there are 2 stages of dying process: pre-active dying & active dying.
-may take up to 3 months.
-a month or more before death, people stars to withdraw, losing interest in news from the outside world and possibly requesting that visits from friends and relatives cease or shorten.
-patient sleep more and might not get out of bed
-gradually loss interest in everyday activities extends to eating
first give up eating meat, then fibrous vegetables, until it is clear that softer foods are preferred
-signs might appear only on the day before death or begin up to two weeks earlier
-sleep often but can easily be awakened
-may confuse time, place, and identities
-signs of agitation
-falling blood pressure, pulse may race or slow, or alternate
-limb feel cool
-extremities become pale, then take on a bluish tinge
-skin areas under pressure become mottled
-sensitivity to touch and pain declines
-poor ability to cough and swallow
-eating is impossible
-passive moaning sound occur in exhalation
-body temperature elevated the patient feel cold
-skin alternately flushed, then blue
-become restlessness and agitation
-pulse loses coontrol of the bladder or bowels
-more irregular breating, with longer periods between breaths, and lung rattling becomes louder
-consciousness fade in and out eyes do out- eyes do not focus and appear glassy, or may be only partially open
-eyes may tear frequently
-finally, the patient can no longer respond
-after 1, 2 or 3 long, last breaths, the eyes become fixed and open, the pupils dilate, the jaw relaxes, and the mouth may slightly open.
The journey of life has ended.
Hole's Human Anatomy & Physiology