11 End-of-Life Symptoms in Older Adults
Getting familiar with end-of-life symptoms in older adults can help you understand what your loved one may be experiencing, and promote a smooth transition for everyone.
Share on Pinterest izusek / Getty ImagesCaring for a loved one through the final stage of life is never easy. Whether you carry all the responsibility or just want to be there for them, you probably wonder what to expect.
End-of-life symptoms timeline
Everyone is different, so you shouldn’t expect to see all these end-of-life signs. Also, your loved one will progress at their own pace, which could be significantly fast or slow.
Weeks before end of life
Some of the earliest signs have to do with a sense of resignation. That may involve low mood, lack of motivation, and withdrawal. The person may spend more time reminiscing about their childhood and earlier life experiences.
Loss of appetite, general weakness, and increasing fatigue become noticeable.
Days before end of life
Your loved one will likely sleep more than they’re awake. They’ll move and talk less and may not respond to conversation or commotion. Their sense of hearing is most likely unchanged, but vision may be impaired.
Other signs in the final days may include:
Some people experience a certain amount of restlessness or have a burst of energy.
Hours before end of life
Signs that the body is actively shutting down are:
It’s thought that hearing is the last sense to fade. Even when unconscious, your loved one can probably still hear you.
At death
At the moment of death, breathing stops and there’s no pulse or measurable blood pressure. If the eyes remain open, pupils will be dilated.
As the muscles of the body relax, the bowels and bladder empty. As blood settles, the skin starts to look pale and waxy.
After death, you may still see tears falling from the eyes or small movements of the arms, legs, or voice box.
End-of-life symptoms
1. Appetite and digestive changes
As one nears the end of life, metabolism and digestion gradually slow down. Fewer calories are needed, so loss of appetite and decreased thirst are normal.
Trouble swallowing, nausea, and constipation can also interfere with appetite. There might be weight loss and signs of dehydration.
2. Sleeping more
Generalized weakness and fatigue are common. Energy levels wane and time spent sleeping increases.
3. Withdrawal from the world
You might notice a sense of resignation and withdrawal from the larger world. The person may create a protective bubble of fewer people and less curiosity about events outside the bubble. They might spend more time talking about the past than the present.
4. Anxiety and depression
As the end of life becomes apparent, some people experience a growing fear or worry for themselves or for those who will be left behind. End-of-life anxiety and depression aren’t uncommon.
5. Urinary and bladder incontinence
As the kidneys begin to fail, urine can become more concentrated and darker in color. Both bladder and bowel functions get harder to control.
6. Changing vital signs
Heart rate, body temperature, and blood pressure begin dropping. With reduced circulation, the hands, arms, feet, and legs start to feel cool to the touch. The skin may turn dark blue, purple, or appear mottled.
7. Confusion
Your loved one may be periodically confused. Time, place, and even close loved ones may be difficult to identify. You might note a limited attention span or repetitive motions like pulling at sheets or tugging at clothing.
8. Sensory changes
Eyesight is weakening. Someone nearing death may see, hear, or feel things that you don’t, even speaking to others who have died. Sensory changes can also lead to illusions, hallucinations, and delusions.
9. Saying goodbye
If alert to what’s happening, some people want to participate in funeral planning, putting affairs in order, or distributing possessions. They may feel a sense of urgency in clearing up loose ends, expressing feelings, and saying goodbye.
10. Breathing changes
Breathing grows increasingly slow and shallow with periods of shortness of breath. Fluid can collect in the throat as throat muscles relax. The person may be too weak to clear it by coughing, which can lead to noisy breathing known as a “death rattle.”
11. Loss of consciousness
Waking your loved one can become difficult. Eventually, they’ll be uncommunicative and unresponsive, losing consciousness or falling into delirium. Eyes may develop a glassy appearance.
How to support your loved ones during end of life
Your doctor will advise you on how to provide physical comfort based on their medical conditions. This may include administering medications for such things as pain, digestive issues, or anxiety.
Providing physical comfort
Whether or not you have professional caregivers or hospice care, there are some basic ways you can provide physical comfort:
Proving emotional comfort
To help provide emotional and spiritual support:
Think about your loved one’s spiritual needs. Consider bringing in an appropriate spiritual advisor, social worker, or end-of-life doula.
Takeaway
Letting go is not easy. Learning about elderly end-of-life symptoms can help you provide the physical and emotional support your loved one needs as they transition.
Once your loved one has passed, allow yourself time to grieve, take care of yourself, and reach out for help if you need it.
Posted : 2024-08-29 10:50
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