity or indignation at the fact that care will need to be adjusted.

The urine takes on a strange color - red or dark brown. This is due to the fact that practically no fluid enters the body, and the kidneys, which serve as a filter, slow down their functioning.

Problems with blood vessels are reflected in regular swelling and blue spots, which are commonly called venous spots. The skin turns pale, which leads to easy display of veins and even small capillaries. Edema appears due to the fact that the body is deprived of natural filtration.

The last sign is considered to be a decrease in body temperature. Blood begins to rush towards the heart and vital organs in order to increase its lifespan. When your feet and fingers get cold in a second, the end is near.

What do we have to do?

Of course, loved ones do not agree to accept this outcome. Although medications cannot always completely cope with the tragedy, there are still ways.

As for the loss of interest in food, the caregiver will need to be patient. It is prohibited to use coercive force, and even more so to show irritability and hostility. You can occasionally offer water, fruit drinks, fresh juices, etc. That's what it's wise to keep an eye on, so that your lips don't dry out. While a person refuses to drink, it is necessary to at least lubricate them with balm or a damp cloth.

The advice regarding fatigue is much the same. You must not disturb sleep, forcibly awaken the patient, or artificially prolong the period of wakefulness.

Fatigue also cannot be influenced by force. There is no need to worry a person unnecessarily. Still, there is no reason for this. All you can do is increase comfort and try to give him a rest, increase the dose of joyful emotions and organize a good environment around him.

Increased sensitivity of the nervous system requires a special approach. It makes sense to invite an experienced psychologist. He must be friendly. Indicative for him will be meetings with those people who were able to defeat cancer. The main thing is to be able to motivate to continue the struggle, which will certainly end in success. And disorientation can be solved in this way - when visiting, a caring person needs to repeat his name, do not show aggression and try to express himself too softly. The same applies to the desire for isolation - do not interfere and introduce additional negativity. Gentle and calm intonations will help to gradually return the patient to the social environment.

Breathing will be restored by special exercises. They are performed under the supervision of a professional support worker. A change in position is rational. Turning on its side is the best solution to the problem.

Vascular dysfunction, swelling and rapid freezing can be included in one list. They are fought against with a massage or a warm blanket.

But relatives should know that all of the above are, unfortunately, signs of a cancer patient’s imminent death and it is not always possible to win the battle against them.

It is important to know:

comments 4

Hello, our dad has prostate cancer, now he has fallen ill, has not eaten anything for 10 days (only water and tea 2 times a day), urine flows by itself (he does not feel that he is urinating), black stool, shortness of breath (in the lungs there was water, they pumped it out in January), there is a strong rumbling in the intestines (as he himself says, it’s as if soda was poured into the intestines), he vomits bile 2-4 times a day, his complexion is pale yellow, he has lost a lot of weight... Doctors refuse to come. .Can you tell me how much longer he will suffer? He refuses pills.

Hello! My daughter is 9 years old, she has a brain tumor and metastases in the abdominal cavity. Also vomiting, black stool. It's better now. We turned to alternative medicine, drinking herbal tinctures and special water. Look on the Internet for Doctor Tai, Petr Alekseevich Shablin. If you have anything please email me

alcohol tinctures?

Beetroot enemas. Herbal decoctions. carrot juice freshly squeezed

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The information on the site is presented for informational purposes only! It is not recommended to use the described methods and recipes for treating cancer on your own and without consulting a doctor!

None of us can predict exactly when death will occur. However, doctors and nurses who deal with seriously ill people know that the approach of death is accompanied by certain symptoms.

Signs of impending death vary from person to person, and not all of the symptoms listed below are “must haves.” But there is still something in common.

1. Loss of appetite

2. Excessive fatigue and drowsiness

3. Physical weakness

4. Brain fog and disorientation

5. Difficulty breathing

6. Self-isolation

7. Urinary problems

Since little water enters the body, and the kidneys are working worse and worse, the dying person really “walks little”, and concentrated urine has a brownish or reddish tint. This is why hospices often place a catheter in a terminally ill patient’s last days of life. Due to kidney failure, the amount of toxins in the blood increases, which contributes to the dying person’s quiet fall into a coma and a peaceful death.

8. Leg swelling

9. “Icing” of the tips of the fingers and toes

10. Venous spots

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Ten signs that death is near

2018 Oncology. All materials on the site are posted for informational purposes only and cannot be the basis for making any decisions about independent treatment, including. All copyrights to materials belong to their respective owners

Signs that a person is approaching death

If you are dying or caring for someone who is dying, you may have questions about what the dying process will be like physically and emotionally. The following information will help you answer some questions.

Signs of approaching death

The process of dying is as diverse (individual) as the process of birth. It is impossible to predict the exact time of death and how exactly a person will die. But people facing death experience many of the same symptoms, regardless of the type of illness.

As death approaches, a person may experience some physical and emotional changes, such as:

A dying person may experience other symptoms depending on the disease. Talk to your doctor about what you can expect. You can also contact the program for helping the hopelessly ill, where all your questions regarding the dying process will be answered. The more you and your loved ones know, the more prepared you will be for this moment.

As death approaches, a person sleeps more and it becomes more and more difficult to wake up. Periods of wakefulness are becoming shorter and shorter.

As death approaches, people caring for you will notice that you are unresponsive and that you are in very deep sleep. This condition is called coma. If you are in a coma, you will be confined to a bed and all your physiological needs (bathing, turning, eating and urinating) will have to be supervised by someone else.

General weakness is a very common occurrence as death approaches. It is normal for a person to need assistance with walking, bathing, and going to the toilet. Over time, you may need help turning over in bed. Medical equipment, such as wheelchairs, walkers or a hospital bed can be of great help during this period. This equipment can be rented from a hospital or care center for the terminally ill.

As death approaches, periods of rapid breathing may be followed by periods of breathlessness.

Your breath may become wet and congested. This is called the "death rattle." Changes in breathing usually happen when you are weak and normal discharge from your respiratory tract and the lungs cannot come out.

Although noisy breathing may be a signal to your family, you probably won't feel any pain or notice any congestion. Since the fluid is deep in the lungs, it is difficult to remove it. Your doctor may prescribe oral tablets (atropine) or patches (scopolamine) to relieve congestion.

Your loved ones may turn you on your other side to help the discharge come out of your mouth. They can also wipe this discharge with a damp cloth or special tampons (you can ask for it at a help center for the hopelessly ill or buy it at pharmacies).

Your doctor may prescribe oxygen therapy to relieve your shortness of breath. Oxygen therapy will make you feel better, but will not prolong your life.

Deterioration of vision is very common in the last weeks of life. You may notice that your vision has become difficult. You may see or hear things that no one else notices (hallucinations). Visual hallucinations are common before death.

If you are caring for a dying person who is hallucinating, you need to reassure them. Acknowledge what the person sees. Denying hallucinations can be distressing to a dying person. Talk to the person, even if he or she is in a coma. It is known that dying people can hear even when they are in a deep coma. People who came out of comas said that they could hear the entire time they were in the coma.

Hallucinations are the perception of something that is not actually there. Hallucinations can involve all the senses: hearing, seeing, smelling, tasting or touching.

The most common hallucinations are visual and auditory. For example, a person may hear voices or see objects that another person cannot see.

Other types of hallucinations include gustatory, olfactory and tactile.

Treatment for hallucinations depends on the cause.

As death approaches, you are likely to eat and drink less. This is associated with a general feeling of weakness and a slower metabolism.

Since food has such important social significance, it will be difficult for your family and friends to watch you not eat. However, changes in metabolism mean that you do not need the same amount of food and fluid as before.

You can consume small amounts of food and liquid as long as you are active and able to swallow. If swallowing is a problem for you, you can prevent thirst by moistening your mouth with a damp cloth or a special swab (available at a pharmacy) soaked in water.

Often the kidneys gradually stop producing urine as death approaches. As a result, your urine turns dark brown or dark red. This is due to the inability of the kidneys to properly filter urine. As a result, the urine becomes very concentrated. Its quantity is also decreasing.

As appetite decreases, some changes also occur in the intestines. The stool becomes harder and more difficult to pass (constipation) as the person takes in less fluid and becomes weaker.

You should tell your doctor if you have bowel movements less than once every three days or if your bowel movements cause you discomfort. Stool softeners may be recommended to prevent constipation. You can also use an enema to cleanse your colon.

As you become increasingly weak, it is natural that you find it difficult to control bladder and intestines. They may put it in your bladder urinary catheter as a means of continuous drainage of urine. The terminally ill program may also provide toilet paper or underwear (they can also be purchased at the pharmacy).

As death approaches, the area of the brain responsible for regulating body temperature begins to function poorly. You may have a high fever and then feel cold within a minute. Your hands and feet may feel very cold to the touch and may even become pale and blotchy. Changes in skin color are called mottled skin lesions and are very common in the last days or hours of life.

The person caring for you can monitor your temperature by rubbing your skin with a wet, slightly warm washcloth or giving you the following medications:

Many of these medications are available in the form rectal suppositories if you have difficulty swallowing.

Just as your body prepares physically for death, you must prepare for it emotionally and mentally.

As death approaches, you may lose interest in the world around you and individual details everyday life, such as date or time. You may withdraw into yourself and communicate less with people. You may only want to communicate with a few people. This kind of introspection can be a way of saying goodbye to everything you knew.

In the days before your death, you may enter a unique state of conscious awareness and communication that may be misinterpreted by your family and friends. You can talk about how you need to go somewhere - “go home” or “go somewhere.” The meaning of such conversations is unknown, but some people think that such conversations help prepare for death.

Events from your recent past may be mixed with distant events. You can remember very long ago events in great detail, but not remember what happened an hour ago.

You may be thinking about people who have already died. You may say that you heard or saw someone who has already died. Your loved ones may hear you talking to the deceased person.

If you are caring for a dying person, you may be upset or frightened by this strange behavior. You may want to bring your loved one back to reality. If this kind of communication is bothering you, talk to your doctor to better understand what's going on. Your loved one may fall into a state of psychosis, and this may be scary for you to watch. Psychosis occurs in many people before death. It may have one cause or be the result of several factors. Reasons may include:

Symptoms may include:

Sometimes delirium tremens can be prevented through alternative medicine such as relaxation and breathing techniques and other methods that reduce the need for sedatives.

Palliative care can help you relieve physical symptoms associated with your illness, such as nausea or difficulty breathing. Controlling pain and other symptoms is an important part of your treatment and improving your quality of life.

How often a person feels pain depends on their disease. Some fatal diseases, such as bone cancer or pancreatic cancer, can be accompanied by severe physical pain.

A person may become so afraid of pain and other physical symptoms that they may consider physician-assisted suicide. But the pain before death can be effectively dealt with. You should tell your doctor and loved ones about any pain. There are many medications and alternative methods (such as massage) that can help you cope with the pain of death. Be sure to ask for help. Ask a loved one to tell the doctor about your pain if you are unable to do so yourself.

You may want your family not to see you suffer. But it is very important to tell them about your pain if you cannot bear it so that they see a doctor immediately.

Spirituality means a person's awareness of the purpose and meaning of his life. It also denotes a person’s relationship with higher powers or the energy that gives life meaning.

Some people don't think about spirituality often. For others, it is part of everyday life. As you approach the end of your life, you may be faced with your own spiritual questions and challenges. Connecting with religion often helps some people achieve comfort before death. Other people find solace in nature, social work, strengthening relationships with loved ones, or creating new relationships. Think about what can give you peace and support. What questions concern you? Seek support from friends, family, programs, and spiritual guides.

Caring for a dying relative

Physician-assisted suicide refers to the practice of medical professionals assisting a person who voluntarily chooses to die. This is usually done by prescribing a lethal dose of medication. Although the doctor is indirectly involved in the death of a person, he is not the direct cause of it. Oregon is currently the only state to have legalized physician-assisted suicide.

A person with a terminal illness may consider suicide with the assistance of a physician. Among the factors that can cause such a decision are severe pain, depression and fear of dependence on other people. A dying person may consider himself a burden to his loved ones and not understand that his loved ones want to provide him with their help as an expression of love and sympathy.

Often a person with a terminal illness contemplates suicide with the assistance of a doctor when his physical or emotional symptoms don't get it effective treatment. Symptoms associated with the dying process (such as pain, depression or nausea) can be controlled. Talk to your doctor and family about your symptoms, especially if your symptoms bother you so much that you think about dying.

Control of pain and symptoms at the end of life

At the end of life, pain and other symptoms can be managed effectively. Talk to your doctor and loved ones about the symptoms you are experiencing. Family is an important link between you and your doctor. If you yourself cannot communicate with a doctor, your loved one can do this for you. There is always something that can be done to relieve your pain and symptoms so that you feel comfortable.

There are many painkillers available. Your doctor will choose the easiest and most atraumatic drug to relieve pain. Usually applied first oral medications, as they are easier to take and less expensive. If your pain is not severe, painkillers can be purchased without a doctor's prescription. These include drugs such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. It is important to stay ahead of your pain and take your medications as scheduled. Irregular use of medications is often the cause of ineffective treatment.

Sometimes pain cannot be controlled with over-the-counter medications. In this case, more effective forms of treatment are needed. Your doctor may prescribe painkillers such as codeine, morphine, or fentanyl. These medications can be combined with others, such as antidepressants, to help you get rid of your pain.

If you cannot take the pills, there are other forms of treatment. If you have trouble swallowing, you can use liquid medications. Medicines can also be in the form of:

Many people who suffer from severe pain fear that they will become dependent on painkillers. However, addiction rarely occurs in terminally ill people. If your condition improves, you can slowly stop taking the medicine to prevent dependence.

Painkillers can be used to manage the pain and help keep it at a tolerable level. But sometimes painkillers make you drowsy. You can only take a small amount of medication and therefore endure little pain and still remain active. On the other hand, perhaps weakness is not a big deal for you and you are not bothered by drowsiness caused by certain medications.

The main thing is to take medications on a specific schedule, and not just when “the need arises.” But even if you take medications regularly, you may sometimes feel severe pain. These are called "breakthrough pain." Talk to your doctor about what medications you should always have on hand to help manage breakthrough pain. And always tell your doctor if you stop taking your medicine. Sudden termination may cause serious side effects and severe pain. Talk to your doctor about ways to relieve pain without using drugs. Alternative medical therapy can help some people relax and get rid of pain. You can combine traditional treatment with alternative methods, such as:

For more detailed information, see the Chronic Pain section.

During the period when you are learning to cope with your illness, short-term emotional stress is normal occurrence. Depression that lasts more than 2 weeks is no longer normal and should be reported to your doctor. Depression can be treated even if you have fatal disease. Antidepressants in combination with counseling from a psychologist will help you cope with emotional distress.

Talk to your doctor and family about your emotional distress. Although feelings of grief are a natural part of the dying process, this does not mean you have to endure severe emotional pain. Emotional suffering can make physical pain worse. They can also have a negative impact on your relationships with loved ones and prevent you from saying goodbye to them properly.

As death approaches, you may experience other symptoms. Talk to your doctor about any symptoms you may experience. Symptoms such as nausea, fatigue, constipation or shortness of breath can be managed with medications, special diets and oxygen therapy. Have a friend or family member describe your symptoms to a doctor or emergency services worker. It can be helpful to keep a journal and write down all your symptoms.

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Occult seers know several ways to determine the prognosis of a disease:

1. If you put celandine under a patient’s head, he will sing before death and cry before recovery.

2. Put fresh nettle in the patient’s urine: if it turns black, then death is near.

3: Rub a piece of pork meat on the soles of the patient and give the meat to the dog: if he eats it, the patient will recover.

4. Using a kitchen knife, they touch the patient’s sore spot three times with the words: “Truth, come,” then they throw the knife into the ground away from them: if the knife hits the ground with its tip, the patient will recover or his condition will improve; if the knife does not get stuck in the ground, then the patient is predicted to have an unfavorable outcome. DETERMINING THE GENDER OF THE EXPECTED CHILD. Several methods are used to predict the gender of a child to be born:

1. The sum of the ages of the parents (on the day of the expected birth of the child) is multiplied by 4 and divided by 3. if the remainder obtained from the division is 2 or 0, then a son will be born; if the remainder is 1, wait for the daughter.

For example, a child is expected to be born in a family in which the father is 33 years old,
mother - 34. We sum up the age 33+34=67 and multiply by 4 (67x4=268) and divide
by 3:

268/3
24 89
28

27 1 (remainder 1 - a daughter will be born!)

2. Using the calendar, we determine the position of the Moon at the time of the mother’s birth. If there was a new moon within 9 days after the birth of the mother, then the expected first child will be a girl; in all other cases, a boy will be born.

3. To determine the gender of the second and subsequent children, find out the position of the Moon of the last child: if the new moon occurs within 9 days following the birth of the last child, then the expected child will be of the opposite sex in comparison with the last child, and vice versa.

4. If a woman, after sexual intercourse, during which conception occurred, lies on her right side, then she will give birth to a boy.

5. If a man has not had sexual intercourse with a woman for a long time, then from intercourse with him the woman almost always gives birth to a boy.

You can also use a comparison of two birth horoscopes (father and mother) and use them to determine the gender of all children.

PREDICTIONS FOR CHILDREN. There are such signs:

1. Children from siblings inherit all the good and bad sides of their parents to an increased extent.

2. The child inherits this disease from epileptic parents; If one parent is epileptic, then children do not always suffer from this disease. This could happen when diabetes mellitus, nervous and mental illnesses.

GROWTH OF CHILDREN. The farther apart the birthplaces of parents are, the taller their children are. In general, mixed (ethnic) marriages and marriages between people from distant areas are beneficial for the health of the offspring.

PREDICTION OF HEREDITARY DISEASES. In hereditary diseases, chromosomal and gene mutations occur. By studying them, scientific medicine predicts the possibility of the occurrence of a disease. Occult medicine uses for these purposes all the methods of prediction known to it, especially dowsing and maps.

Chapter 17. NUMEROLOGY

Since ancient times it has been known that naming something, giving a name to a living or inanimate object or phenomenon is, ultimately, an act of creation of the named entity. Everything in the world has its own names, which are expressed in certain, not at all random, words.

Word fragments are sounds that can be graphically written in letters and numbers. There is a harmonic connection between the letter and the number, and therefore a cosmic connection.

It is also marked between the letters of the word denoting a particular concept, and the numerical value of the word (i.e., the sum of the numerical values of the letters that make up the word). This is the basis of the occult science - numerology.

According to the canons of numerology, every sound, word, phrase spoken by a person creates certain vibrations that harmonize (positive vibrations) or disharmonize (negative vibrations) with the vibrations of the Cosmos. Consequently, the former are creative for the named object, the latter have a destructive effect on the object, the essence of a person, etc.

You can determine the quality of vibration and, therefore, predict this or that phenomenon by the name of the subject, object, converting it into a digital value.

METHODOLOGY

In numerology, each person’s name or other name has its own vibrating number, obtained by translating the letters of the name into numbers. The letters of each alphabet correspond to numbers (Table 19).

Thus, as shown in the table, you can write other alphabets (Greek, Latin, etc.) in order and determine the numerical value of the letters.

Substituting numbers to the name of any object or name, and so on, we add them, then, if a two-digit number is formed (10 or more), we add the digits of this number. They add in this way until they get a single-digit number from I to 9, because during the first folding a two-digit and

Table 19 Numerical values of letters of alphabets (Ukrainian, Russian)


A I P Sh	B I R SC	V Ї S Yu	G Y T Y	D K U L	E LF	E M X	F N C	Z O H
A I S b	B Y T Y	V K U L	G L F E	D M X Y	B N C Y	Y O H	F P W	Z R SC

three digit number. For example, IVAN. Substitute and add the meaning of each letter:

1+3+1+6=11. Double digit number We add 11 in this way: 1 + 1 = 2, that is, the number 2 represents the vibrating symbol (vibrating number) in the word IVAN.

Date and life numbers are converted into vibrating symbols by adding the numbers that make up the day, month and year. For example, December 1, 1991, that is, the 1st day, 12th month, 1991. Add: 0+1+1+2++1+9+9+1== 24, then 2+4=6. This is a vibrating symbol (number).

If a person's name matches his character, this is beneficial; if it does not combine or contradicts, it is unfavorable (you should take a pseudonym so that it coincides with the date of birth and improves the person if his name is chosen poorly).

Harmonic numbers. Every person has favorable and unfavorable days. This also applies to the days of illness. Each day, today and the coming day, has its own vibrating number, which accordingly affects a person who has a certain date of birth.

Taking into account the above, we can determine the harmonic number. For example, a person with a name number of 7 has a birthday on January 14, 1922. We determine the vibrating number by date of birth: 1 +4+1 +1 +9+2+2=20, then 2+0=2.

Now let’s determine how December 17, 1992 will affect this person, that is, 1+7+1+2+1+9+ +9+2=32, 3+2=5.,

To determine the harmonic number, add up the number of the name (7), the vibrating number of birth (2), and the vibrating number of the date we have determined (5). So, 7+2+5=14, 1+4=5. For the meaning of this number, as well as other possible numbers, see paragraphs 17.1 - 17.17.

Prediction of the course of the disease. To predict the course of the disease and its outcome using the given method of occult numerology, it is necessary to determine the harmonic numbers in the following sequence:

1. Name number;

2. Day, month and year of birth;

3. The number of day, month and year of onset of the disease;

4. The number of the day, month and year about which you want to know how it will be

influence the course of the disease.

Sum it all up And define a single single-valued harmonic number. Having determined this number, read below the interpretation of the harmonic number you obtained.

NUMBER 1

Birth number I. It is a symbol of one’s own person, a symbol of glory and power, action and ambition. You will reach new heights in a direct and progressive way. Avoid selfishness and greed, self-will and willfulness, be careful, balance your interests with the interests of others, so as not to lead to conflict.

Name number 1. Full of energy and desire to act. Momentary actions will be effective, as well as actions in sudden and momentary situations; less effective - in planned situations. Don't take risks, doing business is ineffective. Avoid rash decisions.

Harmonic number 1. A day for certain direct actions with a single purpose. Time to attack any problem. Look for advancement, start a new practical business: contracts, legal affairs, business studies. Don't look at anything complicated And evasive. A turning point in the course of the disease is possible.

NUMBER 2

Birth number 2. Balance in mood, behavior, actions, gentleness and tactfulness of character, search for compromises, smoothing out sharp corners and acute problems. You are hampered by internal contradictions, excessive rationality, and advice from friends and others. You are between light and darkness, good and evil, heat and cold, wealth and poverty, life and death. Avoid extremes, any uncertainty and excessive generosity. Think and care about others and yourself. Good advisers, but not performers.

Name number 2. Changeable character, emotional and inner restlessness, leading to uncertainty. Tendency towards fanaticism. Don't worry about little things, avoid arguments and quarrels. Collaboration With friends, colleagues will bring success.

Harmonic number 2. Day of planning, weighing problems and making decisions. Difficulties and indecision are possible. A day of contrast with a bad start and a good ending, or vice versa. It is better to stand aside and let others be active than to exhaust yourself on this day. A turning point in the course of the disease in the direction of its improvement or deterioration is possible. Active treatment and preventive measures are needed.

NUMBER 3

Birth number 3. Quickly reveal their traits: a sharp and intuitive mind, quick and easy assimilation of knowledge. Capable, but unable to use these abilities alone. Adapts to everything to his advantage. Looking for: interesting people, easy, pleasant surroundings, entertainment. Lives only one

during the day, he doesn’t care about the future. He doesn’t doubt his abilities and can go far. Competent at work. Impatience and the desire for easy activities prevent you from moving to another path with higher opportunities.

Name number 3. Talent, versatility, cheerfulness indicate science, the world of art, sports life, hobbies. If this person takes useful advice, acts wisely when choosing a profession, planning his career, then success and fame are possible.

Harmonic number 3. A day with varied activity, many things can be completed. Business can be combined with leisure. You can start various projects, decide on work and establish cooperation. Don't focus on a single goal. Difficult problems are solved. Meeting people, traveling, and entertainment are useful. If the illness began on this day, then it will end with a good outcome, recovery.

NUMBER 4

Birth number is 4. Balanced, hardworking nature, cautious, risk-averse. A capable person, with his own ideas, plans, wants to figure everything out himself. Avoids self-deception. If a person’s goals and requirements are small, then defeat and poverty are possible.

Name number 4. Success in scientific and technical affairs. Reliability, stability, conscientiousness, making friends, achieving recognition. Such a person is useful in extreme situations, in difficult conditions, when he shows his best side.

Harmonic number 4. A day to do your usual things and complete small jobs. This is not the time to travel, it is better to stay at home and focus on your business. The hard-working, persistent worker loves days like these. Others find him boring. Don't do anything important, avoid speculation. Mild illnesses complete their course, while more severe patients experience temporary relief.

NUMBER 5

Birth number is 5. Enthusiast, loves adventure and risk, prone to everything unusual. He is active, loves trips and travel, and feels at home everywhere. Easily learns foreign languages and traditions of other peoples. Sudden and unexpected actions and behavior with unpredictable consequences are possible. Often comes out dry. Resourcefulness, wit, and cheerfulness help in life. He is always looking forward and does not see what is at hand.

Name number 5. Spiritual freedom and independence of action. They value acquired and accumulated experience more than outside advice. They love travel and adventure, driven by spiritual anxiety. Philosophical way of thinking.

Harmonic number 5. A day of unexpected situations, full of energy, excitement and adventure. Don't be extremely impatient with crazy ideas as they can lead to unpleasant

consequences. When taking risks, be sure that the risk is justified. If new projects and travels arise, evaluate whether they have meaning and not just desire.

24-hour monitoring of the patient is necessary, because a sudden complication of the disease is possible, even with fatal. At the same time, on the contrary, sudden recovery is possible.

NUMBER 6

Birth number is 6. Unsurpassed, honest, frank, reliable nature. The views are progressive, but with the desire to create a name for oneself. gain respect And the disposition of others, maintain peace and tranquility among people, improve their living conditions. They are optimistic and cheerful, they justify the work or position entrusted to them, they are satisfied with what they have achieved, without striving for the heights of career and fame. They are hindered by complacency and complacency. The mask of impartiality does not evoke much sympathy for them and gives reason to suspect them of hypocrites.

Name number 6. Success in enterprises if they gain the trust of others. This is often politicians or high government officials. They are known in society for their scientific or philosophical views, as long as their words match their deeds. Society expects them to implement what they have said. They quickly learn the truth, are honest and kind.

Harmonic number 6. A day for goodwill and understanding. Ease, comfort and harmony. Do not take quick or decisive action. Don't start new things, don't accept a challenge. It is a day for the home, a time for business conferences, social gatherings, attention to friends and family, and non-confrontational diplomatic missions. Uncertainty can be destructive and risk can be deadly. Planned affairs will reach their climax.

Mild illnesses will end in recovery, beginning illnesses will reach their climax, and severe illnesses will remain unchanged. It is not recommended to undergo surgical interventions on this day, with the exception of emergency ones - those whose delay threatens the patient’s life.

NUMBER 7

Birth number 7. Mystery and knowledge. Inconsistency. Characterized by diligence and poetry, sometimes with oddities. A penchant for analytical thinking, strong intuition, rich imagination, lively, vivid imagination. Composers, musicians, writers and poets, philosophers and hermits, thinkers and hermits are born with this number. Their inspiration requires solitude and loneliness. Weak personalities are despondent and pessimistic, strong ones become bright personalities with a worldwide reputation.

Name number 7. Contains an ability for science, art, philosophy, and religious activity. The success of their activities depends on results achieved and planning for the future. They can become leaders and teachers. Commercial and financial activities requires outside help.

Harmonic number 7. A day for study, research, invention, and pursuits of highly spiritual and artistic subjects. Avoid worry, despondency and gloomy thoughts, although this is difficult. This is a day to think and

overloaded organs remain awake and affect dreams.

A person's life journey ends with his death. You need to be prepared for this, especially if there is a bedridden patient in the family. The signs before death will be different for each person. However, observational practice shows that it is still possible to distinguish a number common symptoms, which foreshadow the approach of death. What are these signs and what should you prepare for?

How does a dying person feel?

A bedridden patient usually experiences mental anguish before death. In a sane mind there is an understanding of what is to be experienced. The body undergoes certain physical changes, this cannot be ignored. On the other hand, the emotional background also changes: mood, mental and psychological balance.

Some people lose interest in life, others completely withdraw into themselves, and others may fall into a state of psychosis. Sooner or later, the condition worsens, the person feels that he is losing his own dignity, more often thinks about a quick and easy death, and asks for euthanasia. These changes are difficult to observe and remain indifferent. But you will have to come to terms with this or try to alleviate the situation with medications.

As death approaches, the patient sleeps more and more, showing apathy towards the world around him. In the last moments, there may be a sharp improvement in the condition, reaching the point that the patient, who has been lying down for a long time, is eager to get out of bed. This phase is replaced by subsequent relaxation of the body with an irreversible decrease in the activity of all body systems and the attenuation of its vital functions.

Bedridden patient: ten signs that death is near

In conclusion life cycle An elderly person or a bedridden patient increasingly feels weak and tired due to lack of energy. As a result, he is increasingly in a state of sleep. It can be deep or a slumber through which voices are heard and the surrounding reality is perceived.

A dying person can see, hear, feel and perceive things and sounds that do not actually exist. In order not to upset the patient, you should not deny this. Loss of orientation is also possible and the Patient becomes more and more immersed in himself and loses interest in the reality around him.

Due to kidney failure, urine darkens to almost Brown with a reddish tint. As a result, swelling appears. The patient's breathing quickens, it becomes intermittent and unstable.

Under pale skin, as a result of impaired blood circulation, dark “walking” venous spots appear that change location. They usually appear first on the feet. In the last moments, the limbs of a dying person become cold due to the fact that the blood, flowing from them, is redirected to more important parts of the body.

Failure of life support systems

There are primary signs that appear on initial stage in the body of a dying person, and secondary, indicating the development of irreversible processes. Symptoms may be external or hidden.

Gastrointestinal tract disorders

How does a bedridden patient react to this? Signs before death associated with loss of appetite and changes in the nature and amount of food consumed, manifested by problems with stool. Most often, constipation develops against this background. Without a laxative or an enema, it becomes increasingly difficult for a patient to empty his bowels.

Patients spend the last days of their lives completely refusing food and water. Don't worry too much about this. It is believed that when dehydrated, the body increases the synthesis of endorphins and anesthetics, which to some extent improve overall well-being.

Functional disorders

How does the condition of patients change and how does a bedridden patient react to this? Signs before death associated with weakening of the sphincters in the last few hours of a person's life include fecal and urinary incontinence. In such cases, you must be prepared to provide him with hygienic conditions by using absorbent linen, diapers or nappies.

Even with an appetite, there are situations when the patient loses the ability to swallow food, and soon water and saliva. This may lead to aspiration.

With severe exhaustion, when the eyeballs are severely sunken, the patient is unable to completely close the eyelids. This has a depressing effect on those around you. If the eyes are constantly open, the conjunctiva must be moisturized with special ointments or saline solution.

and thermoregulation

What are the symptoms of these changes if the patient is bedridden? Signs before death in a weakened person unconscious terminal tachypnea manifests itself - death rattles are heard against the background of frequent respiratory movements. This is due to the movement of mucous secretion in the large bronchi, trachea and pharynx. This condition is quite normal for a dying person and does not cause him suffering. If it is possible to place the patient on his side, wheezing will be less pronounced.

The beginning of the death of the part of the brain responsible for thermoregulation is manifested by jumps in the patient’s body temperature in the critical range. He may feel hot flashes and sudden cold. The limbs are cold, the sweating skin changes color.

Road to Death

Most patients die quietly: gradually losing consciousness, in their sleep, or falling into a coma. Sometimes in such situations they say that the patient passed away along the “usual path.” It is generally accepted that in this case, irreversible neurological processes occur without significant deviations.

A different picture is observed with agonal delirium. In this case, the patient’s movement towards death will take place along a “difficult road”. Signs before death in a bedridden patient who has taken this path: psychosis with excessive excitement, anxiety, disorientation in space and time against a background of confusion. If there is a clear inversion of the cycles of wakefulness and sleep, then for the patient’s family and relatives this condition can be extremely difficult.

Delirium with agitation is complicated by a feeling of anxiety, fear, often turning into a need to go somewhere or run. Sometimes this is speech anxiety, manifested by an unconscious flow of words. A patient in this state can only perform simple actions, without fully understanding what he is doing, how and why. The ability to reason logically is impossible for him. These phenomena are reversible if the cause of such changes is identified in time and treated with medication.

Painful sensations

Before death, what symptoms and signs in a bedridden patient indicate physical suffering?

In general, uncontrollable pain rarely worsens in the last hours of a dying person's life. However, it is still possible. An unconscious patient will not be able to let you know about this. Nevertheless, it is believed that pain even in such cases causes excruciating suffering. A sign of this is usually a tense forehead and deep wrinkles appearing on it.

If, when examining an unconscious patient, there is evidence of developing pain, the doctor usually prescribes opiates. You should be careful, as they can accumulate and over time aggravate the already existing problem. serious condition due to the development of excessive overexcitation and seizures.

Giving help

A bedridden patient may experience significant suffering before death. Relief of symptoms of physiological pain can be achieved with drug therapy. Mental suffering and psychological discomfort of the patient, as a rule, become a problem for relatives and close family members of the dying person.

An experienced doctor, at the stage of assessing the general condition of the patient, can recognize the initial symptoms of irreversible pathological changes cognitive processes. This is primarily: absent-mindedness, perception and understanding of reality, adequacy of thinking when making decisions. You can also notice disturbances in the affective function of consciousness: emotional and sensory perception, attitude to life, the relationship of the individual with society.

The choice of methods to relieve suffering, the process of assessing the chances and possible outcomes in the presence of the patient in in some cases can serve on its own therapeutic agent. This approach gives the patient a chance to really realize that he is sympathized with, but is perceived as a capable person with the right to vote and choice. possible ways solutions to the situation.

In some cases, a day or two before the expected death, it makes sense to stop taking certain medications: diuretics, antibiotics, vitamins, laxatives, hormonal and hypertensive drugs. They will only aggravate the suffering and cause inconvenience to the patient. Painkillers, anticonvulsants, antiemetics, and tranquilizers should be left.

Communication with a dying person

How should relatives who have a bedridden patient behave?

Signs of approaching death can be obvious or conditional. If there is the slightest prerequisite for a negative forecast, you should prepare in advance for the worst. By listening, asking, trying to understand the patient's non-verbal language, you can determine the moment when changes in his emotional and physiological state indicate the imminent approach of death.

Whether the dying person knows about it is not so important. If he realizes and perceives, it makes the situation easier. You should not give false promises and vain hopes about his recovery. It is necessary to make it clear that his last will will be fulfilled.

The patient should not remain isolated from active cases. It’s bad if there is a feeling that something is being hidden from him. If a person wants to talk about the last moments of his life, then it is better to do it calmly than to hush up the topic or accuse him of stupid thoughts. A dying person wants to understand that he will not be alone, that they will take care of him, that suffering will not affect him.

At the same time, relatives and friends need to be prepared to show patience and provide all possible assistance. It is also important to listen, let them talk, and offer words of comfort.

Doctor's assessment

Is it necessary to tell the whole truth to relatives whose family has a bedridden patient before death? What are the signs of this condition?

There are situations when the family of a terminally ill patient, being unaware of his condition, literally spends their last savings in the hope of changing the situation. But even the best and most optimistic treatment plan may not produce results. It will happen that the patient will never get back on his feet, will not return to active life. All efforts will be in vain, expenses will be useless.

Relatives and friends of the patient, in order to provide care in the hope of a speedy recovery, quit their jobs and lose their source of income. Trying to alleviate the suffering, they put the family in a difficult financial situation. Relationship problems arise, unresolved conflicts arise due to lack of funds, legal issues- all this only aggravates the situation.

Knowing the symptoms of inevitably approaching death, seeing irreversible signs of physiological changes, an experienced doctor is obliged to inform the patient’s family about this. Aware, understanding the inevitability of the outcome, they will be able to focus on providing him with psychological and spiritual support.

Palliative care

Do relatives whose family has a bedridden patient need help before death? What patient symptoms and signs indicate that she should be seen?

Palliative care for a patient is not aimed at prolonging or shortening his life. Its principles include the affirmation of the concept of death as a natural and natural process in the life cycle of any person. However, for patients with an incurable disease, especially in its progressive stage, when all treatment options have been exhausted, the question of medical and social assistance is raised.

First of all, you need to apply for it when the patient no longer has the opportunity to lead an active lifestyle or there are no conditions in the family to ensure this. In this case, attention is paid to alleviating the suffering of the patient. At this stage, not only the medical component is important, but also social adaptation, psychological balance, peace of mind of the patient and his family.

A dying patient needs not only attention, care and normal living conditions. Psychological relief is also important for him, the relief of experiences associated, on the one hand, with the inability to independently care, and on the other, with the awareness of the fact of his inevitably approaching imminent death. Prepared nurses and master the subtleties of the art of alleviating such suffering and can provide significant assistance to terminally ill people.

Predictors of death according to scientists

What should relatives who have a bedridden patient expect?

Symptoms of the approaching death of a person “eaten” by a cancerous tumor were documented by the staff of palliative care clinics. According to observations, not all patients showed obvious changes in their physiological state. A third of them did not show symptoms or their recognition was conditional.

But in most terminally ill patients, three days before death, a noticeable decrease in response to verbal stimulation could be noted. They did not respond to simple gestures and did not recognize the facial expressions of the personnel communicating with them. The “smile line” in such patients was lowered, and an unusual sound of the voice was observed (groaning of the ligaments).

In addition, some patients had hyperextension of the neck muscles (increased relaxation and mobility of the vertebrae), non-reactive pupils were observed, and patients could not close their eyelids tightly. Of the obvious functional disorders, bleeding was diagnosed in the gastrointestinal tract (in the upper sections).

According to scientists, the presence of half or more of these signs may most likely indicate an unfavorable prognosis for the patient and his sudden death.

Signs and folk beliefs

In the old days, our ancestors paid attention to the behavior of a dying person before death. The symptoms (signs) of a bedridden patient could predict not only his death, but also the future wealth of his family. So, if in the last moments a dying person asked for food (milk, honey, butter) and relatives gave it, then this could affect the future of the family. There was a belief that the deceased could take wealth and good luck with him.

It was necessary to prepare for imminent death if the patient obvious reasons shuddered violently. It was believed that she looked into his eyes. Also a sign of imminent death was a cold and pointed nose. It was believed that it was death that held the candidate in the last days before his death.

The ancestors were convinced that if a person turns away from the light and most of the time lies facing the wall, he is on the threshold of another world. If he suddenly felt relief and asked to be moved to his left side, then this is a sure sign of imminent death. Such a person will die without pain if the windows and doors in the room are opened.

Bedridden patient: how to recognize the signs of impending death?

Relatives of a dying patient at home should be aware of what they may encounter in the last days, hours, moments of his life. It is impossible to accurately predict the moment of death and how everything will happen. Not all of the symptoms and signs described above may be present before the death of a bedridden patient.

The stages of dying, like the processes of the birth of life, are individual. No matter how hard it is for relatives, you need to remember that it’s even harder for a dying person. Close people need to be patient and provide the dying person with the maximum possible possible conditions, moral support and attention and care. Death is an inevitable outcome of the life cycle, and this cannot be changed.

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1. Loss of appetite

2. Excessive fatigue and drowsiness

3. Physical weakness

4. Brain fog and disorientation

5. Difficulty breathing

6. Self-isolation

7. Urinary problems

8. Leg swelling

9. “Icing” of the tips of the fingers and toes

10. Venous spots

How do cancer patients die?

Common causes of death from cancer

Symptoms of the patient before death

Psychological state of the patient before death

How do patients with different types of cancer die?

Brain cancer

Lungs' cancer

Mammary cancer

Liver cancer

Esophageal carcinoma

Stages of death of cancer patients

Pain relief before death

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Signs of death from cancer

Symptoms of death

How do people dying of cancer feel?

Measures to alleviate the condition

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Stage 4 lung cancer and symptoms before death

Main symptoms of the terminal stage

How do patients with terminal cancer die?

Causes of death in patients with stage 4 lung cancer

Bleeding

Complications after chemotherapy

Asphyxia

Drug management of pain

Nutrition and nursing

Main symptoms of the terminal stage

How do patients with terminal cancer die?

Causes of death in patients with stage 4 lung cancer

Bleeding

Complications after chemotherapy

Asphyxia

Drug management of pain

Nutrition and nursing

Death from cancer

Symptoms that occur before death

In general, the process of death from cancer occurs sequentially in several stages.

Death from lung cancer

Liver cancer

Esophageal carcinoma

Last days of life

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3 COMMENTS

Signs of imminent death of a patient

What signs of death do you know?

Swelling

Problems with hearing, vision, perception

Reduced need for food

Problems with thermoregulation

Weakness of the body

Foggy mind

Predagonia

Agony

Signs of imminent death in a cancer patient

Signs of imminent death of a person with cancer - what are they?

What do we have to do?

It is important to know:

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