upworthy

hospice

Health

Hospice nurse shares one comforting sign that someone is going to die within 4 weeks

'Visioning' is often a great comfort to people who may be scared of death.

via Canva Photos

A nurse explains how 'visioning' 3-4 weeks before death works.

Death is the final mystery that we all must face and it’s natural to be scared about going through the process. Experts say a few things can help, including using our fear to live a purposeful life and even making jokes, or using 'gallows humor'. One bit of good news is that we tend to get a little bit less afraid of death as we age. But in general, it helps to not shy away from death completely. Learning and talking about it is actually a good thing.

A new video by a hospice nurse shows an excellent reason for people to feel comfortable facing the unknown. Julie McFadden posts videos helping to demystify the dying process and bring comfort to people with a loved one in hospice care, or who may be dying themselves. Her profile reads, "Helping understand death to live better and die better." McFadden is also the author of the bestselling book, “Nothing to Fear.”

Hospice Nurse Julie has earned over half a million subscribers and has witnessed over a hundred deaths. In a recent video, she reveals that people are often comforted by friends and relatives who have passed away in their final days.

She says that when people begin experiencing these visions, it’s a sign that they will be passing away within a few weeks.

"Here's one sign that someone is close to death that most people don't believe happens,” Julie begins the video.

- YouTubewww.youtube.com

"Usually a few weeks to a month before someone dies, if they're on hospice, they will start seeing dead loved ones, dead relatives, dead pets. This happens so often that we actually put it in our educational packets that we give to patients and their families when they come on hospice so they aren't surprised or scared when it happens,” she continues.

The experience is called visioning; although no one knows how or why it happens, it’s common among all her patients.

"We don't know why it happens, but we see it in definitely more than half of our patients," she continues.

People often believe that the visions are caused by a lack of oxygen to the brain. However, Julie says that isn’t true. “Because when it does happen, most people are alert and oriented and are at least a month from death, so they don't have low oxygen," she said.

The good news is that the visioning experience is almost always comforting for those who are nearing the end.


death, dying, hospice, fear of dying, hospice nurse, mortality, aging, seniors, spirituality, visions Dying patients may be visited 3-4 weeks before death by loved ones, deceased spouses, or even dead pets. Photo by Anirudh on Unsplash

It often involves relatives who 'come from the other side' to let them know everything will be okay and encourage them to let go and pass away. People also experience being taken on journeys with loved ones or having sensory experiences from the past, such as smelling their grandmother's perfume or father’s cigar.

These visitors can also appear several at a time. Patients might report the room feeling 'crowded' like they are being joined by many people at once. It's possible they may be visited by 'spirits' or people they don't know, though that's less common.

Christopher Kerr, a CEO of Hospice & Palliative Care, an organization that provides palliative care in Buffalo, New York, says that the relatives that often appear in these visions are people who protected and comforted the dying parent when they were alive. So, they may see a parent who nurtured them but not one they feared.

Kerr has extensively studied the mysterious phenomena that happen when people die but has no real explanation for why the visioning experience happens. “I have witnessed cases where what I was seeing was so profound, and the meaning for the patient was so clear and precise, that I almost felt like an intruder,” he told BBC Brazil. “And trying to decipher the etiology, the cause, seemed futile. I concluded that it was simply important to have reverence, that the fact that I could not explain the origin and process did not invalidate the experience for the patient.”

In a more in-depth video, Hospice Nurse Julie shares a real video of a dying woman experience visioning. It's extremely powerful:

- YouTubewww.youtube.com

Again, experts agree that once your loved one begins experiencing these visions, it's likely that they will pass on in the next 3-4 weeks. Remember that they are not a symptom to be treated or a concern to be addressed, as long as they aren't causing distress. They are simply a comforting sign of things to come.

It's comforting to know that for many, the final days of life may not be filled with pain and fear but instead with a sense of peace and joy. While we may never fully understand the reasons behind these mysterious visions, if they bring calm during such a daunting time, we can simply be grateful for their presence. They’re kind of like life, in general. In the end, we may not really know what it was all about, but we can be happy that it happened.

This article originally appeared last year. It has been updated.

Canva Photos

There is a three hour window of time when most dying people pass away.

Death is hard to think about and harder still to talk about. Some people get panic attacks just imagining the inevitable end of their life. It's an extremely uncomfortable and inescapable fact of living. For some people, learning as much as they can about what it's like and how it works is the one thing that brings them a little bit of comfort.

That's where Julie McFadden comes in. McFadden has been working as a hospice nurse for nine years. She has been educating people about the dying process on social media for almost as long, racking up millions of views with her gentle, reassuring, and highly informative FAQs.

In a recent video, Hospice Nurse Julie tackles a big, scary question: What time do people usually die? And can we actually predict someone's time of death?

"When is the most common time to die? I think you might be surprised what research says," she begins the video.

McFadden says even she was surprised when she started digging into the data and research. She noted that in her own work, she hasn't really seen a trend, but after poring through studies and speaking to colleagues throughout the hospice industry, she was taken aback to discover there was a clear answer to her question.

"Research and anecdotal evidence... it does show that most people die between 2 a.m. and 5 a.m.," she says. She explains that some professionals refer to this window as the "letting go hour."

Other studies and experts have a slightly different take, citing the most common time as 6 a.m.—8 a.m., or even peaking at 11 a.m. But the truth remains that there is a definitive pattern of a high percentage of people passing away in the wee hours of the morning or middle of the night.

- YouTube www.youtube.com

"So, why does that happen? That's where my brain went. And to me, the reason why is the most fascinating part," she explains.

There are a few different factors, McFadden says, that explain such a narrow death window. The first relates to the normal cycle of our body's energy and alertness.

"Biologically, we have a circadian rhythm... And between the hours of two and five, that is when our body's energy level is the lowest. Our temperatures drop, our blood pressure drops, and our breathing slows."

She mentions that those late night/early morning hours are also typically very quiet, without a lot of interruption and stimulation that might unwittingly keep a patient engaged with the outside world. "There's less people kind of trying to hold you there."

The dying person's personality also plays a role. McFadden says she sees over and over that some patients will wait until the entire family arrives before they "let go," while others will wait until things are quiet and they're alone. More outgoing people may wait to be surrounded before they pass, while introverts may prefer to pass in solitude. For the folks who prefer peace and quiet, those nighttime hours make a lot of sense.

death, dying, death doula, hospice, hospice nurse, mortality, aging, seniors, love, family, fear, afterlife Learning about death is uncomfortable, but it helps us in the long run. Photo by Sijmen van Hooff on Unsplash

McFadden then shared a pretty wild story of a patient of hers who "chose" when to die. Viewers then chimed in with their own.

Most people who have lost a loved one absolutely insist that dying people are aware of, and have some level of control over, when they decide to let go. You should watch McFadden's video to hear her best story, but the comments were full of even more.

"My good friend Donna was dying in hospice from a brain tumor and a week before she passed things looked pretty grave so she wasn't expected to last another 2 days. Her sister was by her side and said it's okay you can go but she opened her eyes and said no I'm not going yet I'm waiting for my birthday, I'm dying on my birthday. Her birthday was a week away and no one thought she would make it but she did. Her sister whispered in her ear 'today is your Birthday Sis you made it' and then she passed within the hour," one user shared.

"My grandmother was actively dying for two weeks and held on until the wee hours of the first of the month. She was concerned about getting her social security check to help the family," said another.

"About a week before my 93 year old mom died, she adamently said a few times to me and others she was leaving the following Tuesday. At first I thought she meant she's going out... That Tuesday comes and it was clear she was probably not going to make it to end of the week. I was aware of her comments from the week before but didn't think it would happen that day. She died at 11:12 pm that night, on the day she said she was leaving. She knew."

"While not quite the same thing as 'predicted,' my mother said 'they' told her when she was going to pass away -- to the minute. 'They' being the people visiting her and promising to help her during her visioning experiences. She said they had shown her where she was going to go. She died at exactly the time her visioning-visitors had told her."

The stories shared by the hundreds in the comments to McFadden's video are heart-wrenching, but ultimately extremely hopeful.

@hospicenursejulie

Replying to @skinnysketch19 the transitioning phase #hospicenursejulie #caregiversoftiktok #dementia #education #medicaltok #learnontiktok #science #STEM

McFadden doesn't want her viewers who may have a loved one who's dying to be more anxious and nervous during the night, worrying and potentially losing sleep.

"People are going to do it when they do it. Their body is going to let go when the body is ready to let go. All you can do is be there for your loved one the best you can."

She reiterates that, even for someone like her who has seen and helped many patients cross over from this world to the next, that death is a mystery. As much as we can continue to learn and understand new aspects of it, we'll never fully know what it's like until we experience it ourselves.

This article originally appeared in June.

via Canva

A doctor is analyzing brain scans.

Death remains one of the greatest mysteries of life. It’s impossible to know what happens as a person passes and whether there’s anything afterward because no one has ever been able to report what happens from beyond the grave. Of course, if you ask those with a keen interest in the supernatural, they may say otherwise.

However, in 2021, researcher Dr. Raul Vicente and his colleagues at the University of Tartu, Estonia, became the first people ever to record the brainwaves of someone in the process of dying, and what they’ve come to realize should be very comforting to everyone. “We measured 900 seconds of brain activity around the time of death and set a specific focus to investigate what happened in the 30 seconds before and after the heart stopped beating,” Dr. Ajmal Zemmar, a neurosurgeon at the University of Louisville, US, who organized the study, told Frontiers.


The patient who died while having his brain waves measured was 87 years old and had epilepsy. While researchers were studying his brain to learn more about the condition, they had a heart attack and passed away. “Just before and after the heart stopped working, we saw changes in a specific band of neural oscillations, so-called gamma oscillations, but also in others such as delta, theta, alpha, and beta oscillations,” Zemmar said.

The different types of brain oscillations that occurred in the patient before and after the heart attack were associated with high cognitive functions, including dreaming, concentrating, memory retrieval, and memory flashbacks. Therefore, it’s possible that as the patient was dying, they had their life flash before their eyes. What an amazing and comforting experience right before leaving this mortal coil.

“Through generating oscillations involved in memory retrieval, the brain may be playing a last recall of important life events just before we die, similar to the ones reported in near-death experiences,” Zemmar speculated. “These findings challenge our understanding of when exactly life ends and generate important subsequent questions, such as those related to the timing of organ donation.”


How long are people conscious after they are technically dead?

Science has found that people can remain conscious up to 20 seconds after they are declared dead. Even after the heart and breathing have stopped, the cerebral cortex can hang on for a while without oxygen. So, some people may experience the moment when they hear themselves declared dead, but they aren’t able to move or react to the news. In cases where someone performs CPR on the deceased person, the blood pumped by the compressions can temporarily keep the brain alive as well.

Although the experience of death will probably always remain a mystery, we should take solace in the idea that, in many cases, it may not necessarily be a miserable experience but an ecstatic final burst of consciousness that welcomes us into the great beyond. “Something we may learn from this research is: although our loved ones have their eyes closed and are ready to leave us to rest, their brains may be replaying some of the nicest moments they experienced in their lives,” Zemmar concludes.

This article originally appeared in February

Joy

Woman shares the one heartwarming request she got while visiting a nursing home

A beautiful story reminding us that some things never change.

@brittanydspivey/TikTok

We need more stories like this.

When vocal coach Brittany Spivey’s mother passed away in 2022, she began sharing her grief journey—and all the discoveries and transformation it brought—online. Including one particularly lovely story involving her visits to a nursing home.

As Spivey explains in the video below, once her mother had passed, she no longer had living parents, or grandparents, which prompted her to start making visits to her local nursing home. She arrived with flowers in hand and asked the front desk person which residents haven’t had many visitors in awhile.

Much to her surprise, the front desk worker replied that most residents don’t get visitation all that often. That day, Spivey was assigned two sisters, each of whom hadn’t expected anyone to come. After chatting together for a few hours, Spivey had “fallen in love” with each of them, and felt like she had been “sitting with her grandma and mom all over again.”

@brittanydspivey

If youre in the mood for a beautiful story time 🥹🫶🏾❤️ #storytime #nursinghome #family

Pretty soon, Spivey began making regular visits, which included dropping off occasional gifts. To make sure she was actually getting her gal pals something they’d enjoy, she asked them, “Is there anything you need?”

Their response? “Girly things”: Butterfly hairclips, lip gloss, hair bows, little accessories, even a jewelry making kit. Not the basic toiletries or clothing items Spivey anticipated, but full-on kiddie toys.

Of course, Spivey was happy to oblige. The next day she and her daughter arrived with little trinkets to help make them “feel like the girls that they are.” And after that, the sisters got so excited each time they would see her.

“It was so beautiful. I miss my mom… I miss my grandma…so beautiful because I still get to have that relationship,” Spivey concludes> She then encourages everyone, but especially those who have lost a loved one, to dedicate a free day to their local nursing home or assisted living facility, and particularly to seek out the residents who don't get regular visitors.

@brittanydspivey

🥹❤️🫶🏾🫶🏾🫶🏾🫶🏾

Spivey’s story certainly touched many viewers, and even inspired a few folks to follow in her footsteps.

“Because of this, I have volunteered for a nursing home this Thursday. Thank you.”

“I’m gonna volunteer. I’m going to be unemployed and it sounds like a beautiful way to connect. We’re human and want connections.”

Others chimed in to share their own beautiful experiences.

@brittanydspivey

Replying to @earthtotiana this comment makes me SOOOO happy ! 🥹🫶🏾❤️ Heres another update! #nursinghome #love #family


“I did this. I met a man who cried every time I left, and forgot me every time I came. He showed me photos one day, and I realized he was my neighbor from across the street when I was a kid.”

“I became penpals with a man in a nursing home during Covid. We wrote to each other every week for three years. He passed away a year ago and I miss Harold every day.”

A few nursing home workers also noted how it is indeed a precious thing when someone visits, and how easy it really is to make their day: “I work at a nursing home, especially with dementia residents. No one visits them, and all they do is pace around the halls calling out for loved ones. It’s heartbreaking.”

“I work at a nursing home. It’s so true! They just want love, someone who listens to them, and simple things.”

This story beautifully captures how with age comes a return to childlike joy. Many of us in our inherent (and taught) fear of growing older forget that it also comes with this blessing. It also reminds us that while we might not be able to physically interact with those who have moved on, we can still experience the deep connections created by those relationships if we only seek them out.