the actively dying phase john mulder, md vp of medical services faith hospice
TRANSCRIPT
The Actively Dying PhaseThe Actively Dying Phase
John Mulder, MDVP of Medical Services
Faith Hospice
End of Life Signs and Symptoms End of Life Signs and Symptoms
One to Three Months One to Three Months
Withdrawal from the world and people Decreased food intake Increase in sleep Going inside of self Less Communication
One to Two Weeks One to Two Weeks
Agitation Talking with the unseen Confusion Picking at clothes
Disorientation
One to Two WeeksOne to Two Weeks
Decreased blood pressure Pulse increase or decrease Color changed, pale, bluish Increased perspiration Respiration irregularities
Physical
Congestion Sleeping but responding Complaints of body tired and heavy Not eating, takings little fluid Body temperature, hot/cold
Physical
One to Two WeeksOne to Two Weeks
Days or HoursDays or Hours
Intensification of one to two week sings Surge of energy Decrease in blood pressure Eyes glassy, tearing , half open Irregular breathing, stop/start
Restlessness or no activity Purplish knees, feet, hands, blotchy Pulse weak and hard to find Decrease urine output May wet or stool in bed
Days or HoursDays or Hours
MinutesMinutes
“Fish out of water” breathing
Cannot be awakened
“What we once enjoyed and deeply loved we can never lose,
for all that we love deeply becomes part of us.”
-Helen Keller
John Mulder, MDJohn Mulder, MD