Tag: Mottling

Articles about mottling on the terminally ill person’s body and the significance of mottling at the end-of-life.

Significant Signs a Terminally Ill Patient may be Close to Dying

Signs of imminent death
There are typical visible/audible signs that a person may have less than two weeks to live. There are times when we are so close to someone, we may miss the forest for the trees. Please allow me to go over some significant signs that a person with a terminal illness may have two weeks or less to live. If there is sudden onset, within the past 24-hours, any of the following signs and symptoms, please do an evaluation for end-of-life determination as soon as possible (family members seeing these signs should reach out to their hospice provider's 24x7 number):
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Mottling of Skin Near Death

Mottling At End Of Life Lower Calves
As a caregiver or family member, it can be challenging to witness the changes that occur as a loved one approaches the end of their life. One such change that may occur is mottled skin, also known as livedo reticularis. Understanding what mottled skin is and its significance in the dying process can help you provide the best care and support to your loved one during this time.
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Trigger Words for Hospice Nurses: Assessing End-of-Life in Two Weeks or Less

Signs of imminent death
Hospice visits by a nurse should always include a discussion with the caregiver and family members or facility staff about any changes since the last nursing visit. This interviewing process is extremely important because vital signs do not always provide clear indications when a patient is two weeks or less away from death. If we hear or read certain words or phrases in the notes, we should be on high alert for the possibility that the patient is either transitioning towards actively dying or is otherwise close to transitioning.
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Breathing Patterns Before End of Life: Critical Clues for the Last Hours!

Breathing Patterns
This article is intended for family members, caregivers, as well as nurses new and old. As an experienced hospice nurse, I've learned that when a family member or caregiver tells me their loved one is or has "goldfish breathing" or "fish out of water breathing" or "taking guppy breaths" that the patient is now at the end of their life.
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Interviewing and Observation as part of the assessment

There are observation and interviewing skills you can develop which will help you learn: What could cause the current change of condition Determining if a patient is having terminal restlessness Determining if your patient is within two weeks or less of life to live Knowing where your patient is in the dying process While this article is primarily meant for new nurses, what I’m sharing is also valuable for family members and loved ones as these skills can be honed and developed by anyone with patience and love towards the person being observed and interviewed.
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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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Recognizing the Approaching End of Life

When I first started working in the field of hospice, my clinical manager told me (I’m paraphrasing), one day you will be able to walk into the room, and without getting a single vital sign, just by visual observation, be able to tell that the person is dying or will be shortly dying. That was about three years ago. Today, it’s almost chilling for me (as it is both a blessing and tremendous responsibility) to be able to share she told the truth, and that over time — if you give yourself patience and grace and take the time to listen, observe, and remember — you too will learn how to tell when someone is close to or otherwise is dying. Please allow me to share some of my insight as to how I know a person has less than a month left to live, and often far less. First off, let’s go into the important discussion you should have with the family, friends, and the patient themselves that provides an overall background to the prognosis. That discussion should be centered around what types of decline (downward, negative) changes have been taking place in the patient’s life over the last six months making note as to whether the decline is minor, medium, or major and the frequency (once a month, once a week, etc.) of those changes.
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