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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.

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"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, visionsDying 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:

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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.

Julie McFadden and former President Jimmy Carter.

Former President Jimmy Carter is known for being one of the most beloved former presidents in American history for his resolve to use his talents to help others, whether it was eradicating the Guinea worm or his work with Habitat for Humanity into his late 90s. Carter says that his faith is the big reason for his resilience. “I have one life and one chance to make it count for something,” he said. “My faith demands that I do whatever I can, wherever I am, whenever I can, for as long as I can with whatever I have to try to make a difference.”

The man who held the presidency from 1977 to 1981 went into hospice in February 2023 but has lived much longer than most expected. Carter has made 2 public appearances in that time, the first in November 2023 for the funeral of his wife of 77 years, Rosalynn and on October 1, 2024 for his 100th birthday. When Carter was wheeled into his wife’s funeral, some family members expressed shock and worry about Cartter’s appearance.

Since beginning hospice care, Carter has appeared frail and gaunt without expression and mouth agape. It shouldn’t be shocking for a person who has reached the age of 100 to appear so fragile, but it’s right to be concerned that he may be uncomfortable in such a state. However, Julie McFadden, also known as Hospice Nurse Julie, settled a lot of people’s fears in a TikTok video where she explained Carter’s appearance and why he’s most likely comfortable during his transition.

McFadden has assisted over a hundred people in their final days and is the author of the bestseller, "Nothing to Fear."

@hospicenursejulie

#greenscreenvideo #greenscreen Jimmy Carters 100th birthday! #hospicenursejulie #hospicenurse #jimmycarter #education

What is Jimmy Carter's condition?

“I have been tagged in this Jimmy Carter turns 100 years old today video,” she begins her viral TikTok with over 600,00 views. “So many times people asking me, why does he look like this? Is he okay? Does this mean anything? As a hospice nurse, this video was not alarming to me. Jimmy Carter, to me, looks just like someone who was 100 years old on hospice and getting towards the end of their life.”

She then speculated on what his life is like at age 100. “Jimmy Carter is likely sleeping 20 to 22 hours a day. He is likely not really eating and drinking, which is all normal and to be expected at the end of life. So that's why he looks so thin. He looks cachectic. His body is slowly shutting down and the more we just let his body be the guide, the better he will be.”

A lot of people are concerned about the way that Carter’s mouth seems to be permanently open. McFadden says that is due to muscle wasting. “His mouth is hanging open because it takes muscles to keep your mouth shut. And at the end of life, those muscles relax. So he is likely so relaxed that when he's sleeping, which is most of the time, even when he's in a wheelchair, he's asleep, and his muscles relax, so his mouth hangs open.”



McFadden also addressed many people's concerns: Should Carter have been brought outside to celebrate his birthday with his family in such an advanced state? Should he have been in front of the cameras?

“In my opinion, it's up to the family. The family knows that person best,” McFadden said. “From what we know of Jimmy Carter, he was a family man who loved being around his family. So why not be around him and celebrate his one hundred? One-hundredth birthday and bring family around, bring him outside. They know his personality. They must think he would love this. So let's do it. We don't have to keep dying people hidden away.”

McFadden is such an incredible gift because we tend to lock away the dying and talking about death and hospice is a very uncomfortable topic for most. This lack of information leads us to believe that someone in Carter’s position suffers. But, according to McFadden, he’s probably comfortable and relaxed. McFadden knows that when people better understand Carter’s condition, they will probably feel better about their final days as well.


Hospice nurse Julie on TikTok.

Watching a loved one die is difficult, confusing, terrifying and heartbreaking. They transform before our eyes, unrecognizably. In turn, our faces are no longer familiar to them. The entire experience can leave us feeling powerless to help.

Hospice workers provide an incredible service to humanity by making this process less painful. And they do it with great kindness and compassion.

Julie is a hospice nurse in California. In her five years doing this, she has helped a lot of patients maintain a quality life in their final weeks and months before having a peaceful death. She's also educated a lot of families about what to expect during the transition, in an attempt to make it a little less daunting. According to Julie, that's the best part of the job.

Julie decided to share her expertise on TikTok, where her insights could reach a wider audience.


"I knew I had a lot of interesting information about death and dying that most people don't know about. I want to normalize death by educating people about it. I went home to visit my family, and my tween nieces were on TikTok making dance videos. I later went on TikTok to see their dances. This gave me the idea of starting my own TikTok about death and dying," she told The Sun.

The idea caught on quickly. Julie soon racked up more than 400,000 followers, with millions of views for multiple videos. Clearly she had some valuable knowledge.

In one of her videos, she explains how many of the death processes we find morbid, are actually quite normal. Changes in breathing, skin color, fevers … all normal. Messy, but normal. Even the "death rattle," despite its scary name, is very natural, as the brain is no longer able to tell the throat to swallow saliva. "Terminal secretions," she calls it.

 
 @hospicenursejulie #hospicenursejulie #nurse #learnontiktok #ForzaHorizon5GO #nursesoftiktok ♬ original sound - 💕 Hospice nurse Julie 💕 
 
 

Julie also discusses the "rallying" phenomenon, where a terminal person seems to make a swift recovery—even regaining an appetite and bouncing back to a personality—before ultimately passing within a few days, or sooner. She explains that, where no one knows exactly why this happens, she always informs her patients and families so they're not caught off guard. I cannot imagine the anguish people go through who do not know this.

 
 @hospicenursejulie #hospicenursejulie #nurse #learnontiktok #nursesoftiktok ♬ original sound - 💕 Hospice nurse Julie 💕 
 
 

One person asked, "Does knowing all of this in depth make death less scary for you?" To which Julie simply replied "Yes–I'm not scared at all."

Natural death, Julie says, is not uncomfortable. Because many people die from accidents or diseases, we tend to equate death with suffering, but that does not have to be the case. In fact, Julie shares about people seeing angels, even loved ones who have passed. Often they manage to say "I love you" right before death.

 
 @hospicenursejulie Reply to @spymylittleye #greenscreen #hospicenursejulie #angel #LevisMusicProject #nurse #learnontikrok ♬ original sound - 💕 Hospice nurse Julie 💕 
 
 

Hospice care is undervalued, at best. And at worst, it can be demonized, as many buy into the myth that hospice companies make money off of killing patients (another notion Julie politely debunks). This is what makes her channel truly special. Julie makes death—the ultimate unknown—a little less frightening with the power of education and empathy. It's something she does on a day-to-day basis. But now we all can benefit.


You can check out even more of Julie's videos on TikTok, under her handle @hospicenursejuile

via Evergreen Hospice Volunteers / Facebook

Hospice nurses seem to come from the heavens. It's a job that requires a big heart, the strength to deal with death on a daily basis, and in-depth medical and nursing training.

Five years ago, Leigh Gardner performed a small miracle for a man that made one of his last days on Earth one of his best

Edward Reis, 62, was an ex-forest ranger with multiple sclerosis and had been in hospice care for years. His caregivers became a surrogate family for Reis who didn't have much family in the area.


A few weeks before his death, his chaplain Curt Huber asked him if he had any final wishes. Reis said he'd love to go back to the forest where he worked.

RELATED: 13 side-by-side portraits of people over 100 with their younger selves

Huber and Gardner, a nurse at Evergreen Health Hospice in Washington state, came together and created a plan that would allow Reis to make one last "walk" through the trees. The only problem was that Reis was bedridden and couldn't ride in a wheelchair, let alone walk through the forest.

So they contacted the Snohomish County Fire Department and they hopped into action.

The firefighters picked up Reis in a firetruck and took him to the lush forest of Puget Sound. They then rolled him on a gurney through the rocky terrain, stopping him by the creek so he could hear the water, and picking pieces of bark and putting it to his nose for one last inhale of one of his favorite scent.

"He was just smiling the whole time … saying he was so happy," Gardner told ABC News. 

"The wheels of a gurney are like a shopping cart, so very small wheels on a trail -- and it wasn't like one of those little running trails at all, it was like a hiking trail ... and we would stop every so often and he would just sit and listen," Gardner continued. "And you know I went over to him and I said, 'Are you happy?' He's like, 'I'm so happy.'"

RELATED: New research shows that children who grow up near nature become happier adults

The trip to Puget Sound was therapeutic for the firefighters as well. The men had recently been in Oso, Washington recovering bodies from a landslide that killed 43 people.

"We saw a lot of bad things up there in Oslo, and this was a time to just watch somebody at the end of their life enjoy what they could," he said of Reis' trip. "It felt good inside to help him and to watch his face. The payment was in his expression when he was out there."

With his final wish granted, Reis passed away a few weeks later.

"We kind of were his family in the end," Gardner said, adding that she missed him. "For the first couple of weeks after he'd passed away I was like, 'It's so weird not going three times a week and working so hard to take care of him.' It felt a little odd. So I miss his presence and just, you know, he was a gentle, gentle soul."

One can be sure the forest misses him, too.


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