Category: Transitioning

Articles that discuss the transitioning phase of the dying process that precedes the actively dying stage before death.

Managing Terminal Restlessness

Exhausted Patient From Restlessness
Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
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The Transitioning Phase of The Dying Process

Signs of imminent death
Losing a loved one is an incredibly challenging and emotional experience. If you find yourself in the presence of someone who is in the transitioning phase of the dying process, it can be helpful to know what signs to look for. Although every individual's experience may vary, there are some common observations that may indicate someone is in the transitioning phase. Here's a guide to help you recognize these signs and provide support during this grim time.
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Drowsiness vs Lethargy vs Obtunded

Altered Level Of Consciousness
As a hospice registered nurse case manager, you will encounter patients who experience various degrees of altered consciousness. It is essential to understand the difference between drowsiness, lethargy, and obtundation, as they can indicate different underlying medical conditions and require different interventions. For example, drowsiness is common and often expected, but lethargy and obtundation are more profound changes of condition which may mean the patient is closer to death than further way. Here’s a guide to help new hospice nurses distinguish between the three:
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Rally as part of the dying process

Dying is an inevitable facet of life, a natural progression that touches us all. This journey towards the end of life can unfold in diverse ways—peaceful and graceful or turbulent and fraught with stress. Amid this journey, there exists a phase known as the "rally." It occurs just prior to the final moments of a person's life. This rally phase often shrouds itself in misunderstanding and misconceptions. It's imperative to unravel what it truly signifies.
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The dying process at the end of life

Body And Soul
Living is a continuum where we start life (scientifically) from conception as a pre-born human being and are actively living from that time then through the birthing process and as we grow from child to adolescent to adult. We are actively living without regard to the quality of life we are living at the time. As we arrive closer to death, we often go through a transitioning phase prior to actively dying. In this article I would like to go over the dying process at the end of life covering frequent questions such as “what is transitioning?” and “how do I know if my loved one is actively dying?” or “what are the phases of dying?” The phases of dying can be broken down into two phases: transitioning towards actively dying and actively dying.
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